Table 1

Published human clinical trials comparing outcomes following isolation of stem cells from bone marrow vs peripheral blood.

Authors
Type of cancer
No. of pats
RCT/CT
Conclusion

Storek et al [42]
Haematological malignancies
140
RCT
PBSC yields higher lymphocyte subset counts and is associated with fewer infections
Hernandez et al [43]
Haematological malignancies
12
RCT
No significant difference in T, B and NK lymphoid cells reconstitution but PBSC influence faster reconstitution of cytotoxic subsets (CD8+/HLADR+ and NK lymphoid cells)
Talmadge et al [18]
Intermediate and high grade non-Hodgkin's lymphoma
116
RCT
The CD4:CD8 and CD45RA:CD45RO ratios were higher in the PBSC group. Accelerated reconstitution of NK cell activity following PBSC compared to BM.
Oehler et al [115]
Chronic myeloid leukaemia
72
CT
No statistically significant difference in acute or chronic GVHD, OS and disease free survival.
Heldal et al [116]
Haematological malignancies
61
CT
Statistically significant enhanced graft versus leukemia effect in allo PBSC group
Couban et al [41]
Haematological malignancies
228
RCT
Faster haematological recovery and improved survival in PBSC but no difference in GVHD
Nucci et al [117]
Haematological malignancies
56
RCT
Shorter duration of neutropenia in PBSC group but higher incidence of extensive chronic GVHD
Powles et al [118]
Haematological malignancies
39
RCT
Faster haematopoietic and immune recovery in PBSC and no difference in GVHDand OS
Mahmoud et al [119]
Haematological malignancies
30
RCT
Faster haematopoietic reconstitution in PBSC group with no difference in GVHD

Keys: RCT – Randomised Control Trial, CT – Controlled Trial, PBSC – Peripheral Blood Stem Cells, NK – Natural Killer, CD8, CD4, CD45RA & CD45RO – Different types of T Cells, HLA – Human Leucocyte Antigen, GVHD – Graft Vs Host Disease, OS – Overall Survival, Pats – Patients, No – Number.

Sagar et al. Cancer Cell International 2007 7:9   doi:10.1186/1475-2867-7-9