Outcomes following intolerance to calcineurin inhibitor-based graft-versus-host disease prophylaxis in children after allogeneic hematopoietic cell transplantation

被引:0
|
作者
Wu, Diana [1 ]
Li, Ying [2 ]
Bi, Yu [3 ]
Lannom, Trevor M. [1 ]
Ward, Deborah A. [1 ]
Qudeimat, Amr [2 ,4 ]
Madden, Renee M. [2 ]
Sharma, Akshay [2 ]
Epperly, Rebecca [2 ,4 ]
Mamcarz, Ewelina [2 ,4 ]
Talleur, Aimee [2 ,4 ]
Naik, Swati [2 ,4 ]
Selukar, Subodh [3 ]
Triplett, Brandon [2 ,4 ]
Srinivasan, Ashok [2 ,4 ,5 ]
机构
[1] St Jude Childrens Res Hosp, Dept Pharm & Pharmaceut Sci, Memphis, TN USA
[2] St Jude Childrens Res Hosp, Dept Bone Marrow Transplantat & Cellular Therapy, Memphis, TN USA
[3] St Jude Childrens Res Hosp, Dept Biostat, Memphis, TN USA
[4] Univ Tennessee, Hlth Sci Ctr, Dept Pediat, Memphis, TN USA
[5] St Jude Childrens Res Hosp, Dept Bone Marrow Transplantat & Cellular Therapy, 262 Danny Thomas Pl,MS1130, Memphis, TN 38105 USA
关键词
calcineurin inhibitors; pediatric; transplantation; GINGIVAL HYPERPLASIA; CYCLOSPORINE; TACROLIMUS; BLOOD;
D O I
10.1002/pbc.30517
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Calcineurin inhibitors (CNI), cyclosporine and tacrolimus, are commonly used for pharmacologic prophylaxis of graft-versus-host disease after allogeneic hematopoietic cell transplantation (HCT). Unfortunately, their use is associated with significant toxicities. While intolerance to CNI is well defined, there is very little information on how they impact outcomes after HCT in children. Our retrospective study in a cohort of 82 children shows a high intolerance rate of 39% in this population associated with lower event-free survival and a higher transplant-related mortality.
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页数:4
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