{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T05:12:44Z","timestamp":1772169164116,"version":"3.50.1"},"reference-count":36,"publisher":"American Society of Clinical Oncology (ASCO)","issue":"9","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JCO"],"published-print":{"date-parts":[[2013,3,20]]},"abstract":"<jats:sec><jats:title>Purpose<\/jats:title><jats:p> To determine whether autologous (auto) or allogeneic (allo) stem-cell transplantation (SCT) improves outcome in patients with transformed follicular lymphoma compared with rituximab-containing chemotherapy alone. <\/jats:p><\/jats:sec><jats:sec><jats:title>Patients and Methods<\/jats:title><jats:p> This was a multicenter cohort study of patients with follicular lymphoma and subsequent biopsy-proven aggressive histology transformation. Patient, treatment, and outcome data were collected from each transplantation center and combined for analysis. A separate control group was composed of patients with transformation treated with rituximab-containing chemotherapy but not SCT. The primary end point was overall survival (OS) after transformation. <\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p> One hundred seventy-two patients were identified: 22 (13%) treated with alloSCT, 97 (56%) with autoSCT, and 53 (31%) with rituximab-containing chemotherapy. Five-year OS after transformation was 46% for patients treated with alloSCT, 65% with autoSCT, and 61% with rituximab-containing chemotherapy (P = .24). Five-year progression-free survival (PFS) after transformation was 46% for those treated with alloSCT, 55% with autoSCT, and 40% with rituximab-containing chemotherapy (P = .12). In multivariate analysis, patients treated with autoSCT had improved OS compared with those who received rituximab-containing chemotherapy (hazard ratio [HR], 0.13; 95% CI, 0.05 to 0.34; P &lt; .001). On the other hand, there was no OS difference between those treated with alloSCT and rituximab-containing chemotherapy (HR, 0.44; 95% CI, 0.16 to 1.24; P = .12). OS and PFS after SCT were similar between those treated with autoSCT and alloSCT. Five-year transplantation-related mortality was 23% for those treated with alloSCT and 5% for autoSCT. <\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p> Patients undergoing autoSCT had better outcomes than those treated with rituximab-containing chemotherapy alone. AlloSCT did not improve outcome compared with rituximab-containing chemotherapy and was associated with clinically significant toxicity. <\/jats:p><\/jats:sec>","DOI":"10.1200\/jco.2012.44.0693","type":"journal-article","created":{"date-parts":[[2013,2,12]],"date-time":"2013-02-12T04:03:57Z","timestamp":1360641837000},"page":"1164-1171","source":"Crossref","is-referenced-by-count":90,"title":["Autologous and Allogeneic Stem-Cell Transplantation for Transformed Follicular Lymphoma: A Report of the Canadian Blood and Marrow Transplant Group"],"prefix":"10.1200","volume":"31","author":[{"given":"Diego","family":"Villa","sequence":"first","affiliation":[{"name":"Diego Villa, Michael Crump, Tony Panzarella, and John Kuruvilla, Princess Margaret Cancer Centre; Tony Panzarella, University of Toronto; Rena Buckstein and Christina Lee, Sunnybrook Health Sciences Centre, Toronto; Ronan Foley, Hamilton Health Sciences, Hamilton; Anargyros Xenocostas, London Health Sciences Centre, London; Mitchell Sabloff and Alexandra Muccilli, Ottawa Hospital, Ottawa, Ontario; Diego Villa, Kerry J. Savage, Joseph M. Connors, Kimberley Ambler, and Abdulwahab Al-Tourah, British..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Crump","sequence":"additional","affiliation":[{"name":"Diego Villa, Michael Crump, Tony Panzarella, and John Kuruvilla, Princess Margaret Cancer Centre; Tony Panzarella, University of Toronto; Rena Buckstein and Christina Lee, Sunnybrook Health Sciences Centre, Toronto; Ronan Foley, Hamilton Health Sciences, Hamilton; Anargyros Xenocostas, London Health Sciences Centre, London; Mitchell Sabloff and Alexandra Muccilli, Ottawa Hospital, Ottawa, Ontario; Diego Villa, Kerry J. Savage, Joseph M. Connors, Kimberley Ambler, and Abdulwahab Al-Tourah, British..."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tony","family":"Panzarella","sequence":"additional","affiliation":[{"name":"Diego Villa, Michael Crump, Tony Panzarella, and John Kuruvilla, Princess Margaret Cancer Centre; Tony Panzarella, University of Toronto; Rena Buckstein and Christina Lee, Sunnybrook Health Sciences Centre, Toronto; Ronan Foley, Hamilton Health Sciences, Hamilton; Anargyros Xenocostas, London Health Sciences Centre, London; Mitchell Sabloff and Alexandra Muccilli, Ottawa Hospital, Ottawa, Ontario; Diego Villa, Kerry J. Savage, Joseph M. 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