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Long-Term Follow up of BMT CTN 0901, a Randomized Phase III Trial Comparing Myeloablative (MAC) to Reduced Intensity Conditioning (RIC) Prior to Hematopoietic Cell Transplantation (HCT) for Acute Myeloid Leukemia (AML) or Myelodysplasia (MDS) (MAvRIC Trial)

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BMT CTN 0901 enrolled patients with MDS (N=54) or AML (N=218) (median age of 55 years) who had Overall survival (OS) at 4 years was 65% and 49% for MAC… Click to show full abstract

BMT CTN 0901 enrolled patients with MDS (N=54) or AML (N=218) (median age of 55 years) who had Overall survival (OS) at 4 years was 65% and 49% for MAC and RIC (p=0.02), respectively. In multivariate analysis of overall mortality, the hazard ratio (HR) for death was 1.54 (95% Confidence Interval [CI] 1.07-2.20, p=0.02) for RIC compared to MAC. Other risk factors for mortality were protocol-defined high risk disease (HR 1.77) and age of ≥50 ys (HR 2.20). RFS rates at 4 years was 58% and 34% for MAC and RIC (p Long term follow up of MAvRIC showed longer survival for MAC recipients. Thus, this trial confirms the importance of intensity for HCT; for patients eligible for either intensity regimen, MAC is the superior choice.

Keywords: trial; bmt ctn; ctn 0901; long term; term follow; mac

Journal Title: Biology of Blood and Marrow Transplantation
Year Published: 2020

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