Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation

Karen K. Ballen; Brent R. Logan; Mary J. Laughlin; Wensheng He; Daniel R. Ambruso; Susan E. Armitage; Rachel L. Beddard; Deepika Bhatla; William Y.K. Hwang; Joseph E. Kiss; Gesine Koegler; Joanne Kurtzberg; Arnon Nagler; David Oh; Lawrence D. Petz; Thomas H. Price; Ralph R. Quinones; Voravit Ratanatharathorn; J. Douglas Rizzo; Kathleen Sazama; Andromachi Scaradavou; Michael W. Schuster; Leonard S. Sender; Elizabeth J. Shpall; Stephen R. Spellman; Millicent Sutton; Lee Ann Weitekamp; John R. Wingard; Mary Eapen

doi:10.1016/j.bbmt.2014.12.017

Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation

Karen K. Ballen, Brent R. Logan, Mary J. Laughlin, Wensheng He, Daniel R. Ambruso, Susan E. Armitage, Rachel L. Beddard, Deepika Bhatla, William Y.K. Hwang, Joseph E. Kiss, Gesine Koegler, Joanne Kurtzberg, Arnon Nagler, David Oh, Lawrence D. Petz, Thomas H. Price, Ralph R. Quinones, Voravit Ratanatharathorn, J. Douglas Rizzo, Kathleen SazamaAndromachi Scaradavou, Michael W. Schuster, Leonard S. Sender, Elizabeth J. Shpall, Stephen R. Spellman, Millicent Sutton, Lee Ann Weitekamp, John R. Wingard, Mary Eapen

Stem Cell Transplantation

Research output: Contribution to journal › Article › peer-review

14 Scopus citations

Abstract

Variations in cord blood manufacturing and administration are common, and the optimal practice is not known. We compared processing and banking practices at 16 public cord blood banks (CBB) in the United States and assessed transplantation outcomes on 530 single umbilical cord blood (UCB) myeloablative transplantations for hematologic malignancies facilitated by these banks. UCB banking practices were separated into 3 mutually exclusive groups based on whether processing was automated or manual, units were plasma and red blood cell reduced, or buffy coat production method or plasma reduced. Compared with the automated processing system for units, the day 28 neutrophil recovery was significantly lower after transplantation of units that were manually processed and plasma reduced (red cell replete) (odds ratio, .19; P=001) or plasma and red cell reduced (odds ratio, .54; P=05). Day 100 survival did not differ by CBB. However, day 100 survival was better with units that were thawed with the dextran-albumin wash method compared with the "no wash" or "dilution only" techniques (odds ratio, 1.82; P=04). In conclusion, CBB processing has no significant effect on early (day 100) survival despite differences in kinetics of neutrophil recovery.

Original language	English (US)
Pages (from-to)	688-695
Number of pages	8
Journal	Biology of Blood and Marrow Transplantation
Volume	21
Issue number	4
DOIs	https://doi.org/10.1016/j.bbmt.2014.12.017
State	Published - Apr 1 2015

Keywords

Cord blood bank
Processing methods
Survival

ASJC Scopus subject areas

Hematology
Transplantation

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10.1016/j.bbmt.2014.12.017

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Ballen, K. K., Logan, B. R., Laughlin, M. J., He, W., Ambruso, D. R., Armitage, S. E., Beddard, R. L., Bhatla, D., Hwang, W. Y. K., Kiss, J. E., Koegler, G., Kurtzberg, J., Nagler, A., Oh, D., Petz, L. D., Price, T. H., Quinones, R. R., Ratanatharathorn, V., Rizzo, J. D., ... Eapen, M. (2015). Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation. Biology of Blood and Marrow Transplantation, 21(4), 688-695. https://doi.org/10.1016/j.bbmt.2014.12.017

Ballen, KK, Logan, BR, Laughlin, MJ, He, W, Ambruso, DR, Armitage, SE, Beddard, RL, Bhatla, D, Hwang, WYK, Kiss, JE, Koegler, G, Kurtzberg, J, Nagler, A, Oh, D, Petz, LD, Price, TH, Quinones, RR, Ratanatharathorn, V, Rizzo, JD, Sazama, K, Scaradavou, A, Schuster, MW, Sender, LS, Shpall, EJ, Spellman, SR, Sutton, M, Weitekamp, LA, Wingard, JR & Eapen, M 2015, 'Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation', Biology of Blood and Marrow Transplantation, vol. 21, no. 4, pp. 688-695. https://doi.org/10.1016/j.bbmt.2014.12.017

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title = "Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation",

abstract = "Variations in cord blood manufacturing and administration are common, and the optimal practice is not known. We compared processing and banking practices at 16 public cord blood banks (CBB) in the United States and assessed transplantation outcomes on 530 single umbilical cord blood (UCB) myeloablative transplantations for hematologic malignancies facilitated by these banks. UCB banking practices were separated into 3 mutually exclusive groups based on whether processing was automated or manual, units were plasma and red blood cell reduced, or buffy coat production method or plasma reduced. Compared with the automated processing system for units, the day 28 neutrophil recovery was significantly lower after transplantation of units that were manually processed and plasma reduced (red cell replete) (odds ratio, .19; P=001) or plasma and red cell reduced (odds ratio, .54; P=05). Day 100 survival did not differ by CBB. However, day 100 survival was better with units that were thawed with the dextran-albumin wash method compared with the {"}no wash{"} or {"}dilution only{"} techniques (odds ratio, 1.82; P=04). In conclusion, CBB processing has no significant effect on early (day 100) survival despite differences in kinetics of neutrophil recovery.",

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author = "Ballen, {Karen K.} and Logan, {Brent R.} and Laughlin, {Mary J.} and Wensheng He and Ambruso, {Daniel R.} and Armitage, {Susan E.} and Beddard, {Rachel L.} and Deepika Bhatla and Hwang, {William Y.K.} and Kiss, {Joseph E.} and Gesine Koegler and Joanne Kurtzberg and Arnon Nagler and David Oh and Petz, {Lawrence D.} and Price, {Thomas H.} and Quinones, {Ralph R.} and Voravit Ratanatharathorn and Rizzo, {J. Douglas} and Kathleen Sazama and Andromachi Scaradavou and Schuster, {Michael W.} and Sender, {Leonard S.} and Shpall, {Elizabeth J.} and Spellman, {Stephen R.} and Millicent Sutton and Weitekamp, {Lee Ann} and Wingard, {John R.} and Mary Eapen",

note = "Publisher Copyright: {\textcopyright} 2015 American Society for Blood and Marrow Transplantation.",

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T1 - Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation

AU - Ballen, Karen K.

AU - Logan, Brent R.

AU - Laughlin, Mary J.

AU - He, Wensheng

AU - Ambruso, Daniel R.

AU - Armitage, Susan E.

AU - Beddard, Rachel L.

AU - Bhatla, Deepika

AU - Hwang, William Y.K.

AU - Kiss, Joseph E.

AU - Koegler, Gesine

AU - Kurtzberg, Joanne

AU - Nagler, Arnon

AU - Oh, David

AU - Petz, Lawrence D.

AU - Price, Thomas H.

AU - Quinones, Ralph R.

AU - Ratanatharathorn, Voravit

AU - Rizzo, J. Douglas

AU - Sazama, Kathleen

AU - Scaradavou, Andromachi

AU - Schuster, Michael W.

AU - Sender, Leonard S.

AU - Shpall, Elizabeth J.

AU - Spellman, Stephen R.

AU - Sutton, Millicent

AU - Weitekamp, Lee Ann

AU - Wingard, John R.

AU - Eapen, Mary

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Variations in cord blood manufacturing and administration are common, and the optimal practice is not known. We compared processing and banking practices at 16 public cord blood banks (CBB) in the United States and assessed transplantation outcomes on 530 single umbilical cord blood (UCB) myeloablative transplantations for hematologic malignancies facilitated by these banks. UCB banking practices were separated into 3 mutually exclusive groups based on whether processing was automated or manual, units were plasma and red blood cell reduced, or buffy coat production method or plasma reduced. Compared with the automated processing system for units, the day 28 neutrophil recovery was significantly lower after transplantation of units that were manually processed and plasma reduced (red cell replete) (odds ratio, .19; P=001) or plasma and red cell reduced (odds ratio, .54; P=05). Day 100 survival did not differ by CBB. However, day 100 survival was better with units that were thawed with the dextran-albumin wash method compared with the "no wash" or "dilution only" techniques (odds ratio, 1.82; P=04). In conclusion, CBB processing has no significant effect on early (day 100) survival despite differences in kinetics of neutrophil recovery.

AB - Variations in cord blood manufacturing and administration are common, and the optimal practice is not known. We compared processing and banking practices at 16 public cord blood banks (CBB) in the United States and assessed transplantation outcomes on 530 single umbilical cord blood (UCB) myeloablative transplantations for hematologic malignancies facilitated by these banks. UCB banking practices were separated into 3 mutually exclusive groups based on whether processing was automated or manual, units were plasma and red blood cell reduced, or buffy coat production method or plasma reduced. Compared with the automated processing system for units, the day 28 neutrophil recovery was significantly lower after transplantation of units that were manually processed and plasma reduced (red cell replete) (odds ratio, .19; P=001) or plasma and red cell reduced (odds ratio, .54; P=05). Day 100 survival did not differ by CBB. However, day 100 survival was better with units that were thawed with the dextran-albumin wash method compared with the "no wash" or "dilution only" techniques (odds ratio, 1.82; P=04). In conclusion, CBB processing has no significant effect on early (day 100) survival despite differences in kinetics of neutrophil recovery.

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KW - Processing methods

KW - Survival

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Effect of cord blood processing on transplantation outcomes after single myeloablative umbilical cord blood transplantation

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