Hematopoietic Cell Transplantation in the Treatment of Pediatric Acute Myelogenous Leukemia and Myelodysplastic Syndromes: Guidelines from the American Society of Transplantation and Cellular Therapy.

Creator(s)

Katherine Tarlock
Maria Luisa Sulis
Joseph H. Chewning
Jessica A. Pollard
Todd Cooper
Alan S. Gamis, Children's Mercy HospitalFollow
Shalini Shenoy
Matthew Kutny
John Horan
Soheil Meshinchi
Jaap-Jan Boelens
Marie Bleakley
Paul A. Carpenter
E Anders Kolb

Document Type

Article

Publication Date

9-2022

Identifier

DOI: 10.1016/j.jtct.2022.06.005

Abstract

The role of allogeneic hematopoietic stem cell transplantation (HCT) in the treatment of acute myelogenous leukemia (AML) in children is reviewed and critically evaluated in this evidence-based review. Specific criteria were used for searching the published literature, grading the quality and strength of evidence, and assigning the strength of treatment recommendations. Genomic characterization and response to therapy have been critical in the risk stratification of pediatric AML. Although some children are cured with chemotherapy alone, allogeneic HCT offers a survival benefit in selected patients with certain unfavorable risk features and is the standard of care for children who relapse following initial treatment with chemotherapy. Important aspects of HCT include recipient characteristics, donor source, and preparative regimen. The goals of HCT are to reduce incidence of relapse, enhance graft-versus-leukemia (GVL) effects, and minimize graft-versus-host disease. Relapse following HCT remains a significant cause of treatment failure, and interventions pre- and post-HCT, especially those that may augment GVL, are an important focus of ongoing investigations.

Journal Title

Transplant Cell Ther

Volume

28

Issue

9

First Page

530

Last Page

545

MeSH Keywords

Child; Hematopoietic Stem Cell Transplantation; Humans; Leukemia, Myeloid, Acute; Myelodysplastic Syndromes; Recurrence; Transplantation Conditioning; Transplantation, Homologous; United States

Keywords

Acute myelogenous leukemia; Bone marrow transplantation; Chemotherapy; Children; Cytomolecular; Disease status; Hematopoietic stem cell transplantation; Leukemia risk; Measurable residual disease; Mutations; Pediatric; Relapse; Therapy

Recommended Citation

Tarlock K, Sulis ML, Chewning JH, et al. Hematopoietic Cell Transplantation in the Treatment of Pediatric Acute Myelogenous Leukemia and Myelodysplastic Syndromes: Guidelines from the American Society of Transplantation and Cellular Therapy. Transplant Cell Ther. 2022;28(9):530-545. doi:10.1016/j.jtct.2022.06.005