Characteristics of patients and grafts
Parameter . | Total, n = 133 . |
---|---|
Patients | |
Male | 74 (55.6) |
Female | 59 (44.4) |
Median age plus or minus SD, y (range) | 55.6 ± 9.4 (23.8-73.7) |
Diagnoses | |
CML | 11 (8.3) |
CP1 | 8 |
AP/BC | 3 |
ALL | 3 (2.3) |
CR2 | 1 |
Relapse/refractory | 2 |
MDS | 23 (17.3) |
RA | 8 |
RARS | 1 |
RAEB/t, CMMoL (untreated) | 14 |
AML | 29 (21.8) |
CR1 | 6 |
Relapse/primary refractory | 19 |
CR2 or greater | 3 |
Untreated | 1 |
sAML | 29 (21.8) |
CR1 | 2 |
Relapse/refractory | 16 |
Untreated | 11 |
MPS/OMF | 9 (6.8) |
Untreated/CP1 | 4 |
CP2 | 1 |
BC | 4 |
Myeloma, all relapse/refractory/PR | 9 (6.8) |
Lymphoma | 13 (9.8) |
CR1 | 1 |
CR2 or greater | 1 |
Relapse/refractory/PR | 11 |
CLL, all refractory | 7 (5.3%) |
Remission status | |
Total | 133 |
Early | 27 (20.3) |
Advanced | 106 (79.7) |
AML/MDS | 81 |
Early | 17 (21.0) |
Advanced | 64 (79.0) |
Donor type | 127 |
Age, y (range) | 44.4 (20-74) |
Related, fully matched | *68 (51.1) |
Unrelated, fully matched | †59 (44.4) |
Unrelated, minor HLA-mismatched | 6 (4.5) |
Donor sex match | |
Patient male/donor female | 31 (23.3) |
Patient female/donor male | 33 (24.8) |
Match | 69 (51.9) |
CMV status | |
Patient neg/donor neg | 23 (17.3) |
Patient neg/donor pos | 18 (13.5) |
Patient pos/donor neg | 36 (27.1) |
Patient pos/donor pos | 45 (33.8) |
NE | 1 (0.8) |
GVHD prophylaxis | |
CsA plus mMtx | ‡23 (17.3) |
CsA plus MMF | §¶108 (81.2) |
Graft | |
Source | |
Bone marrow | 15 (11.3) |
Peripheral blood | 116 (87.2) |
Both | 2 (1.5) |
Values | |
Bone marrow | |
WBC, × 108 cells/kg (15 pt) | 3.7 (1.9-14.0) |
CD34, × 106 cells/kg (13 pt) | 3.0 (1.0-9.6) |
CD3, × 108 cells/kg (11 pt) | 0.5 (0.2-2.4) |
Peripheral blood | |
WBC, × 108 cells/kg (114 pt) | 13.5 (4.2-32.7) |
CD34, × 106 cells/kg (116 pt) | 6.7 (1.7-14.0) |
CD3, × 108 cells/kg (108 pt) | 2.8 (1.1-6.6) |
Both | |
WBC, × 108 cells/kg (2 pt) | 35.2 |
CD34, × 06 cells/kg (2 pt) | 2.5 |
CD3, × 108 cells/kg (2 pt) | 3.3 |
Parameter . | Total, n = 133 . |
---|---|
Patients | |
Male | 74 (55.6) |
Female | 59 (44.4) |
Median age plus or minus SD, y (range) | 55.6 ± 9.4 (23.8-73.7) |
Diagnoses | |
CML | 11 (8.3) |
CP1 | 8 |
AP/BC | 3 |
ALL | 3 (2.3) |
CR2 | 1 |
Relapse/refractory | 2 |
MDS | 23 (17.3) |
RA | 8 |
RARS | 1 |
RAEB/t, CMMoL (untreated) | 14 |
AML | 29 (21.8) |
CR1 | 6 |
Relapse/primary refractory | 19 |
CR2 or greater | 3 |
Untreated | 1 |
sAML | 29 (21.8) |
CR1 | 2 |
Relapse/refractory | 16 |
Untreated | 11 |
MPS/OMF | 9 (6.8) |
Untreated/CP1 | 4 |
CP2 | 1 |
BC | 4 |
Myeloma, all relapse/refractory/PR | 9 (6.8) |
Lymphoma | 13 (9.8) |
CR1 | 1 |
CR2 or greater | 1 |
Relapse/refractory/PR | 11 |
CLL, all refractory | 7 (5.3%) |
Remission status | |
Total | 133 |
Early | 27 (20.3) |
Advanced | 106 (79.7) |
AML/MDS | 81 |
Early | 17 (21.0) |
Advanced | 64 (79.0) |
Donor type | 127 |
Age, y (range) | 44.4 (20-74) |
Related, fully matched | *68 (51.1) |
Unrelated, fully matched | †59 (44.4) |
Unrelated, minor HLA-mismatched | 6 (4.5) |
Donor sex match | |
Patient male/donor female | 31 (23.3) |
Patient female/donor male | 33 (24.8) |
Match | 69 (51.9) |
CMV status | |
Patient neg/donor neg | 23 (17.3) |
Patient neg/donor pos | 18 (13.5) |
Patient pos/donor neg | 36 (27.1) |
Patient pos/donor pos | 45 (33.8) |
NE | 1 (0.8) |
GVHD prophylaxis | |
CsA plus mMtx | ‡23 (17.3) |
CsA plus MMF | §¶108 (81.2) |
Graft | |
Source | |
Bone marrow | 15 (11.3) |
Peripheral blood | 116 (87.2) |
Both | 2 (1.5) |
Values | |
Bone marrow | |
WBC, × 108 cells/kg (15 pt) | 3.7 (1.9-14.0) |
CD34, × 106 cells/kg (13 pt) | 3.0 (1.0-9.6) |
CD3, × 108 cells/kg (11 pt) | 0.5 (0.2-2.4) |
Peripheral blood | |
WBC, × 108 cells/kg (114 pt) | 13.5 (4.2-32.7) |
CD34, × 106 cells/kg (116 pt) | 6.7 (1.7-14.0) |
CD3, × 108 cells/kg (108 pt) | 2.8 (1.1-6.6) |
Both | |
WBC, × 108 cells/kg (2 pt) | 35.2 |
CD34, × 06 cells/kg (2 pt) | 2.5 |
CD3, × 108 cells/kg (2 pt) | 3.3 |
Totals are numbers (%) except where defined otherwise. Graft cell values are given per kilogram of patient body weight.
CP indicates chronic phase; AP/BC, acute phase/blast crisis; CR, complete remission; RA, refractory anemia; RARS, refractory anemia with ringed sideroblasts; RAEB/t, refractory anemia with excess blasts in transformation; CMMoL, chronic myelomonocytic leukemia; PR, partial remission; sAML, secondary AML; OMF, osteomyelofibrosis; neg, negative; pos, positive; NE, not evaluable; MMF, mycophenolate mofetil; WBC, white blood cells; and pt, patients.
ATG was used for conditioning in 1 patient.
Three patients did not receive ATG conditioning although ATG was used for conditioning in all unrelated donors.
Including 3 patients with additional ATG.
Including 60 patients with additional ATG.
Including 2 patients with additional prednisolone.