Total Marrow and Lymph Node Irradiation (TMLI) with Fludarabine (FLU) and Melphalan (MEL) Is Well Tolerated and May Result in Improved Outcome in Patients (PTS) with Advanced Hematological Malignancies
Year: 2009
Type: article
Abstract: Reduced intensity conditioning (RIC) with FLU/MEL followed by hematopoietic stem cell transplantation (HSCT) may result in long-term survival in pts with hematologic malignancies and compromised organ function (COF); however, pts with advanced disease do poorly with RIC alone (Giralt, Biol. Blood Marrow Transplant, 13:884, 2007). In an attempt to improve the anti-tumor efficacy of RIC, while maintaining a low-toxicity profile, we added TMLI to FLU/MEL. We hypothesize that Flu/Mel with 1200 cGY of TMLI delivered using Tomotherapy Hi-Art system is safe, tolerable, and may improve outcome in pts with COF and advanced hematological malignancies.
Authors: J. Rosenthal, J. Wong, A. Stein, H. Naeem, D. Hitt, S. Forman
Institutions: City Of Hope National Medical Center, City of Hope
Language: English
Subfield: Hematology
Field: Medicine
Domain: Health Sciences
Open Access status: hybrid
Estimated APC paid: $3,650
OpenAlex ID: W2051781122
