Table 1.

Studies using conventional GVHD prophylaxis for MMUD HCTs

StudyPopulationDesignComparisonKey findings
Gupta et al (2010) Poor-risk AML in CR1 underwent HCT from MSD (n = 226), 8/8 MUD (n = 254), and MMUD (n = 104) CIBMTR—retrospective NA 1. Similar LFS and OS for MSD and 8/8 MUD transplants but LFS and OS were worse for MMUD HCT 
Al Malki et al (2020) 482 patients with hematologic malignancies underwent MUD/MMUD HCT with tacrolimus and sirolimus combination for GVHD prophylaxis Single-institution retrospective study NA 1. 5-year OS: 39% for MMUD vs 50.7% for MUD, P  =  .022
2. NRM: 33.5% for MMUD vs 21.7% for MUD, P  =  .038
3. Severe GVHD: 20.8% for MMUD vs 12.8% for MUD, P  =  .22
4. Infection 33.0% for MMUD vs 18.1% for MUD, P  <  .01
5. No improvement in rates of relapse with MMUD HCT 
Kornblit et al (2020)10  77 patients who underwent RIC PBSC HCT from MMUD for hematologic malignancies (76 evaluable patients) Multicenter phase 2 trial Historical 1. Day 100 CI of grade II to IV aGVHD was 36%
2. OS at 4 years = 62%
3. NRM = 18%
4. Relapse/progression = 30% 
StudyPopulationDesignComparisonKey findings
Gupta et al (2010) Poor-risk AML in CR1 underwent HCT from MSD (n = 226), 8/8 MUD (n = 254), and MMUD (n = 104) CIBMTR—retrospective NA 1. Similar LFS and OS for MSD and 8/8 MUD transplants but LFS and OS were worse for MMUD HCT 
Al Malki et al (2020) 482 patients with hematologic malignancies underwent MUD/MMUD HCT with tacrolimus and sirolimus combination for GVHD prophylaxis Single-institution retrospective study NA 1. 5-year OS: 39% for MMUD vs 50.7% for MUD, P  =  .022
2. NRM: 33.5% for MMUD vs 21.7% for MUD, P  =  .038
3. Severe GVHD: 20.8% for MMUD vs 12.8% for MUD, P  =  .22
4. Infection 33.0% for MMUD vs 18.1% for MUD, P  <  .01
5. No improvement in rates of relapse with MMUD HCT 
Kornblit et al (2020)10  77 patients who underwent RIC PBSC HCT from MMUD for hematologic malignancies (76 evaluable patients) Multicenter phase 2 trial Historical 1. Day 100 CI of grade II to IV aGVHD was 36%
2. OS at 4 years = 62%
3. NRM = 18%
4. Relapse/progression = 30% 

CR1, complete remission 1; NA, not available.

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