title: Autologous and allogeneic stem-cell transplantation as salvage treatment of acute promyelocytic leukemia initially treated with all-trans-retinoic acid: a retrospective analysis of the European acute promyelocytic leukemia group.
abstract: OBJECTIVE
  To retrospectively determine the outcome of acute promyelocytic leukemia (APL) patients who underwent autologous or allogeneic stem-cell transplantation (SCT) during second complete remission.
  
  
  METHODS
  Of 122 relapsing patients included in two successive multicenter APL trials who achieved hematological second complete remission (generally after a salvage regimen of all-trans-retinoic acid [ATRA] combined with chemotherapy), 73 (60%) received allogeneic (n = 23) or autologous (n = 50) SCT.
  
  
  RESULTS
  Seven-year relapse-free survival (RFS), event-free survival (EFS), and overall survival (OS) in the autologous SCT group were 79.4%, 60.6%, and 59.8%, respectively, with a transplant-related mortality (TRM) of 6%. Of the 28 and two patients autografted with negative and positive, respectively, reverse transcriptase-polymerase chain reaction before auto SCT, three (11%) and one relapsed, respectively. In the allogeneic SCT group, 7-year RFS, EFS, and OS were 92.3%, 52.2%, and 51.8%, respectively, with 39% TRM. OS was significantly better in the autologous SCT group than in the allogeneic SCT group (P = .04), whereas RFS and EFS did not differ significantly (P = .19 and P = .11, respectively). In patients not receiving transplantation, 7-year RFS, EFS, and OS were 38%, 30.4%, and 39.5%, respectively.
  
  
  CONCLUSIONS
  These retrospective data suggest that autologous SCT is very effective in APL relapsing after treatment with ATRA if performed in molecular remission. Allogeneic SCT yields few relapses, but it is associated with high TRM when performed after salvage with very intensive chemotherapy. Salvage with arsenic trioxyde, which has lower toxicity, should further improve the outcome of relapsing APL, especially before allogeneic SCT.
authors.affiliation: Service d'Hématologie Clinique, Hôpital Avicenne, Université Paris XIII, 125 rue de Stalingrad, 93009 Bobigny, France.
authors.forename: S
authors.initials: S
authors.lastname: de Botton
authors.forename: A
authors.initials: A
authors.lastname: Fawaz
authors.forename: S
authors.initials: S
authors.lastname: Chevret
authors.forename: H
authors.initials: H
authors.lastname: Dombret
authors.forename: X
authors.initials: X
authors.lastname: Thomas
authors.forename: M
authors.initials: M
authors.lastname: Sanz
authors.forename: A
authors.initials: A
authors.lastname: Guerci
authors.forename: J
authors.initials: J
authors.lastname: San Miguel
authors.forename: J
authors.initials: J
authors.lastname: de la Serna
authors.forename: A M
authors.initials: AM
authors.lastname: Stoppa
authors.forename: O
authors.initials: O
authors.lastname: Reman
authors.forename: A
authors.initials: A
authors.lastname: Stamatoulas
authors.forename: M
authors.initials: M
authors.lastname: Fey
authors.forename: J Y
authors.initials: JY
authors.lastname: Cahn
authors.forename: J J
authors.initials: JJ
authors.lastname: Sotto
authors.forename: J H
authors.initials: JH
authors.lastname: Bourhis
authors.forename: A
authors.initials: A
authors.lastname: Parry
authors.forename: C
authors.initials: C
authors.lastname: Chomienne
authors.forename: L
authors.initials: L
authors.lastname: Degos
authors.forename: P
authors.initials: P
authors.lastname: Fenaux
mesh_terms: D000328:Adult; D000971:Antineoplastic Combined Chemotherapy Protocols / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D015473:Leukemia, Promyelocytic, Acute / Q000401:mortality / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D012074:Remission Induction; D012189:Retrospective Studies; D016879:Salvage Therapy; D033581:Stem Cell Transplantation / Q000401:mortality; D015996:Survival Rate; D014182:Transplantation, Autologous; D014184:Transplantation, Homologous; D016896:Treatment Outcome; D014212:Tretinoin / Q000008:administration & dosage*
chemical_list: D014212:Tretinoin