Blood: Adding rapamycin to the GVHD prevention program can significantly improve the prognosis of HCT patients with HLA antigen mismatch
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Last Update: 2020-07-16
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Source: Internet
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Author: User
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the purpose !---- of this study is to evaluate the efficacy of adding rapamycin to postoperative hematopoietic cell transplantation (HCT) anti-host disease (GVHD) in the treatment of cyclosporine and McOxaloxaterecruit patients with blood malignant diseases who can be treated with allogeneic HCTconditioning options include fludarabin (90 mg/m2) and 2-3 Gy full body radiotherapyGVHD prevention is cyclosporine and mcoxelateest and rapamycinthe main indicator of assessment is whether the cumulative incidence of type II-IV acute GVHD can be reduced to less than 70% in HCT patients with type I or TYPE II HLA mismatchesas of December 12, 2018, 77 subjects were recruited, 76 of whom completed the study interventionmedian follow-up for 47 months (range 4-94)100 days, the cumulative incidence of ii-IV acute GVHD was 36% (95% CI 25-46), reaching the primary endpointAfter 4 years, the incidence of non-recurrence dysoration and cumulative recurrence/progression was 18% (95% CI 9-27) and 30% (IQR 19-40), respectively, with an overall survival rate of 62% (95% CI 50-73%) respectivelyin general, adding rapamycin to the combined programme of cyclosporine and McPhee can reduce the incidence of acute GVHD, thereby increasing the overall survival rate of patients
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