Table 1.

Characteristics and outcome of evaluable patients

IDAge/sexDiagnosis; DS at time of mLST infusionPrior treatmentsConditioning regimen; GVHD prophylaxisHSCT donorGVHD after HSCT, status before mLSTsDLImmune suppression at time of mLSTDay of mLSTs after HSCTGVHD after mLST infusionPost-mLST infusion relapsePost-mLST infusion survival
41/M Ph-like, poor risk cytogenetics; CR1* Hyper-CVAD+ofatumumab ×5 cycles TBI (12Gy)/CTX; tacro/MTX MSD None Tacro 66 None No Alive at 47 mo 
17/F Relapsed ALL; CR2, MRDneg Completed therapy for HR- ALL per COG AALL1131→relapse→ reinduction per COG AALL1331HSCT TBI (6Gy)/flu/ alemtuzumab; tacro MSD Acute GVHD grade 2; resolved Tacro 107 None Yes 6 mo Died at 18 mo (relapse) 
14/M Ph+ALL; CR2, MRDneg Completed therapy for HR- ALL COG AALL1122 (dasatinib)→relapse → reinduction on COG AALL0434 (dasatinib)→HSCT TBI (12Gy)/CTX; ara-C; tacro methylpred MSD Acute GVHD grade 2; resolved Tacro 127 Chronic moderate GVHD 5 mo after infusion No Died at 9.5 mo (Varicella zoster infection) 
20/F Ph+ALL; CR3, MRDneg Induction and consolidation-COG AALL0622 (dasatinib)→MSDSCT→ relapse→ALLR3 reinduction chemotherapy→CD34+ top-off TBI (6Gy)/flu/ alemtuzumab; tacro MSD None None 48 None No Alive at 51 mo 
12/F T-cell ALL; CR2, MRDneg Completed therapy for T- ALL COG AALL0434→relapse→ reinduction on COG AALL1231 (bortezomib)→HSCT TBI (12Gy)/CTX; tacro/MTX MSD None None 117 None No Alive at 48 mo 
18/M HR-ALL; CR1, MRDneg Induction and consolidation COG AALL1131→primary induction failure→HSCT TBI (12Gy)/CTX/ara-C; tacro/MTX MSD None Tacro 48 None No Alive at 46 mo 
10 12/F T-cell/ MPAL, FLT3+; CR1, MRDneg Induction and consolidation chemotherapy COG AALL1231→HSCT as high risk TBI (12Gy)/CTX; tacro/MTX MSD Acute GVHD Grade 2; resolved Tacro, pred§ 146 None No Alive at 36 mo 
12 23/F Ph+ALL, high-risk cytogenetics; CR3; MRDneg Completed therapy for COG AALL08P1 (augmented BFM regimen)→relapse 8 y later→hyper-CVAD × 4 cycles→residual disease→CVAD+ inotuzumab mo 4 cycles+5 cycles of POMP→HSCT TBI (2Gy) flu/mel; post-HSCT CTX tacro/MMF Haplo None Tacro 111 None Yes 10 mo Alive at 24 mo 
IDAge/sexDiagnosis; DS at time of mLST infusionPrior treatmentsConditioning regimen; GVHD prophylaxisHSCT donorGVHD after HSCT, status before mLSTsDLImmune suppression at time of mLSTDay of mLSTs after HSCTGVHD after mLST infusionPost-mLST infusion relapsePost-mLST infusion survival
41/M Ph-like, poor risk cytogenetics; CR1* Hyper-CVAD+ofatumumab ×5 cycles TBI (12Gy)/CTX; tacro/MTX MSD None Tacro 66 None No Alive at 47 mo 
17/F Relapsed ALL; CR2, MRDneg Completed therapy for HR- ALL per COG AALL1131→relapse→ reinduction per COG AALL1331HSCT TBI (6Gy)/flu/ alemtuzumab; tacro MSD Acute GVHD grade 2; resolved Tacro 107 None Yes 6 mo Died at 18 mo (relapse) 
14/M Ph+ALL; CR2, MRDneg Completed therapy for HR- ALL COG AALL1122 (dasatinib)→relapse → reinduction on COG AALL0434 (dasatinib)→HSCT TBI (12Gy)/CTX; ara-C; tacro methylpred MSD Acute GVHD grade 2; resolved Tacro 127 Chronic moderate GVHD 5 mo after infusion No Died at 9.5 mo (Varicella zoster infection) 
20/F Ph+ALL; CR3, MRDneg Induction and consolidation-COG AALL0622 (dasatinib)→MSDSCT→ relapse→ALLR3 reinduction chemotherapy→CD34+ top-off TBI (6Gy)/flu/ alemtuzumab; tacro MSD None None 48 None No Alive at 51 mo 
12/F T-cell ALL; CR2, MRDneg Completed therapy for T- ALL COG AALL0434→relapse→ reinduction on COG AALL1231 (bortezomib)→HSCT TBI (12Gy)/CTX; tacro/MTX MSD None None 117 None No Alive at 48 mo 
18/M HR-ALL; CR1, MRDneg Induction and consolidation COG AALL1131→primary induction failure→HSCT TBI (12Gy)/CTX/ara-C; tacro/MTX MSD None Tacro 48 None No Alive at 46 mo 
10 12/F T-cell/ MPAL, FLT3+; CR1, MRDneg Induction and consolidation chemotherapy COG AALL1231→HSCT as high risk TBI (12Gy)/CTX; tacro/MTX MSD Acute GVHD Grade 2; resolved Tacro, pred§ 146 None No Alive at 36 mo 
12 23/F Ph+ALL, high-risk cytogenetics; CR3; MRDneg Completed therapy for COG AALL08P1 (augmented BFM regimen)→relapse 8 y later→hyper-CVAD × 4 cycles→residual disease→CVAD+ inotuzumab mo 4 cycles+5 cycles of POMP→HSCT TBI (2Gy) flu/mel; post-HSCT CTX tacro/MMF Haplo None Tacro 111 None Yes 10 mo Alive at 24 mo 

ara-C, cytarabine; COG, Children’s Oncology Group; CTX, cytoxan; DL, dose level; DS, disease status; Flu, fludarabine; GVHD, graft-versus-host disease; Haplo, haploidentical donor; HSCT, hematopoietic stem cell transplant; hyper-CVAD, cyclophosphamide, vincristine, doxorubicin, and dexamethasone; Mel, melphalan; mLST, multiple leukemia-associated antigen specific T cells; MMF, mycophenolate mofetil; MPAL, mixed phenotype acute leukemia; MRDneg, minimal residual disease negative; MSD, matched sibling donor; MTX, methotrexate; Ph+ ALL, Philadelphia positive acute lymphoblastic leukemia; Ph-like, Philadelphia-like; POMP, 6-mercaptopurine+vincristine+methotrexate+prednisone; Pred, prednisone; Tacro, tacrolimus; TBI, total body irradiation.

*

MRD not available, normal cytogenetics.

Received mLST infusion following CD34+ stem cell top-off.

Received tyrosine kinase inhibitor (bosutinib, 3 wk post-mLST infusion for 1 y).

§

Dose: 0.1 mg/kg.

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