Autologous transplantation in poor risk Hodgkin's disease using high dose melphalan/etoposide conditioning with non-cryopreserved marrow rescue
1993

High Dose Melphalan and Etoposide for Hodgkin's Disease

Sample size: 17 publication Evidence: moderate

Author Information

Author(s): P.R.A. Taylor, G.H. Jackson, A.L. Lennard, H. Lucraft, S.J. Proctor

Primary Institution: Royal Victoria Infirmary

Hypothesis

This study aimed to assess the safety and efficacy of using high dose melphalan and etoposide followed by autologous, non-cryopreserved marrow rescue in advanced Hodgkin's disease.

Conclusion

The study found that high dose melphalan and etoposide followed by autologous marrow rescue is effective and has low toxicity for patients with poor risk Hodgkin's disease.

Supporting Evidence

  • Complete haematological reconstitution occurred in 16 out of 17 patients.
  • None of the patients transplanted in first, second, or third complete remission have relapsed.
  • Two patients transplanted in fourth relapse went into complete remission.

Takeaway

Doctors used strong medicine to help people with a serious illness called Hodgkin's disease, and it worked well without making them very sick.

Methodology

Seventeen patients underwent autologous bone marrow transplant using high dose melphalan and etoposide conditioning.

Limitations

The study was limited to a small sample size from a single center.

Participant Demographics

The participants included 8 females and 9 males with a median age of 28 years.

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