Review Article

Controversies and Recent Advances in Hematopoietic Cell Transplantation for Follicular Non-Hodgkin Lymphoma

Table 2

Results of prospective, phase II trials evaluating allogeneic hematopoietic cell transplantation after reduced intensity conditioning.

Author (Year) Number of patients Age (range) Conditioning regimen TRM EFS/PFS OS Comments

Khouri et al. [48, 52] (2008 and 2012)47 53
(33–68)
FCR +/− ATG 15%
(5 years)
72%
(11 years)
78%
(11 years)
Grades 2–4 acute GVHD in 11%. All had chemosensitive disease. High-dose rituximab (1000 mg/m2) used.

Thomson et al. [49] (2010)82 45
(26–65)
FMC 15%
(4 years)
76%
(4 years)
76%
(4 years)
Grades 2–4 acute GVHD in 13%. Included 26% with prior auto-HCT and 9% with refractory disease.

Pi ana et al. [50] (2010)37 50
(34–62)
FM 35%*57%
(4 years)
54%
(4 years)
Grades 2–4 acute GVHD in 47%. Included 46% with prior auto-HCT.

Shea et al. [51] (2011)44
(16 had FL)
53
(39–68)
FC 9%
(3 years)
75%
(3 years)
81%
(3 years)
All were sibling donors and none had prior auto-HCT.

Abbreviations: FL: follicular lymphoma; FCR: fludarabine, cyclophosphamide, rituximab; ATG: antithymocyte globulin; F: fludarabine, M: melphalan, C: campath; FC: fludarabine, cyclophosphamide; TRM: treatment-related mortality; EFS/PFS: event/progression-free survival; OS: overall survival; GVHD: graft versus host disease; auto-HCT: autologous hematopoietic cell transplantation. *TRM estimated from numbers in the publication.