Predictive factors for a single successful cytapheresis session during the first mobilisation

Leuk Res. 2014 Sep;38(9):1020-4. doi: 10.1016/j.leukres.2014.05.001. Epub 2014 May 14.

Abstract

To avoid repeated apheresis, the objective of this study was to analyse the predictive factors for a single successful cytapheresis during the first mobilisation. The pre-collection characteristics of 170 lymphoma and 95 myeloma patients were analysed. Among 60 lymphoma patients who had less than 30 CD34 cells/mm(3) the day before the first apheresis, an increase in the CD34 cell count between Day -1 and Day 1 was predictive of first stem cell mobilisation success, with a sensitivity of 100% if the Day 1 was higher than 30/mm(3) (10/60 patients). Success rate of obtaining an appropriate number of stem cells in one apheresis was 120 among 170 patients.

Keywords: Lymphoma; Multiple myeloma; Plerixafor; Single apheresis; Stem cell mobilisation.

MeSH terms

  • Adult
  • Aged
  • Antigens, CD34 / blood
  • Cohort Studies
  • Cytapheresis / methods*
  • Female
  • Hematopoietic Stem Cell Mobilization / methods*
  • Hematopoietic Stem Cell Transplantation
  • Humans
  • Lymphoma / blood
  • Lymphoma / diagnosis*
  • Lymphoma / therapy*
  • Male
  • Middle Aged
  • Multiple Myeloma / blood
  • Multiple Myeloma / diagnosis*
  • Multiple Myeloma / therapy*
  • Predictive Value of Tests
  • Prognosis
  • Transplantation Conditioning / methods
  • Transplantation, Autologous
  • Treatment Outcome
  • Young Adult

Substances

  • Antigens, CD34