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Published human clinical trials comparing outcomes following isolation of stem cells from bone marrow vs peripheral blood. |
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| Authors |
Type of cancer |
No. of pats |
RCT/CT |
Conclusion |
|
|
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| 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 |
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