Defining the intensity of conditioning regimens: working definitions.

Defining the intensity of conditioning regimens: working definitions.
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DOI:
10.1016/j.bbmt.2009.07.004
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发表时间:
2009-12
影响因子:
4.3
通讯作者:
Horowitz, Mary
Horowitz, Mary
中科院分区:
医学2区
文献类型:
--
作者:
Bacigalupo, Andrea;Ballen, Karen;Rizzo, Doug;Giralt, Sergio;Lazarus, Hillard;Ho, Vincent;Apperley, Jane;Slavin, Shimon;Pasquini, Marcelo;Sandmaier, Brenda M.;Barrett, John;Blaise, Didier;Lowski, Robert;Horowitz, Mary

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确定预处理方案强度已成为造血干细胞移植界的一个关键问题。在本报告中,我们建议将预处理方案分为三类:(a)清髓性预处理(MA),(B)低强度预处理(RIC)和(c)非清髓性预处理(NMA)。根据血细胞减少的持续时间和干细胞(SC)支持的要求分配这些类别:MA方案导致不可逆的血细胞减少,SC支持是强制性的。NMA方案引起极轻微的血细胞减少,也可以在没有SC支持的情况下给药。RIC方案不符合MA或NMA方案的标准:它们引起持续时间不同的血细胞减少,应在干细胞支持下给予,尽管血细胞减少可能不是不可逆的。本报告还将常用的治疗方案归入其中一类。基于药剂、剂量或组合。预处理方案强度的标准化分类将允许在研究之间进行比较并解释研究结果。
Defining conditioning regimen intensity has become a critical issue for the hemopoietic stem cell transplant community. In the present report we propose to define conditioning regimens in three categories: (a) myeloablative conditioning (MA) , (b) reduced intensity conditioning (RIC) and (c) non myeloablative conditioning (NMA). Assignment to these categories is based on the duration of cytopenia and on the requirement for stem cell (SC) support: MA regimens cause irreversible cytopenia and SC support is mandatory. NMA regimens cause minimal cytopenia and can be given also without SC support. RIC regimens do not fit criteria for MA or NMA regimens : they cause cytopenia of variable duration and should be given with stem cell support, although cytopenia may not be irreversible. This report also assigns commonly used regimens to one of these categories. based upon the agents, dose or combinations. Standardized classification of conditioning regimen intensities will allow comparison across studies and interpretation of study results.
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