HCT for other hematopoietic malignancy predisposition syndromes
Disease and reference . | No. pts, median age . | Disease phase . | Prep regimen . | Donor type stem cell source . | GVHD . | TRM . | OS . | Follow-up . | Comments . |
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CAMT46 | 63 pts | NR | MAC 82% | MRD or MUD > 80% | A-GVHD: II-IV 13%. | 13% at 3 y | 5-y OS: 76% | 1,7 y (0.1-14) | No difference in OS according to donor or stem cell source |
7 y (0.5-17) | BM (n = 31); PB (n = 21); UCB (n = 11) | Extensive C-GVHD: 6.3% | |||||||
GATA247 | 15 pts | MDS (n = 12) | 73% CY + TBI | MRD or MUD 53% | A-GVHD: II- IV: 33% | 20% at 1 y | 5-y OS: 65% 5-y DFs:51 | 5,0 y (1-8.5) | Neurological toxicities and thrombotic events more frequent after GATA2 transplants |
15 y (5-20) | AL (n = 3) | BM (n = 11) and UCB (n = 4) | Extensive C-GVHD 26% | ||||||
MECOM49 | 10 pts | Progressive BMF | NR | MRD or MUD: 9 pts | NR | 3 pts died | 7 pts alive | NR | Sensorineural deafness, kidney, heart, and skeletal defects |
0.7 y (0.2-13) | BM (n = 9) and UCB (n = 1) | ||||||||
MECOM48 | 6 pts | Progressive BMF | NR | NR | NR | 2 deaths from cardiac problems | 4 pts alive | 10 mo | 4 pts are alive with no major complications after HCT |
1.3 y (0.5-3) | |||||||||
ERCC6L248 | 3 pts | BMF (n = 2) | NR | NR | NR | 1 death EBV lymphoma | 2 pts alive | 1 and 14 y | 2 pts are alive with no major complications after HCT |
13; 14; 22 y | MDS (n = 1) | ||||||||
SAMD9: 4 pts | BMF (n = 3) | NR | NR | NR | 2 deaths | 8 pts alive | 4 y (0.1-7) | SAMD9: 3 pts alive and well | |
SAMD9 | SAMD9L: 6 pts | ||||||||
SAMD9L48 | 3 y (1.5-33) | MDS (n = 7) | SAMD9L: 5 pts alive, one with neurological complication | ||||||
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| 10 pts alive | 3.1 y (0.1-14) |
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Disease and reference . | No. pts, median age . | Disease phase . | Prep regimen . | Donor type stem cell source . | GVHD . | TRM . | OS . | Follow-up . | Comments . |
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CAMT46 | 63 pts | NR | MAC 82% | MRD or MUD > 80% | A-GVHD: II-IV 13%. | 13% at 3 y | 5-y OS: 76% | 1,7 y (0.1-14) | No difference in OS according to donor or stem cell source |
7 y (0.5-17) | BM (n = 31); PB (n = 21); UCB (n = 11) | Extensive C-GVHD: 6.3% | |||||||
GATA247 | 15 pts | MDS (n = 12) | 73% CY + TBI | MRD or MUD 53% | A-GVHD: II- IV: 33% | 20% at 1 y | 5-y OS: 65% 5-y DFs:51 | 5,0 y (1-8.5) | Neurological toxicities and thrombotic events more frequent after GATA2 transplants |
15 y (5-20) | AL (n = 3) | BM (n = 11) and UCB (n = 4) | Extensive C-GVHD 26% | ||||||
MECOM49 | 10 pts | Progressive BMF | NR | MRD or MUD: 9 pts | NR | 3 pts died | 7 pts alive | NR | Sensorineural deafness, kidney, heart, and skeletal defects |
0.7 y (0.2-13) | BM (n = 9) and UCB (n = 1) | ||||||||
MECOM48 | 6 pts | Progressive BMF | NR | NR | NR | 2 deaths from cardiac problems | 4 pts alive | 10 mo | 4 pts are alive with no major complications after HCT |
1.3 y (0.5-3) | |||||||||
ERCC6L248 | 3 pts | BMF (n = 2) | NR | NR | NR | 1 death EBV lymphoma | 2 pts alive | 1 and 14 y | 2 pts are alive with no major complications after HCT |
13; 14; 22 y | MDS (n = 1) | ||||||||
SAMD9: 4 pts | BMF (n = 3) | NR | NR | NR | 2 deaths | 8 pts alive | 4 y (0.1-7) | SAMD9: 3 pts alive and well | |
SAMD9 | SAMD9L: 6 pts | ||||||||
SAMD9L48 | 3 y (1.5-33) | MDS (n = 7) | SAMD9L: 5 pts alive, one with neurological complication | ||||||
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| 10 pts alive | 3.1 y (0.1-14) |
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A-GVHD, acute GVHD; AL, acute leukemias; BM, bone marrow; BMF, bone marrow failures; CAMT, congenital amegakaryocytic thrombocytopenia; C-GVHD, chronic GVHD; CY, cyclophosphamide; DAH, diffuse alveolar hemorrhage; NR, not reported; pts, patients; TBI, total body irradiation; UCB, unrelated cord blood.