Cord blood transplantation is associated with good outcomes in secondary Acute Myeloid Leukaemia in first remission

F. Baron*, M. Labopin, A. Ruggeri, F. Volt, M. Mohty, D. Blaise, P. Chevallier, J. Sanz, N. Fegueux, J. J. Cornelissen, A. Rambaldi, B. N. Savani, E. Gluckman, A. Nagler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: We conducted a retrospective survey within the European Society for Blood and Marrow Transplantation (EBMT) registry to assess the outcomes of cord blood transplantation (CBT) in secondary acute myeloid leukaemia (sAML). Methods: Inclusion criteria consisted of ≥18 years of age, sAML, first CBT between 2002 and 2016, and either first complete remission (CR) or active disease at CBT. Results: One hundred forty-six patients met the study inclusion criteria. Status at transplantation was first CR (n = 97), primary refractory sAML (n = 30) or relapsed (n = 19) sAML. Neutrophil engraftment was achieved in 118 patients while the remaining 25 patients (17%) failed to engraft. This includes 13% of patients transplanted in first CR versus 30% of those transplanted with active disease (P = 0.008). Two-year incidences of relapse were 25% in first CR patients versus 36% in those with advanced disease (P = 0.06) while 2-year incidences of nonrelapse mortality were 35% and 49% (P = 0.03), respectively. At 2-year overall survival, leukaemia-free survival and graft-versus-host disease (GVHD)-free relapse-free survival were 42% vs. 19% (P < 0.001), 40% vs. 16% (P < 0.001), and 26% vs. 12% (P = 0.002) in first CR patients versus those with advanced disease, respectively. Conclusions: We report here the first study of CBT in a large cohort of sAML patients. Main observation was that CBT rescued approximately 40% of patients with sAML in first CR.

Original languageEnglish
Pages (from-to)446-454
Number of pages9
JournalJournal of Internal Medicine
Issue number4
StatePublished - Apr 2019
Externally publishedYes


  • cord blood transplantation
  • graft-versus-host disease
  • graft-versus-leukaemia effects
  • secondary acute myeloid leukaemia


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