good question. I think it depends on a couple things. One is if he has a good match for a donor. With a poor match its not worth the side effects of the transplant. Another depends upon his cytogenetics. In patients with the 8:21 translocation their outcome is pretty good with chemo so generally SCT are held until relapse or second remission. In cases of poor cytogenetics (deletions) a SCT may be in order at first remission as these patients are more likely to relapse.