Characteristics of HSC grafts and outcome of HSCT
Patient no. . | Donor source . | HLA match . | Composition of donor graft . | Duration of ANC < 500/μL, d . | Donor CD3+ cells, %* . | Donor CD14+ cells, %* . | Donor CD19+ cells, %* . | Donor CD3−CD56+ cells, %* . | Infections . | GVHD† . | Outcome/follow-up, mo . | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
CD34+, ×106/kg . | CD3+, ×106/kg . | |||||||||||
1 | MRD | 10/10 | 7.0 | 247 | 0 | 87 | 99 | 100 | 100 | CRBI | Skin/liver | Alive/25 |
2 | MRD | 10/10 | 4.1 | 380 | 11 | 99 | 100 | 100 | 100 | IFI, CMV viremia, BSI | Skin/liver | Died/3 |
3 | MUD | 8/8 | 6.87 | 354 | 10 | 99 | 100 | 100 | 100 | NO | Alive/23 | |
4 | MUD | 10/10 | 8.25 | 207 | 10 | 79 | 100 | 100 | 99 | Skin | Alive/11 | |
5 | UCB | 4/6 | 0.787 | 3.48 | 76 | 100 | 100 | 100 | 100 | BK viremia, CRBI, IFI, cellulitis, CMV viremia | NO | Alive/18 |
6 | Double | 14 | FN, HZ, endocarditis | Skin/GI | Alive/10 | |||||||
UCB 1 | 4/6 | 0.186 | 5.04 | 16 | 0 | 0 | 30 | |||||
UCB 2 | 4/6 | 0.658 | 10.5 | 77 | 100 | 100 | 70 |
Patient no. . | Donor source . | HLA match . | Composition of donor graft . | Duration of ANC < 500/μL, d . | Donor CD3+ cells, %* . | Donor CD14+ cells, %* . | Donor CD19+ cells, %* . | Donor CD3−CD56+ cells, %* . | Infections . | GVHD† . | Outcome/follow-up, mo . | |
---|---|---|---|---|---|---|---|---|---|---|---|---|
CD34+, ×106/kg . | CD3+, ×106/kg . | |||||||||||
1 | MRD | 10/10 | 7.0 | 247 | 0 | 87 | 99 | 100 | 100 | CRBI | Skin/liver | Alive/25 |
2 | MRD | 10/10 | 4.1 | 380 | 11 | 99 | 100 | 100 | 100 | IFI, CMV viremia, BSI | Skin/liver | Died/3 |
3 | MUD | 8/8 | 6.87 | 354 | 10 | 99 | 100 | 100 | 100 | NO | Alive/23 | |
4 | MUD | 10/10 | 8.25 | 207 | 10 | 79 | 100 | 100 | 99 | Skin | Alive/11 | |
5 | UCB | 4/6 | 0.787 | 3.48 | 76 | 100 | 100 | 100 | 100 | BK viremia, CRBI, IFI, cellulitis, CMV viremia | NO | Alive/18 |
6 | Double | 14 | FN, HZ, endocarditis | Skin/GI | Alive/10 | |||||||
UCB 1 | 4/6 | 0.186 | 5.04 | 16 | 0 | 0 | 30 | |||||
UCB 2 | 4/6 | 0.658 | 10.5 | 77 | 100 | 100 | 70 |
ANC indicates absolute neutrophil count; UCB, umbilical CB; MRD, matched related donor; MUD, matched unrelated donor; CRBI, catheter-related blood stream infection; IFI, invasive fungal infection; BSI, blood stream infection; BK, BK virus; FN, fever and neutropenia; HZ, herpes zoster; and GI, gastrointestinal.
The percentage of donor cells at last follow-up.
Patients 1, 4, and 6 had late acute grade I-II GVHD at 8, 10, and 6 months after transplantation, respectively. All responsive to steroids, now resolved. Patient 2 developed steroid refractory acute GVHD. There were no instances of chronic GVHD.