Abstract
Clinical trials have shown that a strategy for haploidentical transplantation based on the infusion of high numbers of T-cell-depleted hematopoietic progenitor cells and no post-transplant immunosuppression controls graft rejection and GvHD in patients with acute leukemia. Overall, event-free survival compares favorably with reports of transplants using sources of stem cells other than the matched sibling. Current studies are focussing on rebuilding post-transplant immunity to improve clinical outcomes separating GvHD from favourable donor immune responses.
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FA has received consulting fees from Gilead, MSD, Pfizer, Genzyme, and received lecture fees from Gilead, MSD, Pfizer and Celgene.
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This article was published as part of a supplement, supported by WIS-CSP Foundation, in collaboration with Gilead, Milteny Biotec, Gamida cell, Adienne Pharma and Biotech, Medac hematology, Kiadis Pharma, Almog Diagnostic.
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Aversa, F. T-cell depletion: from positive selection to negative depletion in adult patients. Bone Marrow Transplant 50 (Suppl 2), S11–S13 (2015). https://doi.org/10.1038/bmt.2015.88
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DOI: https://doi.org/10.1038/bmt.2015.88