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Unrelated Cord Blood Banks/Registries Annual Report 2007, 9 th Edition An annual publication in conjunction with the European Blood and Marrow Transplantation (EBMT) Group SHARE INFORMATION

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Page 1: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

Unrelated Cord Blood

Banks/Registries Annual Report 2007, 9th Edition

An annual publication in conjunction with the European Blood and Marrow Transplantation

(EBMT) Group

SHARE INFORMATION

Page 2: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

__________________________________________________________________________

WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

Page 1

Page Table of contents 1 Introduction and publication rights 2 List of participating cord blood banks and registries 4 Cumulative total of all responses 7 Figure 1: Number of participating cord blood banks/registries 11 Figure 2: Number of cord blood units available for transplantation 11 Figure 3: Number of cord blood units provided for unrelated transplantation 12 Figure 4: Number of cord blood units provided for multi-cord transplantation 12 Figure 5: Degree of matching of the cord blood units provided for children 13 Figure 6: Degree of matching of the cord blood units provided for adults 13 Figure 7: Degree of matching of the cord blood units provided over the years 14 Table 1: Comparison of the degree of matching (A, B serol. split, DRB1

allele level) of the cord blood units provided over the years 14 Table 2: Cord blood units provided for national and international patients 15 Figure 8: Percentage cord blood units provided for national and international patients 15 Table 3: Cord blood units provided for transplantation by the continents 15 Figure 9: Number cord blood units provided for national and international patients 16 Table 4: Distribution of cord blood units from continents to different countries 17 Table 5: Cord blood units provided to and by the continents 19 Figure 10: Cord blood units provided to continents 19 Figure 11: Cord blood units provided by continents 19 Table 6: Percentage of cord blood units provided for transplantation

in relation to the number of cord blood units present per country 20 Table 7: Percentage of cord blood units exported in relation to the

number of cord blood units present per country 21

Figure 12: Size of the cord blood bank versus the number of cord blood units provided for transplantation 22 Figure 13: Size of the cord blood bank versus the number of cord blood units provided for transplantation 22 Figure 14: Total Nucleated Cell counts of units used for multi-cord transplantation 23 Figure 15: Total Nucleated Cell counts of units used for single transplantation 23 Analysis of all responses 24 Appendix 1 25 Acknowledgement 28

Page 3: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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SHARE GOALS The World Marrow Donor Association (WMDA) is an international collaboration effort of organisations and individuals involved in hematopoietic stem cell donation and transplantation. The mission of the WMDA is:

The World Marrow Donor Association (WMDA) fosters international collaboration to facilitate the exchange of high quality hematopoietic stem cells for clinical transplantation worldwide and to promote the interests of donors.

One of the annual projects of the WMDA is to collect the number of unrelated stem cell products provided by the unrelated stem cell donor registries and cord blood banks (CBB) worldwide. WMDA is collecting these data from 1999 and is proud to send out the ninth edition of the Cord Blood Banks/Registries Annual Report. WMDA Office thanks the participating organisations for sharing the data and Histogenetics for supporting this important project. SHARE LIFE Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his units through a registry or directly. Some cord blood banks have provided their units through a registry as well as directly. WMDA Office contacted 107 different cord blood banks worldwide: - 83 CBBs provide their units via a registry - 13 CBBs provide their units directly - 4 CBBs just started and did not participate in the survey - 7 CBBs provide their units via one (or two) registry (ies) and directly The major change for the year 2007 is that all Italian Cord Blood Banks have become part of the Italian BMDR & Cord Blood Bank Network. The difference between 2006 and 2007 is that the Italian Banks are listed together in stead of separately. Four CBB participated for the first time. The WMDA Office received the questionnaire back from Asiacord (Seoul Cord Blood Bank), CordMX CNTS Mexico, Swedcord and Gift of Life Bone Marrow Foundation. Welcome to this project and we hope to establish a long relationship. The WMDA website shows information specified per CBB (number of units stored, mother health questionnaire, IDM testing and courier incidents). For further details you can visit: www.worldmarrow.org

INTRODUCTION AND PUBLICATION RIGHTS

Page 4: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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SHARE QUALITY Netcord-FACT developed an accreditation program for cord blood banks. At the moment 15 CBB are accredited by Netcord-FACT. In appendix 1 you can see which cord blood banks are accredited by Netcord-FACT. SHARE KNOWLEDGE The number of unrelated cord blood units provided per year increases annually. All CBBs together reported that 2,743 cord blood products were provided for transplantation in 2007. Of 79% of the cord blood units information is available whether the unit have been used for single or double transplantation: - 823 cord blood units have been used four double transplantation - 1,286 cord blood units have been used for single transplantation - 66 cord blood units have been used for subsequent transplantation - 568 cord blood units no information have been provided Over 40% of these products involved a transplant from a donor in a country that was different to the patient’s. The products were shipped to 43 different countries. SHARE EXPERIENCE The number of cord blood products increases annually. At the end of 2007 a new WMDA Working Group has been established. The Cord Blood WG is chaired by Kathy Welte (NMDP, USA). If you want to join this working group, you can contact the WMDA Office. SHARE INFORMATION Stem Cell Donor Registries and Cord Blood Banks have voluntarily contributed data on the understanding that publications may result. Each registry is free to use the data for its own internal use, but any use of the data for publication must receive prior approval of the WMDA Board or it designee. GET IN TOUCH WITH US Information on the WMDA is available on: http://www.worldmarrow.org or can be asked by e-mail: [email protected] Machteld Oudshoorn, Lydia Foeken-van Goozen Chief Operating Officer Executive Officer

Page 5: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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COUNTRY NAME Argentina Argentine CPH Donors Registry Australia AusCord Austria Austrian Cord Blood Registry Belgium Marrow Donor Program Belgium Belgium Leuvencord Brazil BrasilCord/REDOME Canada Victoria Angel Registry of Hope China Shandong Umbilical Cord Blood Bank Cyprus The Cyprus Rotary Cord Blood Registry (CYCORD) Czech Republic Czech Stem Cell Registry Finland Finnish Cord Blood Bank France France Greffe de Moelle Germany ZKRD Zentrales Knochenmarkspender Register Germany José Carreras Stammzellbank Greece Hellenic Cord Blood Bank (HCBB) Israel Hadassah Unrelated Donor and Cord Blood Registry Israel Sheba Cord Blood Bank Italy Italian BMDR and Cord Blood Bank Network

LIST OF PARTICIPATING BANKS AND REGISTRIES

Page 6: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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COUNTRY NAME Japan Tokyo Cord Blood Bank Korea KoreaCORD Korea Seoul Cord Blood Bank Korea Catholic Hematopoietic Stem Cell Bank Mexico Mexican Cord Blood Bank and Registry BACECU Mexico CordMX CNTS Mexico Netherlands, The Europdonor Foundation/EuroCord Netherlands Poland Unrelated Bone Marrow Donor & Cord Blood Registry Poland Central Bone Marrow & CB Registry POLTRANSPLANT Singapore* Singapore Cord Blood Bank Slovakia Eurocord Slovakia Spain REDMO - Spanish Cord Blood Registry Sweden SWEDCORD – Swedish National Cord Blood Bank Switzerland Swiss Blood Stem Cells Taiwan Buddhist Tzu Chi Stem Cells Center (BTCSCC) Taiwan Bionet Babybanks Corp. Taiwan Healthbanks Biotec Co. Ltd. Taiwan* StemCyte Taiwan National Cord Blood Center Thailand Thai National Cord Blood Bank Turkey Ankara Cord Blood Registry United Kingdom London Cord Blood Bank United States of America Caitlin Raymond International Registry (CRIR)

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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COUNTRY NAME United States of America Celgene Cord Blood Bank Cedar Knolls United States of America* University of Colorado Cord Blood Bank United States of America* Elie Katz Umbilical Cord Blood Program United States of America Michigan Community Blood Centers Cord Blood Bank United States of America National Marrow Donor Program (NMDP) Unites States of America New York Blood Center – National Cord Blood Program United States of America* St. Louis Cord Blood Bank United States of America* StemCyte Inc. United States of America Gift of Life Bone Marrow Foundation * These Cord Blood Banks provide cord blood units directly as well as via a Registry.

Page 8: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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GENERAL INFORMATION 1. Total number of cord blood units in cord blood registry/bank available for transplantation on 31st December 2007 406,496 2. Number of new cord blood units added during 2007 available for transplantation 74,293 3. Number of cord blood units deleted during 2007 for other reasons than transplantation 5,350 SEARCH REQUESTS DURING 2007 4. Number of searches for cord blood units requested for unrelated national patients 16,628 5. Number of searches for cord blood units requested for unrelated international patients 61,832 6. DNA SAMPLES REQUESTED FOR CONFIRMATORY TYPING IN 2007 Samples from your cord blood registry/bank shipped on request to transplant centres 1,335 DNA typing performed by your own cord blood bank/registry on request of transplant centres 4,885 7. CORD BLOOD UNITS SHIPPED IN 2007 The total number of cord blood units provided for transplantation in 2007 2,743 The total number of cord blood units actually transplanted in 2007 2,551 The total number of cord blood units that have been used for expansion 1 The total number of cord blood units that have been used for other purposes (NK cells) 6 8. UNRELATED UNITS PROVIDED FOR CHILDREN (≤≤≤≤ 15 years) Cord blood units provided for children for mono transplantation Degree of matching (A, B serological split level, DRB1 allele) first subse- no Number of matched/mismatched cord blood units provided during 2007 mono quent info

0 antigen mismatched units 143 5 50 1 antigen mismatched units 348 15 93 2 antigens mismatched units 224 20 38 3 or more antigens mismatched units 3 0 5 no information about the degree of matching 11 0 26

TOTAL 729 40 212 9. Multi cord blood units provided for children (all units provided by the same bank)

Degree of matching (A, B serological split level, DRB1 allele) first second Number of matched/mismatched cord blood units provided during 2007 unit unit

0 antigen mismatched units 13 5 1 antigen mismatched units 35 33 2 antigens mismatched units 25 39 3 or more antigens mismatched units 1 1 no information about the degree of matching 20 20

TOTAL 94 98

ANNUAL REPORT QUESTIONNAIRE 2007 CUMULATIVE TOTAL OF ALL RESPONSES

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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10 Multi cord blood units provided for children (units provided by different banks) Degree of matching (A, B serological split level, DRB1 allele) Number of matched/mismatched cord blood units provided during 2007 0 antigen mismatched units 3 1 antigen mismatched units 11 2 antigens mismatched units 16 3 or more antigens mismatched units 1 no information about the degree of matching 2 TOTAL 33

UNRELATED UNITS PROVIDED FOR ADULTS (> 15 years old) 11 Cord blood units provided for adults for mono transplantation Degree of matching (A, B serological split level, DRB1 allele) first subse- no Number of matched/mismatched cord blood units provided during 2007 mono quent info 0 antigen mismatched units 32 0 20 1 antigen mismatched units 177 4 85 2 antigens mismatched units 318 18 120 3 or more antigens mismatched units 22 4 7 no information about the degree of matching 8 0 7 TOTAL 557 26 239 12 Multi cord blood units provided for adults (all units provided by the same bank) Degree of matching (A, B serological split level, DRB1 allele) first additional Number of matched/mismatched cord blood units provided during 2007 unit Units 0 antigen mismatched units 14 7 1 antigen mismatched units 83 64 2 antigens mismatched units 119 144 3 or more antigens mismatched units 3 6 no information about the degree of matching 6 6 TOTAL 225 227 13 Multi cord blood units provided for adults (units provided by different banks) Degree of matching (A, B serological split level, DRB1 allele) Number of matched/mismatched cord blood units provided during 2007 0 antigen mismatched units 4 1 antigen mismatched units 50 2 antigens mismatched units 77 3 or more antigens mismatched units 6 no information about the degree of matching 9 TOTAL 146

* Of 117 units no data are known about the degree of HLA matching and the age of the patient

Page 10: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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CANCELLATIONS DURING 2007 14 Number of cancellations by cord blood registry/bank after the cord blood unit had been chosen (total of national and international patients) 168 15 Number of cancellations by national transplant centres after the cord blood unit had been chosen (i.e. for patient related reasons). 234 16 Number of cancellations by international transplant centres after the cord blood unit had been chosen (i.e. for patient related reasons). 97

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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CORD BLOOD UNITS PROVIDED FOR TRANSPLANTATION TO FOLLOWING Number of Number of COUNTRIES Units Recipients 1 ARGENTINA 5 5 2 AUSTRALIA 80 64 3 AUSTRIA 4 3 4 BELGIUM 16 16 5 BRAZIL 68 66 6 CANADA 75 70 7 CHILE 19 17 8 CHINA 17 14 9 CHINA HONG KONG 4 4 10 COLOMBIA 24 19 11 CZECH REPUBLIC 6 5 12 ECUADOR 3 3 13 EGYPT 1 1 14 FINLAND 9 7 15 FRANCE 336 290 16 GERMANY 17 15 17 GREECE 32 22 18 HUNGARY 4 4 19 INDIA 2 2 20 ISRAEL 24 21 21 ITALY 92 89 22 JAPAN 148 148 23 JORDAN 2 2 24 KOREA 74 46 25 MALAYSIA 8 7 26 MEXICO 48 41 27 NETHERLANDS 32 31 28 NEW ZEALAND 13 11 29 NORWAY 4 3 30 PORTUGAL 14 13 31 SAUDI ARABIA 26 24 32 SINGAPORE 24 20 33 SLOVENIA 1 1 34 SOUTH AFRICA 3 3 35 SPAIN 114 114 36 SWEDEN 19 19 37 SWITZERLAND 12 8 38 TAIWAN 42 34 39 THAILAND 1 1 40 TURKEY 15 15 41 UNITED KINGDOM 85 80 42 UNITED STATES OF AMERICA 1,102 940 43 VENEZUELA 1 1 UNKNOWN 117 N.A. TOTAL 2,743 2,299* * this figure may be less; not all registries obtained information whether the unit was used for single or double cord blood transplantation

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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19

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Figure 2: Total Number of cord blood units available for transplantation

© WMDA 2007

© WMDA 2007

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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368 390 540 617

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Figure 4: Number of cord blood units provided for multicord transplantation

Remark: 2004: no information available of 29% of the units provided 2005: no information available of 45% of the units provided 2006: no information available of 41% of the units provided 2007: no information available of 21% of the units provided

© WMDA 2007

© WMDA 2007

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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219

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Figure 5: Degree of matching of the cord blood units provided for children (N=1,206 units)*

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Figure 6: Degree of matching of the cord blood units provided for adults (N=1,420 units)*

0 mismatched 1 mismatched 2 mismatched 3 or more not specified

© WMDA 2007

© WMDA 2007 *From 117 cord blood units no information is available whether the unit has been used for child or adult patient

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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Table 1: Comparison of the degree of matching of cord blood units provided over the years

Degree of matching 1999 2000 2001 2002 2003 2004 2005 2006 20070 mismatched 10.4% 12.1% 16.3% 14.2% 12.8% 14.2% 13.2% 11.2% 11.8%1 mismatched 46.6% 41.8% 41.0% 38.3% 41.6% 41.1% 38.1% 38.0% 39.7%2 mismatched 40.6% 41.8% 40.2% 40.6% 42.4% 42.0% 43.7% 46.5% 46.1%3 or more 2.5% 4.2% 2.6% 6.8% 3.2% 2.7% 5.0% 4.2% 2.4%

Remark: units for which the degree of matching was not specified are excluded from this table

Figure 7: Degree of matching of the cord blood units provided over the years

0 200 400 600 800

1000 1200 1400

1999 2000 2001 2002 2003 2004 2005 2006 2007

Years

Num

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© WMDA 2007

© WMDA 2007

Page 16: Unrelated Cord Blood Banks/Registries - CNTS · Cord blood units are listed in the Bone Marrow Donors Worldwide or in the Netcord Virtual Office. A cord blood bank can provide his

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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Table 2: Cord blood units provided for international and national patients

PATIENTS YE

AR

1999

2000

2001

2002

2003

2004

2005

2006

2007

TOTALINTERNATIONAL 129 146 192 175 284 387 652 829 1,098 3,892NATIONAL 239 244 348 390 679 739 1,139 1,246 1,528 6,552NOT SPECIFIED 0 0 0 52 0 0 0 0 117 169TOTAL 368 390 540 617 963 1,126 1,791 2,075 2,743 10,613

Figure 8: Percentage of cord blood units provided for national and international patients

35.1 37.4 35.628.4 29.5

34.4 36.4 40.0 40.0

64.9 62.6 64.4 63.270.5

65.6 63.6 60.055.7

01020304050607080

1999 2000 2001 2002 2003 2004 2005 2006 2007

Year

Per

cent

age

Provided Internationally Provided Nationally

Table 3: Cord blood units provided for transplantation by the continents

UNITS FROM YE

AR

1999

2000

2001

2002

2003

2004

2005

2006

2007

TOTALASIA 2 37 85 86 139 194 346 286 318 1,493AUSTRALIA 5 20 22 14 19 35 45 96 158 414EUROPE 116 141 191 168 189 311 467 629 744 2,956NORTH AMERICA 245 192 242 297 616 586 925 1,051 1,456 5,610SOUTH AMERICA 0 0 0 0 0 0 8 12 67 87AFRICA 0 0 0 0 0 0 0 0 0 0NOT SPECIFIED 0 0 0 52 0 0 0 1 0 53TOTAL 368 390 540 617 963 1,126 1,791 2,075 2,743 10,613

© WMDA 2007

© WMDA 2007

© WMDA 2007

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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Figure 9: Number of cord blood units provided for national and international patients

129 146 192 175 284

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© WMDA 2007

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JAPAN

JORDAN

KOREA

MALAYSIA

MEXICO

NETHERLANDS

NEW ZEALAND

NORWAY

POLAND

PORTUGAL

RUSSIA

SAUDI ARABIA

SINGAPORE

SLOVAKIA

SLOVENIA

SOUTH AFRI CA

SPAIN

SWEDEN

SWITZERLAND

TAIWAN

THAILAND

TURKEY

UNITED KINGDOM

UNITED STATES

VENEZUELA

UNKNOWN

TOTALS

AR

GE

NTI

NA

00

AU

STR

ALI

A54

14

141

37

73

16

12

124

2915

8A

US

TRIA

00

BE

LGIU

M1

15

14

131

22

16

31

21

34

25

328

89B

RA

ZIL

3030

CA

NA

DA

01

1C

HIN

A

1616

CY

PR

US

00

CZE

CH

RE

PU

BLI

C1

05

12

9F

INLA

ND

11

2F

RA

NC

E2

12

15

112

04

14

61

410

31

12

2619

5G

ER

MA

NY

23

83

216

33

117

41

41

12

1232

115

GR

EE

CE

55

ISR

AE

L1

42

7IT

ALY

11

23

22

112

22

244

12

31

36

3110

3JA

PA

N

148

114

9K

OR

EA

74

74M

EX

ICO

3

3437

NE

THE

RLA

ND

S1

12

11

62

10

23

20P

OLA

ND

00

SIN

GA

PO

RE

66

SLO

VA

KIA

00

SP

AIN

11

12

303

41

13

91

357

22

922

152

SW

ED

EN

00

SW

ITZE

RLA

ND

25

22

11T

AIW

AN

12

14

16

17

137

14

66T

HA

ILA

ND

00

TU

RK

EY

00

UN

ITE

D K

ING

DO

M1

25

41

18

2143

UN

ITE

D S

TATE

S20

24

3045

1819

11

310

93

161

920

12

146

62

626

101

231

45

11

1989

91

117

1,45

5TO

TALS

580

416

6875

1917

424

06

01

39

336

1732

42

024

9214

82

748

4832

134

014

026

240

13

114

1912

421

1585

1,10

21

117

2,74

3

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_________________________________________________________________________

WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

Page 19

Table 5: Cord blood units provided to and by continents

FROM

TO

AFR

ICA

AS

IA

AU

STR

ALI

A

EU

RO

PE

NO

RTH

AM

ER

ICA

SO

UTH

AM

ER

ICA

UN

KN

OW

N

TOTA

L

AFRICA 0 0 0 0 0 0 0 0ASIA 0 304 2 4 8 0 0 318AUSTRALIA 0 4 57 64 33 0 0 158EUROPE 1 10 8 515 191 19 0 744NORTH AMERICA 2 55 26 229 945 82 117 1,456SOUTH AMERICA 0 0 0 0 0 67 0 67TOTAL 3 373 93 812 1,177 168 117 2,743

14%3%

30%

43%

4%0.1%

6%

AFRICA

ASIA

AUSTRALIA

EUROPE

NORTH AMERICA

SOUTH AMERICA

UNKNOWN

TO

Figure 10: Cord blood units provided to continents

12%6%

27%

53%

2.4%

ASIA

AUSTRALIA

EUROPE

NORTH AMERICA

SOUTH AMERICA

BY

Figure 11: Cord blood units provided by continents

© WMDA 2007

© WMDA 2007

© WMDA 2007

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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Table 6: Percentage of cord blood units provided for transplantation in relation to the number of cord blood units present

Cord blood unitsCOUNTRY PROVIDED AVAILABLE %Mexico CNTS 37 974 3.799%France 195 6,164 3.164%Japan (Tokyo) 149 5,238 2.845%Brazil 30 1,983 1.513%USA-NMDP Network 882 72,950 1.209%USA-New York 416 36,002 1.155%Belgium 70 6,423 1.090%Greece 5 530 0.943%Australia 158 18,094 0.873%Germany Duesseldorf 94 12,923 0.727%Italy Cord Blood Network 103 16,402 0.628%Switzerland 11 1,882 0.584%Netherlands 20 3,505 0.571%Israel Sheba 7 1,326 0.528%Spain 152 28,801 0.528%United Kingdom 43 9,102 0.472%Korea KMDP 60 14,307 0.419%USA-Michigan 9 2,318 0.388%Germany 21 6,241 0.336%Czech Republic 9 2,792 0.322%China Shandong 16 6,048 0.265%Belgium Leuven 19 7,582 0.251%Taiwan BTCSCC/CBB 7 5,352 0.131%USA-Gift of Life 1 772 0.130%Taiwan Healthbanks 2 1,734 0.115%USA-Celgene 4 4,079 0.098%Finland 2 2,805 0.071%USA-CRIR 6 10,636 0.056%Korea Catholic 1 1,800 0.056%Taiwan Babybanks 7 13,941 0.050%Korea Seoul Cord Blood Bank 13 83,661 0.016%Israel Hadassah 0 3,082 0.000%Cyprus 0 502 0.000%Thailand 0 322 0.000%Poland Poltransplant 0 303 0.000%Slovakia 0 216 0.000%Argentina 0 166 0.000%Austria 0 155 0.000%Mexico BACECU 0 145 0.000%Sweden 0 100 0.000%Canada Victoria 0 45 0.000%Poland 0 41 0.000%Turkey 0 16 0.000%TOTAL 2,549 391,460 0.651%

These Cord Blood Banks provide also units through a registry.

USA-Colorado* 57 5,606 1.017%Taiwan Stemcyte* 50 10,061 0.497%USA-St. Louis* 47 16,248 0.289%Singapore* 6 2,218 0.271%USA-Stemcyte 32 12,854 0.249%USA-Elie Katz* 2 3,363 0.059%TOTAL 194 50,350 0.385%

© WMDA 2007

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Table 7: Percentage of cord blood units exported in relation to the number of cord blood units present

Cord blood units

COUNTRY PROVIDED AVAILABLE %France 76 6,164 1.233%Belgium 66 6,423 1.028%Germany Düsseldorf 92 12,923 0.712%Australia 104 18,094 0.575%Netherlands 20 3,505 0.571%USA-New York 197 36,002 0.547%Italy Cord Blood Bank Network 79 16,402 0.482%Switzerland 9 1,882 0.478%United Kingdom 35 9,102 0.385%Spain 95 28,801 0.330%Czech Republic 9 2,792 0.322%Germany 20 6,241 0.320%Mexico CNTS 3 974 0.308%USA-NMDP Network 189 72,950 0.259%Belgium Leuven 18 7,582 0.237%Israel Sheba 3 1,326 0.226%USA Gift of Life 1 772 0.130%USA-Michigan 3 2,318 0.129%Taiwan BTCSCC/CBB 4 5,352 0.075%USA Celgene 3 4,079 0.074%Taiwan Healthbanks 1 1,734 0.058%Finland 1 2,805 0.036%Japan (Tokyo) 1 5,238 0.019%Taiwan Bionet 1 13,941 0.007%Korea Seoul 0 83,661 0.000%Korea KMDP 0 14,307 0.000%USA-CRIR 0 10,636 0.000%China Shandong 0 6,048 0.000%Israel Hadassah 0 3,082 0.000%Brazil 0 1,983 0.000%Korea Catholic 0 1,800 0.000%Greece 0 530 0.000%Cyprus 0 502 0.000%Thailand 0 322 0.000%Poland Poltransplant 0 303 0.000%Slovakia 0 216 0.000%Argentina 0 166 0.000%Austria 0 155 0.000%Mexico BACECU 0 145 0.000%Sweden 0 100 0.000%Canada Victoria 0 45 0.000%Poland 0 41 0.000%Turkey 0 16 0.000%TOTAL 1,030 391,460 0.263% These cord blood banks also provide through a registry. USA-Stemcyte* 24 12,854 0.187%USA-Colorado* 19 5,606 0.339%Taiwan Stemcyte* 23 10,061 0.229%USA St. Louis* 2 16,248 0.012%USA-Paramus* 0 3,363 0.000%Singapore* 0 2,218 0.000%TOTAL 68 50,350 0.135%

© WMDA 2007

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Figure 12: Size of the cord blood bank versus the number

(cord blood banks/registry < 4,000 units)

0

5

10

15

20

25

30

35

40

Size of the Cord Blood Bank/Registry

Num

ber

of c

ord

bloo

d un

its p

rovi

ded

Number of Cord Blood Units Provided

4000

The Netherlands

0

Brazil

Mexico

of cord blood units provided for transplantation

Figure 13: Size of the cord blood bank versus the number of cord blood units provided for transplantation (cord blood bank/registry >4,000 units)

0 100 200 300 400 500 600 700 800 900

Size of the Cord Blood Bank/Registry Num

ber

of c

ord

bloo

d un

its p

rovi

ded

Number of Cord Blood Units Provided

France

New York

NMDP

Tokyo

4000 70,000

© WMDA 2007

© WMDA 2007

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Figure 14: Total Nucleated Cell (TNC) counts of units provided for multicord transplantation

0

10

20

30

40

50

30 50 70 90 150 210 270 330 390Total Nucleated Cell Count (x10E7)

Num

ber

of u

nits

children adults

TNC median unit children: 132x10E7TNC average unit children: 144x10E7TNC median unit adult: 170x10E7TNC average unit adult: 177x10E7

Figure 15: Total Nucleated Cell (TNC) counts of the cord blood units provided for single transplantation

0102030405060708090

30 60 90 120 150 180 210 240 270 300 330 360 390

Num

ber

of u

nits

children adults

TNC median unit children: 132x10E7TNC average unit children: 145x10E7TNC median unit adult: 185x10E7TNC average unit adult: 196x10E7

Total Nucleated Cell Count (x10E7)

© WMDA 2007

© WMDA 2007

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WORLD MARROW DONOR ASSOCIATION CORD BLOOD BANKS/REGISTRIES ANNUAL REPORT 2007

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ANALYSIS OF ALL RESPONSES

REGISTRY STATISTICS ON DECEMBER 31st, 2007 Total number of questionnaires sent 49 Total number of registries responding 49 Percentage of responses 100% Total number of cord blood units available on January 1st, 2007 324,110 Units added in 2007 74,293 Units deleted in 2007 5,350 Units used for transplantation in 2007 2,743 Total number of cord blood units on December 31st, 2007 406,496 Cord blood units available on January 1st, 2007 324,110=100% Percentage of new units added in 2007 22.9% Percentage of units deleted in 2007 -1.7% Percentage of units used for transplantation in 2007 -0.85% SEARCH REQUESTS DURING 2007 Total number of searches for cord blood units 78,460=100% Number and percentage of searches for national patients 16,628 21.2% Number and percentage of searches for international patients 61,832 78.8% Number of DNA samples shipped on request to transplant centres 1,385 Number of DNA typings performed on request by transplant centres 4,885 CORD BLOOD UNITS PROVIDED FOR TRANSPLANTATION DURING 2007 Total number of cord blood units provided 2,743=100% Number and percentage of units provided for national patients 1,528 55.7% Number and percentage of units provided for international patients 1.098 40.0% Number and percentage of units provided no information recorded 117 4.3% Percentage of transplantations in relation to search request 3.4% Percentage of transplantations in relation to the number of units available (average) 0.7% Percentage of cord blood units used for transplantation in relation to DNA samples provided/HLA typed 43.7% DEGREE OF MATCHING (A, B serological split level, DRB1 allele) Total number of cord blood units matched 2,743=100% 0 antigen mismatched units 296 10.8% 1 antigen mismatched units 998 36.4% 2 antigens mismatched units 1,158 42.2% 3 or more antigens mismatched units 59 2.2% Not specified 232 8.5% CORD BLOOD UNITS PROVIDED Total number of units provided for 2,743=100% adult patients (> 15 years old) 1,206 44.0% children (≤15 years old) 1,420 51.7% Unknown 117 4.3% CANCELLATIONS DURING 2007 Cancellations by cord blood registries/banks 168 Cancellations by transplant centres 331

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Page 25

APPENDIX 1

Country Name of Cord Blood Banks active in your Registry Started InventoryWhole Blood Number of CBU accredited?

since units reduced volume(year)

1 Argentina Argentine National Cord Blood Bank 2007 166 0 166 No2 Australia Queensland Cord Blood Bank at the Mater 1998 3,179 0 3,179 TGA3 Australia Sydney Cord Blood Bank 1995 9,536 66 9,470 NetCord-FACT4 Australia BMDI Cord Blood Bank (Melbourne) 1996 5,379 0 5,379 NetCord-FACT5 Austria Austrian Cord Blood Registry ?? 155 0 155 No6 Belgium Navelstrengbloedbank Rode Kruis-Vlaanderen 2001 1,400 0 1,400 No7 Belgium De Leuvense Navelstrengbloedbank 1997 7,582 484 7,098 Pending8 Belgium Banque de sang de cordon umbilical Liege 1994 1,951 843 1,108 NetCord-FACT9 Belgium Banque de sang de cordon Bruxelles (UCL) 1994 1,872 1,291 581 Belgium

10 Belgium Banque de sang de cordon Bruxelles (ULB) 1994 1,523 1,294 298 Belgium11 Brazil Instituto Nacional de Cancer Rio de Janeiro 2002 881 0 881 No12 Brazil HIAE Sao Paulo 2004 1,102 0 1,102 No13 Brazil HC Campinas Sao Paulo 2007 NA NA NA No14 Brazil HC Ribeirao Preto Sao Paulo 2007 NA NA NA No15 Canada Alberta Cord Blood Bank 1997 1,153 No16 Canada Victoria Angel Registry of Hope 2005 45 NA NA AABB17 China Shan Dong Cord Blood Bank NA NA NA NA NA18 China Beijing Cord Blood Bank NA NA NA NA NA19 China ShangHai Cord Blood Bank NA NA NA NA NA20 China GuangZhou cord blood bank. NA NA NA NA NA21 Croatia Croatian Cord Blood Bank 2007 70 NA NA No22 Cyprus CYCORD (The Cyprus Rotary Cord Blood Registry) 2005 502 No23 Czech Republic Cord Blood Bank Czech Republic 1996 2,792 2,792 0 JCI24 Finland Finnish Cord Blood Bank 1998 2,825 0 2,825 NetCord-FACT25 France Besancon Cord Blood Bank 1999 3,009 1,433 1,576 NetCord-FACT26 France Bordeaux Cord Blood Bank 1999 1,897 987 910 Pending27 France Saint Louis Cord Blood Bank 1996 1,241 1,241 0 No28 France Marseille Cord Blood Bank 2003 17 17 0 No29 Germany Jose Carreras Stammzellbank Dusseldorf 1993 12,923 2,625 10,298 NetCord-FACT30 Germany Cord Blood Bank Mannheim 1997 1,636 12 1,624 Pending31 Germany DNS-BB Nabelschnurblutbank 2002 1,309 NA NA No32 Germany Cord Blood Bank Freiburg 1999 1,080 0 1,080 No33 Germany Bavarian Cord Blood Bank Munich 2000 2,216 0 2,216 Pending34 Greece Hellenic Cord Blood Bank 2004 530 0 530 No35 Israel Hadassah MDA Cord Blood Registry 2003 1,864 52 1,812 ISO 9001: 200036 Israel Hadassah Cord Blood Registry 1996 309 0 309 No37 Israel Bedomaich Chayi 2006 1,060 93 967 No38 Israel Sheba Cord Blood Bank 2001 1,326 0 1,326 Pending39 Italy Milano Cord Blood Bank 1993 6,628 25% 75% NetCord-FACT40 Italy Pavia Cord Blood Bank 1996 1,980 1,150 430 NetCord-FACT41 Italy Padova Cord Blood Bank 1997 1,236 1,236 0 ISO 900142 Italy St. Eugenio Hospital Rome 1995 544 420 124 ISO 900143 Italy Pescara Cord Blood Bank 2007 375 0 375 ISO 900144 Italy Roma Centro 1994 629 NA NA ISO 9001

45 Italy Torino Cord Blood Bank 1994 1,097 1,423 0 ISO 9001

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Country Name of Cord Blood Banks active in your Registry Started InventoryWhole Blood Number of CBU accredited?

since units reduced volume46 Italy Firenze Cord Blood Bank 1996 937 17 920 ISO 900147 Italy Liguria Cord Blood Bank Genova 2006 48 48 0 No48 Italy Treviso Cord blood Bank 2004 744 NA NA No49 Italy Unicatt Rome NA 375 NA NA NA50 Italy Emilia Romagna Cord Blood Bank 2001 1,898 NO 100 Pending51 Japan Tokyo Cord Blood Bank 1997 5,218 0 5,218 ISO 9001 52 Korea Medipost Cord Blood Bank 2000 7,866 0 7,866 No53 Korea Allcord Seoul Metropolitan Public Cord Blood Bank 2006 3,600 0 3,600 No54 Korea Cord Blood Bank iCord CHA Hospital 2003 2,283 0 2,283 Yes55 Korea Samsung Cord Blood Bank 1997 99 0 99 No56 Korea Busan Keung Nam Cord Blood Bank 2000 232 0 232 Yes57 Korea Yeungnam University Hospital Cord Blood Bank 2003 11 0 11 No58 Korea Green Cross Life Line 2003 216 0 216 No59 Korea Catholic Hematopoietic Stem Cell Bank 2004 1,800 NA NA No60 Korea Seoul Cord Blood Bank 2002 83,661 83,661 Asiacord61 Mexico Bacecu Mexican Altruistic Cord Blood Bank 2002 145 46 99 National Gov.62 Mexico CNTS NA NA NA NA NA63 Netherlands Cord Blood Bank Leiden 1994 2,292 NAV NAV Pending64 Netherlands Cord Blood Bank Nijmegen 1996 872 NAV NAV No65 Poland Institute of Haematology and Transfusion Medicine 1998 41 41 0 No66 Poland Jose Carreras Memorial Cord Blood Bank 2000 132 0 132 No67 Poland Hematopoietic Progenitor Cel Processing Facility 1999 171 0 171 Yes68 Singapore Singapore Cord Blood Bank 2005 2,218 NAV NAV No69 Slovakia Eurocord Slovakia 1998 216 216 0 No70 Spain Barcelona Cord Blood Bank 1997 7,715 NAV NAV Netcord-FACT71 Spain Banco Cordon CTS Malaga 1997 8,686 NAV NAV Pending72 Spain Banco Cordon CTS Madrid 1998 4,805 NAV NAV No73 Spain Banco Cordon CTS Galicia 1998 4,879 NAV NAV Pending74 Spain Banco Cordon CTS Valencia 1999 2,271 NAV NAV No75 Spain Banco Cordon Hosp. Univ. Canarias 1999 445 NAV NAV No76 Sweden Swedish National Cord Blood Bank "SWEDCORD" 2006 100 0 100 No77 Switzerland Cord Blood Bank Basel 1998 1,211 0 1,211 Swiss GLP78 Switzerland Cord Blood Bank Geneva 2000 671 0 671 ISO 9001: 200079 Taiwan Tzu Chi Registry 1998 5,352 NAV NAV National Gov.80 Taiwan Taiwan Taipei Cord (TPCB) 1999 13,941 0 13,941 AABB, COLA81 Taiwan Stemcyte 2003 10,061 NA NA AABB82 Taiwan Healthbanks Cord Blood Center 2004 1,734 NAV NAV AABB/ISO/ASHI83 Thailand Thai National Cord Blood Bank 2002 322 0 322 No84 Turkey Ankara Cord Blood Bank 1998 16 NAV NAV No85 United Kingdom London Cord Blood Bank 1996 8,864 0 0 NetCord-FACT86 USA Celgene Cord Blood Bank 2004 4,079 0 4,079 AABB, ISO87 USA Michigan Community Blood Centers' Cord Blood Bank 1999 2,318 0 2,318 AABB88 USA University of Colorado Cord Blood Bank 1996 5,606 0 5,606 AABB89 USA Cryobanks International Inc. 2000 9,544 0 9,544 AABB90 USA The Elie Katz Umbilical Cord Blood Program 1996 3,363 0 3,363 No

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Country Name of Cord Blood Banks active in your Registry Started InventoryWhole Blood Number of CBU accredited?

since units reduced volume91 USA New York Blood Center National Cord Blood Program 1993 36,002 1,585 34,317 NetCord-FACT92 USA Ashley Ross Cord Blood Program 1999 2,239 0 2,239 AABB93 USA Bonfils Cord Blood Services 1998 2,133 0 2,133 AABB94 USA Carolinas Cord Blood Bank 2001 11,322 0 11,322 FACT95 USA Cord:USE Orlando NA 1,491 0 1,491 No96 USA Children Hospital of Orange County Cord Blood Bank 1999 2,129 0 2,129 No97 USA Coriell - New Jersey Cord Blood Bank 0 AABB98 USA Gift of Life Bone Marrow Foundation 2005 772 0 772 AABB99 USA ITxM Cord Blood Service 1998 3,589 0 3,589 AABB

100 USA J.P. McCarthy Cord Stem Cell Bank 2001 1,198 0 1,198 No101 USA LifeCord 1997 2,395 0 2,395 AABB/FACT102 USA M.D. Anderson Cord Blood Bank NA 2,868 0 2,868 FACT103 USA CBS: New Jersey Cord Blood Bank 2004 1,824 0 1,824 AABB104 USA Puget Sound Blood Center 1998 1,547 0 1,547 AABB105 USA St. Louis Cord Blood Bank 1996 16,248 0 16,248 AABB106 USA StemCyte International Cord Blood Center 2001 12,854 0 803 AABB/FACT107 USA Texas Cord Blood Bank 2005 1,302 0 1,302 AABB

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Page 28

This annual report is sponsored by:

Acknowledgement: WMDA Office would like to thank the cord blood registries and cord blood banks for providing their data.