Characteristics and outcome of evaluable patients
ID . | Age/sex . | Diagnosis; DS at time of mLST infusion . | Prior treatments . | Conditioning regimen; GVHD prophylaxis . | HSCT donor . | GVHD after HSCT, status before mLSTs . | DL . | Immune suppression at time of mLST . | Day of mLSTs after HSCT . | GVHD after mLST infusion . | Post-mLST infusion relapse . | Post-mLST infusion survival . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
2 | 41/M | Ph-like, poor risk cytogenetics; CR1* | Hyper-CVAD+ofatumumab ×5 cycles | TBI (12Gy)/CTX; tacro/MTX | MSD | None | 1 | Tacro | 66 | None | No | Alive at 47 mo |
3 | 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 | 1 | Tacro | 107 | None | Yes 6 mo | Died at 18 mo (relapse) |
4 | 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 | 1 | Tacro | 127 | Chronic moderate GVHD 5 mo after infusion | No | Died at 9.5 mo (Varicella zoster infection) |
5 | 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 | 1 | None‡ | 48 | None | No | Alive at 51 mo |
7 | 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 | 2 | None | 117 | None | No | Alive at 48 mo |
8 | 18/M | HR-ALL; CR1, MRDneg | Induction and consolidation COG AALL1131→primary induction failure→HSCT | TBI (12Gy)/CTX/ara-C; tacro/MTX | MSD | None | 2 | 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 | 3 | 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 | 3 | Tacro | 111 | None | Yes 10 mo | Alive at 24 mo |
ID . | Age/sex . | Diagnosis; DS at time of mLST infusion . | Prior treatments . | Conditioning regimen; GVHD prophylaxis . | HSCT donor . | GVHD after HSCT, status before mLSTs . | DL . | Immune suppression at time of mLST . | Day of mLSTs after HSCT . | GVHD after mLST infusion . | Post-mLST infusion relapse . | Post-mLST infusion survival . |
---|---|---|---|---|---|---|---|---|---|---|---|---|
2 | 41/M | Ph-like, poor risk cytogenetics; CR1* | Hyper-CVAD+ofatumumab ×5 cycles | TBI (12Gy)/CTX; tacro/MTX | MSD | None | 1 | Tacro | 66 | None | No | Alive at 47 mo |
3 | 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 | 1 | Tacro | 107 | None | Yes 6 mo | Died at 18 mo (relapse) |
4 | 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 | 1 | Tacro | 127 | Chronic moderate GVHD 5 mo after infusion | No | Died at 9.5 mo (Varicella zoster infection) |
5 | 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 | 1 | None‡ | 48 | None | No | Alive at 51 mo |
7 | 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 | 2 | None | 117 | None | No | Alive at 48 mo |
8 | 18/M | HR-ALL; CR1, MRDneg | Induction and consolidation COG AALL1131→primary induction failure→HSCT | TBI (12Gy)/CTX/ara-C; tacro/MTX | MSD | None | 2 | 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 | 3 | 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 | 3 | 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.