Haploidentical hematopoietic cell transplantation with or without an unrelated cord blood unit for adult acute myeloid leukemia: a multicenter, randomized, open-label, phase 3 trial

Results of Haploidentical Hematopoietic Cell Transplantation for Adult Acute Myeloid Leukemia

Study Overview

A multicenter, randomized, phase 3 trial assessed the efficacy and safety of haplo-cord HCT in AML patients. A total of 268 eligible patients aged 18-60 years were randomly allocated to receive haplo-cord HCT or haplo-HCT.

Main Findings

The 3-year overall survival (OS) of the haplo-cord HCT group was better than the haplo-HCT group. Favorable progression-free survival and reduced relapse rates were observed in the haplo-cord HCT group. Grade 3-4 adverse events within two years posttransplantation were similar in both groups. Haplo-cord HCT patients also showed faster neutrophil recovery and increased T-cell reconstitution posttransplantation.

Clinical Implications

Haplo-cord HCT can improve OS in AML patients without excessive AEs, which may provide additional benefits for recipients of haplo-HCT.

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