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Fifty patients were transplanted from NK alloreactive donors, 88 from non-NK alloreactive donors. NK cell alloreactivity did not impact on GvHD/relapse-free survival (GRFS) in unmanipulated transplants (HR 1.66 (0.9-3.1), p = 0.1). In contrast, it did impact beneficially on GRFS in T-cell-depleted transplants (HR 0.6, (0.3-1.2), p = 0.14, interaction p less then 0.001). This effect was the consequence of reduced incidences of acute and chronic GvHD and non-relapse mortality.This multicenter prospective phase 2 trial analyzed disease-f