Table 1.

Nonmyeloablative allo-HCT vs gene therapy/editing

VariableBMT CTN27 Lovo-cel28 Exa-cel29 
Number of patients 42 35 44 
Follow-up, mo (range) 37.2 (20.4-56.4) 17.3 (3.7-37.6) 19.3 (0.8-48.1) 
Median age, y (range) 22.8 (15.5-43.2) 24 (12-38) 21.2 (12-35) 
Pretransplant conditioning Reduced intensity Myeloablative Myeloablative 
Neutrophil engraftment
(median day) 
25.5 20 27 
Plt recovery
(median day) 
34.5 36 34.5 
Hb (g/dL, mean) 13.5 11 11 
GVHD 5% None None 
Graft failure 5% None None 
OS 95% 96% 98% 
EFS 88% 85% 90% 
Durability Likely lifelong 
Hemolysis None Yes, but clinically insignificant Yes, but clinically insignificant 
Infertility ? (Probably low in patients aged <30 years) ? (Probably near 100%) ? (Probably near 100%) 
Leukemia Rare with full chimerism 
Cost ($) <300 000 3.3 million 2.2 million 
VariableBMT CTN27 Lovo-cel28 Exa-cel29 
Number of patients 42 35 44 
Follow-up, mo (range) 37.2 (20.4-56.4) 17.3 (3.7-37.6) 19.3 (0.8-48.1) 
Median age, y (range) 22.8 (15.5-43.2) 24 (12-38) 21.2 (12-35) 
Pretransplant conditioning Reduced intensity Myeloablative Myeloablative 
Neutrophil engraftment
(median day) 
25.5 20 27 
Plt recovery
(median day) 
34.5 36 34.5 
Hb (g/dL, mean) 13.5 11 11 
GVHD 5% None None 
Graft failure 5% None None 
OS 95% 96% 98% 
EFS 88% 85% 90% 
Durability Likely lifelong 
Hemolysis None Yes, but clinically insignificant Yes, but clinically insignificant 
Infertility ? (Probably low in patients aged <30 years) ? (Probably near 100%) ? (Probably near 100%) 
Leukemia Rare with full chimerism 
Cost ($) <300 000 3.3 million 2.2 million 

BMT CTN, Blood and Marrow Transplant Clinical Trials Network 1507; plt, platelet; ?, unknown.

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