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Transplantation of Ex Vivo Expanded Umbilical Cord Blood (NiCord) Decreases Early Infection and Hospitalization.


ABSTRACT: Delayed hematopoietic recovery contributes to increased infection risk following umbilical cord blood (UCB) transplantation. In a Phase 1 study, adult recipients of UCB stem cells cultured ex vivo for 3 weeks with nicotinamide (NiCord) had earlier median neutrophil recovery compared with historical controls. To evaluate the impact of faster neutrophil recovery on clinically relevant early outcomes, we reviewed infection episodes and hospitalization during the first 100 days in an enlarged cohort of 18 NiCord recipients compared with 86 standard UCB recipients at our institution. The median time to neutrophil engraftment was shorter in NiCord recipients compared with standard UCB recipients (12.5 days versus 26 days; P?

SUBMITTER: Anand S 

PROVIDER: S-EPMC5846194 | biostudies-literature | 2017 Jul

REPOSITORIES: biostudies-literature

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Transplantation of Ex Vivo Expanded Umbilical Cord Blood (NiCord) Decreases Early Infection and Hospitalization.

Anand Sarah S   Thomas Samantha S   Hyslop Terry T   Adcock Janet J   Corbet Kelly K   Gasparetto Cristina C   Lopez Richard R   Long Gwynn D GD   Morris Ashley K AK   Rizzieri David A DA   Sullivan Keith M KM   Sung Anthony D AD   Sarantopoulos Stefanie S   Chao Nelson J NJ   Horwitz Mitchell E ME  

Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation 20170406 7


Delayed hematopoietic recovery contributes to increased infection risk following umbilical cord blood (UCB) transplantation. In a Phase 1 study, adult recipients of UCB stem cells cultured ex vivo for 3 weeks with nicotinamide (NiCord) had earlier median neutrophil recovery compared with historical controls. To evaluate the impact of faster neutrophil recovery on clinically relevant early outcomes, we reviewed infection episodes and hospitalization during the first 100 days in an enlarged cohort  ...[more]

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