Patient, CLL, and transplantation characteristics
Characteristic . | CLL-RT patients . | CLL patients with no RT . | All CLL patients . |
---|---|---|---|
No. of patients | 23 | 35 | 58 |
Sex | |||
Female | 5 | 8 | 13 |
Male | 18 | 27 | 45 |
Median age, y (range) | 57.6 (36.3-69.6) | 54.5 (43.4-67.9) | 55 (36.3-69.6) |
Median time from diagnosis to HSCT, mo | 73.9 (7.9-241.2) | 65.8 (13.1-206.0) | 73.1 (7.9-241.2) |
Rai stage | |||
0 | 5 | 3 | 8 |
1 | 10 | 15 | 25 |
2 | 5 | 9 | 14 |
3 | 1 | 5 | 6 |
4 | 2 | 3 | 5 |
Patients with adverse cytogenetics or molecular features | 14 (60.9) | 30 (85.7) | 44 (75.9) |
TP53 mutation/del17p | 4 | 12 | 16 |
IGHV unmutated | 8 | 5 | 13 |
ZAP70+ | 0 | 8 | 8 |
del11q | 4 | 16 | 20 |
Complex | 2 | 7 | 9 |
HSCT Comorbidity Index score | |||
0 | 9 | 11 | 20 |
1-2 | 3 | 16 | 19 |
3-4 | 7 | 6 | 13 |
≥5 | 4 | 2 | 6 |
Disease response status at time of HSCT | |||
CR | 7 | 2 | 9 |
PR | 12 | 23 | 35 |
SD | 0 | 9 | 9 |
PD | 4 | 1 | 5 |
Median No. of previous lines of therapy (range) | Total: 3 (1-9); 2 (1-4) for RT | 3 (1-10) | 3 (1-10) |
Previous use of novel agent | 2 (8.7) | 9 (25.7) | 11 (19.0) |
Novel agent | |||
Ibrutinib | 2 | 8 | 9 |
Venetoclax | 1 | 4 | 5 |
Idelalisib/duvelisib | 0 | 3 | 3 |
Conditioning regimen | |||
Rituximab-fludarabine-cyclophosphamide-TBI 200 | 14 | 18 | 32 |
Fludarabine-cyclophosphamide-TBI 200 | 1 | 3 | 4 |
Fludarabine-cyclophosphamide-thiotepa-TBI 400 | 2 | 2 | 4 |
Fludarabine-melphalan | 4 | 4 | 8 |
Fludarabine-melphalan-thiotepa | 2 | 2 | 4 |
Rituximab-fludarabine-busulfan | 0 | 3 | 3 |
Fludarabine-busulfan | 0 | 3 | 3 |
Use of ATG | |||
Yes | 10 | 13 | 23 |
No | 13 | 22 | 35 |
Graft source | |||
MRD PBSC | 6 | 13 | 19 |
MUD PBSC | 6 | 13 | 19 |
Haplo PBSC | 2 | 0 | 2 |
Haplo bone marrow | 0 | 2 | 2 |
MMUD PBSC | 4 | 3 | 7 |
Cord blood transplant | 5 | 4 | 9 |
Characteristic . | CLL-RT patients . | CLL patients with no RT . | All CLL patients . |
---|---|---|---|
No. of patients | 23 | 35 | 58 |
Sex | |||
Female | 5 | 8 | 13 |
Male | 18 | 27 | 45 |
Median age, y (range) | 57.6 (36.3-69.6) | 54.5 (43.4-67.9) | 55 (36.3-69.6) |
Median time from diagnosis to HSCT, mo | 73.9 (7.9-241.2) | 65.8 (13.1-206.0) | 73.1 (7.9-241.2) |
Rai stage | |||
0 | 5 | 3 | 8 |
1 | 10 | 15 | 25 |
2 | 5 | 9 | 14 |
3 | 1 | 5 | 6 |
4 | 2 | 3 | 5 |
Patients with adverse cytogenetics or molecular features | 14 (60.9) | 30 (85.7) | 44 (75.9) |
TP53 mutation/del17p | 4 | 12 | 16 |
IGHV unmutated | 8 | 5 | 13 |
ZAP70+ | 0 | 8 | 8 |
del11q | 4 | 16 | 20 |
Complex | 2 | 7 | 9 |
HSCT Comorbidity Index score | |||
0 | 9 | 11 | 20 |
1-2 | 3 | 16 | 19 |
3-4 | 7 | 6 | 13 |
≥5 | 4 | 2 | 6 |
Disease response status at time of HSCT | |||
CR | 7 | 2 | 9 |
PR | 12 | 23 | 35 |
SD | 0 | 9 | 9 |
PD | 4 | 1 | 5 |
Median No. of previous lines of therapy (range) | Total: 3 (1-9); 2 (1-4) for RT | 3 (1-10) | 3 (1-10) |
Previous use of novel agent | 2 (8.7) | 9 (25.7) | 11 (19.0) |
Novel agent | |||
Ibrutinib | 2 | 8 | 9 |
Venetoclax | 1 | 4 | 5 |
Idelalisib/duvelisib | 0 | 3 | 3 |
Conditioning regimen | |||
Rituximab-fludarabine-cyclophosphamide-TBI 200 | 14 | 18 | 32 |
Fludarabine-cyclophosphamide-TBI 200 | 1 | 3 | 4 |
Fludarabine-cyclophosphamide-thiotepa-TBI 400 | 2 | 2 | 4 |
Fludarabine-melphalan | 4 | 4 | 8 |
Fludarabine-melphalan-thiotepa | 2 | 2 | 4 |
Rituximab-fludarabine-busulfan | 0 | 3 | 3 |
Fludarabine-busulfan | 0 | 3 | 3 |
Use of ATG | |||
Yes | 10 | 13 | 23 |
No | 13 | 22 | 35 |
Graft source | |||
MRD PBSC | 6 | 13 | 19 |
MUD PBSC | 6 | 13 | 19 |
Haplo PBSC | 2 | 0 | 2 |
Haplo bone marrow | 0 | 2 | 2 |
MMUD PBSC | 4 | 3 | 7 |
Cord blood transplant | 5 | 4 | 9 |
Haplo, HLA-haploidentical; MMUD, HLA-mismatched unrelated donor; MRD, HLA-matched related donor; MUD, HLA-matched unrelated donor; PBSC, peripheral blood stem cell; TBI 200, total body irradiation 200 cGy; TBI 400, total body irradiation 400 cGy.