- Uy, GL;
- Costa, LJ;
- Hari, PN;
- Zhang, M-J;
- Huang, J-X;
- Anderson, KC;
- Bredeson, CN;
- Callander, NS;
- Cornell, RF;
- Perez, MAD;
- Dispenzieri, A;
- Freytes, CO;
- Gale, RP;
- Garfall, A;
- Gertz, MA;
- Gibson, J;
- Hamadani, M;
- Lazarus, HM;
- Kalaycio, ME;
- Kamble, RT;
- Kharfan-Dabaja, MA;
- Krishnan, AY;
- Kumar, SK;
- Kyle, RA;
- Landau, HJ;
- Lee, CH;
- Maiolino, A;
- Marks, DI;
- Mark, TM;
- Munker, R;
- Nishihori, T;
- Olsson, RF;
- Ramanathan, M;
- Rodriguez, TE;
- Saad, AA;
- Savani, BN;
- Schiller, GJ;
- Schouten, HC;
- Schriber, JR;
- Scott, E;
- Seo, S;
- Sharma, M;
- Ganguly, S;
- Stadtmauer, EA;
- Tay, J;
- To, LB;
- Vesole, DH;
- Vogl, DT;
- Wagner, JL;
- Wirk, B;
- Wood, WA;
- D'Souza, A
In patients with multiple myeloma (MM) undergoing autologous hematopoietic cell transplantation (auto-HCT), peripheral blood progenitor cells may be collected following mobilization with growth factor alone (GF) or cytotoxic chemotherapy plus GF (CC+GF). It is uncertain whether the method of mobilization affects post-transplant outcomes. We compared these mobilization strategies in a retrospective analysis of 968 patients with MM from the Center for International Blood and Marrow Transplant Research database who received an auto-HCT in the US and Canada between 2007 and 2012. The kinetics of neutrophil engraftment (⩾0.5 × 10(9)/L) was similar between groups (13 vs 13 days, P=0.69) while platelet engraftment (⩾20 × 10(9)/L) was slightly faster with CC+GF (19 vs 18 days, P=0.006). Adjusted 3-year PFS was 43% (95% confidence interval (CI) 38-48) in GF and 40% (95% CI 35-45) in CC+GF, P=0.33. Adjusted 3-year OS was 82% (95% CI 78-86) vs 80% (95% CI 75-84), P=0.43 and adjusted 5-year OS was 62% (95% CI 54-68) vs 60% (95% CI 52-67), P=0.76, for GF and CC+GF, respectively. We conclude that MM patients undergoing auto-HCT have similar outcomes irrespective of the method of mobilization and found no evidence that the addition of chemotherapy to mobilization contributes to disease control.