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Adult Dual Umbilical Cord Blood Transplantation Using Myeloablative Total Body Irradiation (1350 cGy) and Fludarabine Conditioning  Junya Kanda, David.

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Presentation on theme: "Adult Dual Umbilical Cord Blood Transplantation Using Myeloablative Total Body Irradiation (1350 cGy) and Fludarabine Conditioning  Junya Kanda, David."— Presentation transcript:

1 Adult Dual Umbilical Cord Blood Transplantation Using Myeloablative Total Body Irradiation (1350 cGy) and Fludarabine Conditioning  Junya Kanda, David A. Rizzieri, Cristina Gasparetto, Gwynn D. Long, John P. Chute, Keith M. Sullivan, Ashley Morris, Clayton A. Smith, Donna E. Hogge, Janet Nitta, Kevin Song, Donna Niedzwiecki, Nelson J. Chao, Mitchell E. Horwitz  Biology of Blood and Marrow Transplantation  Volume 17, Issue 6, Pages (June 2011) DOI: /j.bbmt Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

2 Figure 1 Cumulative incidence of (A) neutrophil and (B) platelet engraftment of 50,000/μL. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

3 Figure 2 Dot plots showing the impact of total nucleated cell dose, CD34+ and CD3+ cell dose, and CFU content on establishment of the predominant unit and nondominant units for each patient. (A) Cryopreserved total nucleated cell dose (n = 20), median predominant unit 2.5 × 107/kg (range: × 107/kg), median nondominant unit, 1.8 × 107/kg (range: × 107/kg). (B) Infused total nucleated cell count (n = 19), median dominant unit 2.1 × 107/kg (range: × 107/kg), median nondominant unit, 1.5 × 107/kg (range: × 107/kg). (C) Infused CD34+ cell dose (n = 20), median dominant unit 0.7 × 105/kg (range: × 105/kg), median nondominant unit 0.5 × 105/kg (range: × 105/kg). (D) CD3+ cell count (n = 17), median dominant unit 3.5 × 106/kg (range: × 106/kg), median nondominant unit 3.4 × 106/kg (range: × 106/kg). (E) Colony-forming unit content (n = 20), median dominant unit 6.5 × 104/kg (range: × 104/kg), median nondominant unit 4.5 × 104/kg (range: × 104/kg). Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

4 Figure 3 Cumulative incidence of (A) acute and (B) chronic GVHD.
Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

5 Figure 4 (A) Overall and (B) disease-free survival, (C) treatment-related mortality, and (D) relapse rates. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions

6 Figure 5 Sequential change of myeloid chimerism for 2 patients (A and B) who had long-lasting dual cord blood chimerism. Biology of Blood and Marrow Transplantation  , DOI: ( /j.bbmt ) Copyright © 2011 American Society for Blood and Marrow Transplantation Terms and Conditions


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