A National Cancer Institute-designated Comprehensive Cancer Center

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Hematopoietic Cell Transplantation

Our Approach
 
City of Hope’s Hematopoietic Cell Transplantation (HCT) program is one of the largest and most successful transplant centers in the world. As a pioneer in creating breakthrough treatments for all hematologic cancers and blood-related disorders, City of Hope’s Department of Hematology and Hematopoietic Cell Transplantation (HCT) is a world leader in setting standards for stem cell transplantation and in improving long-term outcomes for both children and adults.
 
A Commitment to Care
 
Since City of Hope performed its first bone marrow transplant in 1976, more than 11,000 transplants have been completed for patients from virtually every state and around the world. City of Hope’s HCT program is dedicated to the traditional and newer uses of this procedure. Specialists at City of Hope lead the field of stem cell transplantation with excellent outcomes.Transplant patients at City of Hope have ranged  from younger than one to 79 years old.
 
Hematopoietic cell transplantation (HCT) and peripheral blood stem cell transplantation (PBSCT) use stem cells (immature blood cells) as part of the treatment of a bone marrow disorder. HCT results in the replacement of a patient’s immune system with that of a healthy donor. City of Hope performs both allogeneic (donor) and autologous (from the patient) stem cell transplants.
 
City of Hope is renowned for developing innovative transplant regimens that have improved the cure rate for patients with:
 
  • Acute myelogenous leukemia
  • Acute lymphoblastic leukemia
  • Hodgkin’s lymphoma
  • Lymphoma
  • Multiple myeloma
  • Myelodysplasia
  • Other hematologic disorders
 
Long-term Follow-up Program
City of Hope recognizes the importance of maintaining contact with all transplant patients. Our transplant program established a formal Long-term Follow-up Program in 1998 that follows all patients who have received a transplant at City of Hope. The Long-term Follow-up Program helps researchers compile data on long-term outcomes to increase awareness of the kinds of problems, both physical and psychological, that some patients face after transplant, so patients can receive continuing advice, information and care.
 
A Commitment to Create
 
A major focus for City of Hope researchers has been creating ways to reduce the incidence of major transplant risks such as infection and relapse. They publish their results in prominent peer-reviewed medical journals.
 
Nonmyeloablative (Mini) Transplants
One of these innovative protocols, nonmyeloablative transplants, has allowed patients who could not tolerate the traditional pre-transplant regiments to become candidates for the procedure.
 
Originally, pre-transplant protocols required high-dose chemotherapy and/or high-dose whole-body irradiation. For elderly patients or patients with other diseases, these protocols were too demanding and often excluded them from transplants. In order to improve both the safety of transplantation and its applicability to a larger number of patients, City of Hope developed an approach in 1998 for a “mini” transplant. These transplants rely less on the heavy doses of chemotherapy and radiation and more on the antitumor effects of the graft itself (known as a graft-versus-tumor effect). This novel approach has allowed for transplants in patients who are older, including patients in their 70s, who would previously not have been eligible for a transplant. These patients, with conditions such as leukemia, myeloma, lymphoma and myelodysplasia, have been significantly helped – even cured – by mini transplants.
 
About the Program
 
City of Hope’s Hematopoietic Cell Transplantation Program is accredited by the Foundation for the Accreditation of Cellular Therapy (FACT), the gold standard of excellence for blood and bone marrow transplant programs in the United States.
 
SPORE Grant
The City of Hope Hematologic Neoplasia Program was awarded a Specialized Program of Research Excellence (SPORE) grant to further its work in utilizing transplant and non-transplant approaches for the treatment of malignant lymphoma and Hodgkin lymphoma. This SPORE is one of only three SPORE awards granted in the United States and builds upon the expertise in the transplant and cancer immunotherapy programs at City of Hope.
 
National Cancer Institute Project Grant
The City of Hope’s HCT Program has been continuously funded for nearly 30 years by the National Cancer Institute (NCI) to develop innovative therapies for people battling leukemia, lymphoma and other cancers. The NCI grant supports continuing research aimed at improving the outcome for patients undergoing either autologous or allogeneic transplant for hematologic cancer. The grant also allows researchers at City of Hope to develop laboratory-based clinical studies to extend the boundaries of HCT into new areas. These studies include the development of therapies incorporating the emerging sciences of gene transfer, molecular biology, radioimmunotherapy, cellular immunotherapy and genetics into allogeneic and autologous transplant.
 
HCT Partnership
Southern California Kaiser Permanente Medical Center partners with City of Hope to provide stem cell transplantation services to Kaiser Permanente health plan members. Kaiser Permanente patients needing a transplant have their procedures performed at City of Hope. Kaiser Permanente members have full access to City of Hope’s treatment programs, including new therapeutic approaches designed to improve outcomes and cure rates. Physicians from the Kaiser Permanente bone marrow transplant medical group are members of the City of Hope HCT program and work side-by-side with City of Hope staff. These physicians are responsible for all Kaiser Permanente patients under one unified program of patient care.
 
“Celebration of Life” Bone Marrow Transplant / HCT Reunion
Each year, City of Hope invites bone marrow / hematopoietic cell transplant recipients and their families to attend the “Celebration of Life” event on the Duarte campus. More than 6,500 people from all over the United States and overseas attend the event. The reunion is a joyous day for everyone in attendance — physicians, nurses and former patients — as they celebrate the victories they have attained in fighting cancer.

Transplantation

Hematopoietic Cell Transplantation

Our Approach
 
City of Hope’s Hematopoietic Cell Transplantation (HCT) program is one of the largest and most successful transplant centers in the world. As a pioneer in creating breakthrough treatments for all hematologic cancers and blood-related disorders, City of Hope’s Department of Hematology and Hematopoietic Cell Transplantation (HCT) is a world leader in setting standards for stem cell transplantation and in improving long-term outcomes for both children and adults.
 
A Commitment to Care
 
Since City of Hope performed its first bone marrow transplant in 1976, more than 11,000 transplants have been completed for patients from virtually every state and around the world. City of Hope’s HCT program is dedicated to the traditional and newer uses of this procedure. Specialists at City of Hope lead the field of stem cell transplantation with excellent outcomes.Transplant patients at City of Hope have ranged  from younger than one to 79 years old.
 
Hematopoietic cell transplantation (HCT) and peripheral blood stem cell transplantation (PBSCT) use stem cells (immature blood cells) as part of the treatment of a bone marrow disorder. HCT results in the replacement of a patient’s immune system with that of a healthy donor. City of Hope performs both allogeneic (donor) and autologous (from the patient) stem cell transplants.
 
City of Hope is renowned for developing innovative transplant regimens that have improved the cure rate for patients with:
 
  • Acute myelogenous leukemia
  • Acute lymphoblastic leukemia
  • Hodgkin’s lymphoma
  • Lymphoma
  • Multiple myeloma
  • Myelodysplasia
  • Other hematologic disorders
 
Long-term Follow-up Program
City of Hope recognizes the importance of maintaining contact with all transplant patients. Our transplant program established a formal Long-term Follow-up Program in 1998 that follows all patients who have received a transplant at City of Hope. The Long-term Follow-up Program helps researchers compile data on long-term outcomes to increase awareness of the kinds of problems, both physical and psychological, that some patients face after transplant, so patients can receive continuing advice, information and care.
 
A Commitment to Create
 
A major focus for City of Hope researchers has been creating ways to reduce the incidence of major transplant risks such as infection and relapse. They publish their results in prominent peer-reviewed medical journals.
 
Nonmyeloablative (Mini) Transplants
One of these innovative protocols, nonmyeloablative transplants, has allowed patients who could not tolerate the traditional pre-transplant regiments to become candidates for the procedure.
 
Originally, pre-transplant protocols required high-dose chemotherapy and/or high-dose whole-body irradiation. For elderly patients or patients with other diseases, these protocols were too demanding and often excluded them from transplants. In order to improve both the safety of transplantation and its applicability to a larger number of patients, City of Hope developed an approach in 1998 for a “mini” transplant. These transplants rely less on the heavy doses of chemotherapy and radiation and more on the antitumor effects of the graft itself (known as a graft-versus-tumor effect). This novel approach has allowed for transplants in patients who are older, including patients in their 70s, who would previously not have been eligible for a transplant. These patients, with conditions such as leukemia, myeloma, lymphoma and myelodysplasia, have been significantly helped – even cured – by mini transplants.
 
About the Program
 
City of Hope’s Hematopoietic Cell Transplantation Program is accredited by the Foundation for the Accreditation of Cellular Therapy (FACT), the gold standard of excellence for blood and bone marrow transplant programs in the United States.
 
SPORE Grant
The City of Hope Hematologic Neoplasia Program was awarded a Specialized Program of Research Excellence (SPORE) grant to further its work in utilizing transplant and non-transplant approaches for the treatment of malignant lymphoma and Hodgkin lymphoma. This SPORE is one of only three SPORE awards granted in the United States and builds upon the expertise in the transplant and cancer immunotherapy programs at City of Hope.
 
National Cancer Institute Project Grant
The City of Hope’s HCT Program has been continuously funded for nearly 30 years by the National Cancer Institute (NCI) to develop innovative therapies for people battling leukemia, lymphoma and other cancers. The NCI grant supports continuing research aimed at improving the outcome for patients undergoing either autologous or allogeneic transplant for hematologic cancer. The grant also allows researchers at City of Hope to develop laboratory-based clinical studies to extend the boundaries of HCT into new areas. These studies include the development of therapies incorporating the emerging sciences of gene transfer, molecular biology, radioimmunotherapy, cellular immunotherapy and genetics into allogeneic and autologous transplant.
 
HCT Partnership
Southern California Kaiser Permanente Medical Center partners with City of Hope to provide stem cell transplantation services to Kaiser Permanente health plan members. Kaiser Permanente patients needing a transplant have their procedures performed at City of Hope. Kaiser Permanente members have full access to City of Hope’s treatment programs, including new therapeutic approaches designed to improve outcomes and cure rates. Physicians from the Kaiser Permanente bone marrow transplant medical group are members of the City of Hope HCT program and work side-by-side with City of Hope staff. These physicians are responsible for all Kaiser Permanente patients under one unified program of patient care.
 
“Celebration of Life” Bone Marrow Transplant / HCT Reunion
Each year, City of Hope invites bone marrow / hematopoietic cell transplant recipients and their families to attend the “Celebration of Life” event on the Duarte campus. More than 6,500 people from all over the United States and overseas attend the event. The reunion is a joyous day for everyone in attendance — physicians, nurses and former patients — as they celebrate the victories they have attained in fighting cancer.

Hematologic Cancers

Celebrating thousands of lives at Bone Marrow TransplantReunion

Celebrating thousands of lives at Bone Marrow Transplant Reunion

Some celebrated decades of being cancer-free, treating the date of their bone marrow or stem cell  transplant like a second birthday. Others celebrated having made it just a few months past ...

May 13, 2014

 
Patient: Song by Christina Grimmie of ‘The Voice’ pulled methrough

Patient: Song by Christina Grimmie of ‘The Voice’ pulled me through

City of Hope patient Kathleen “Kat” Muller, now 23, has been through two bone marrow transplants to combat aplastic anemia and is now on the road to recovery. She credits the support of her frien...

May 12, 2014

 
Mother’s Day tribute: Kayla’s fight was her mother’sfight

Mother’s Day tribute: Kayla’s fight was her mother’s fight

This weekend, City of Hope salutes mothers – mothers who are our patients, yes, but also the mothers of patients. Their path is difficult, their role is critical. The story of their children’s ba...

May 11, 2014

 
To Adi Versano, meeting bone marrow recipient was likemeeting a sister

To Adi Versano, meeting bone marrow recipient was like meeting a sister

“How many brothers and sisters do you have?” a doctor from Hadassah Medical Center in Jerusalem asked 26-year-old Adi Versano almost two years ago. “Two sisters and one brother,” she said. T...

May 9, 2014

 
Bone marrow donor: Just doing the right thing to savelives

Bone marrow donor: Just doing the right thing to save lives

Signing up to be a bone marrow donor, being selected as a match, undergoing blood tests, then driving 180 miles for the procedure, all for someone she never met, does not a hero make – not in Antonia ...

May 9, 2014

Why City of Hope
Stephen J. Forman, Francis and Kathleen McNamara Distinguished Chair in Hematology and Hematopoietic Cell Transplantation, talks about why City of Hope is a special place for cancer treatment.
 
Refer a Patient
Physicians can choose a number of options to refer a patient:

  • Call 800-826-HOPE (4673) to speak with a patient referral specialist.
  • Fax the patient face sheet to 626-301-8432
  • Complete an online callback request form
 
Hematologic Cancers Support Groups
Our treatment facilities are located throughout our 100+ acre grounds in Duarte, California as well as in  Antelope Valley, South Pasadena, Santa Clarita and Palm Springs.
The focus of the Division of Hematopoietic Stem Cell and Leukemia Research is to improve the understanding of leukemia stem cells in order to develop cures for leukemia and other hematologic malignancies.
NEWS & UPDATES
  • Although a stem cell transplant can be a lifesaving procedure for people diagnosed with a blood cancer or blood disorder, the standard transplant may not be appropriate for all patients. This is because the conditioning regimen (the intensive chemotherapy and/or radiation treatments preceding the transplant) is...
  • Brain tumor removal would seem to be the obvious course of action in the wake of a brain tumor diagnosis, but that’s not always the case. Some tumors are too difficult for many surgeons to reach or too close to areas that control vital functions. Removing them just proves too risky. A new device at City [...
  • Hijacking the same sorts of viruses that cause HIV and using them to reprogram immune cells to fight cancer sounds like stuff of the future. Some scientists believe that the future is closer than we think – and are now studying the approach in clinical trials at City of Hope. Immunotherapy is a promising approa...
  • Nausea is the one of the most well-known, and dreaded, side effects of cancer treatment — and with good reason. Beyond the quality-of-life issues that it causes, severe nausea can prevent patients from receiving enough nutrients and calories at a time when they need every edge they can get. A few simple actions...
  • With Labor Day just around the corner, summer is on its way out. But just because summertime is ending doesn’t mean we can skip sunscreen. Protection from ultraviolet (UV) radiation is needed all year round. Exposure to UV radiation — whether from the sun or from artificial sources such as sunlamps used i...
  • Undergoing reconstructive surgery may seem like a forgone conclusion for survivors of breast cancer, but that doesn’t appear to be the case. A new study has found that most breast cancer survivors who undergo a mastectomy decide against surgical reconstruction of their breasts. The reasons for such a deci...
  • Nearly four decades ago, City of Hope began its bone marrow transplant program. Its first transplant reunion celebration was a single patient and his donor, also his brother. This year, City of Hope welcomed hundreds of hematopoietic cell transplant (HCT) recipients to the annual bone marrow transplant/HCT reun...
  • The burgeoning type 2 diabetes epidemic casts a pall over the health of America’s public. New research now shows the looming threat is getting worse. Much worse. A diabetes trends study published earlier this month in the Lancet Diabetes and Endocrinology by researchers at the federal Centers for Disease Contro...
  • An aspirin a day might help keep breast cancer away for some breast cancer survivors, a new study suggests. Obese women who have had breast cancer could cut their risk of a recurrence in half if they regularly take aspirin or other nonsteroidal anti-inflammatory drugs, called NSAIDs, report researchers from the...
  • Christine Crews isn’t only a fitness enthusiast, she’s also a personal trainer and fitness instructor. Being active defines her life. So when she was diagnosed with bladder cancer at age 30, she decided she absolutely couldn’t let the disease interfere with that lifestyle. And it didn’t. For t...
  • Cancer treatment and the cancer itself can cause changes in your sense of taste or smell. These side effects typically subside after treatment ends, but there are ways to help alleviate those bitter and metallic tastes in your mouth. Here are tips from the National Cancer Institute to help keeps tastes and food...
  • Immunotherapy — using one’s immune system to treat a disease — has been long lauded as the “magic bullet” of cancer treatments, one that can be more effective than the conventional therapies of surgery, radiation or chemotherapy. One specific type of immunotherapy, called adoptive T cell thera...
  • Today, when cancer spreads from its original site to other parts of the body, a process known as metastasis, patients face an uphill battle. Treatments are poorly effective, and cures are nearly impossible. Further, incidence rates for these types of cancers are increasing – particularly for cancers that have s...
  • Thanks to the California Institute for Regenerative Medicine (CIRM), high school students across the state gained valuable hands-on experience with stem cell research this summer. City of Hope hosted eight of those students. As part of the CIRM Creativity Awards program, the young scholars worked full time as m...
  • Radiation therapy can help cure many children facing Hodgkin lymphoma and other cancers. When the radiation is delivered to a girl’s chest, however, it can lead to a marked increase in breast cancer risk later in life. A recent multi-institutional study that included City of Hope’s Smita Bhatia, M.D., M.P.H., t...