Patient, treatment, and outcome specifics
Patient no. . | Donor . | Primary diagnosis . | Sites involved in EBV-LPD . | Histology of EBV-LPD . | Origin of LPD . | Tumor clonal . | Rituximab prior to primary T-cell therapy . | Response to rituximab . | Time to primary T-cell therapy, d . | Primary T-cell therapy . | T-cell origin . | T-cell dose, CD3+ × 106/kg . | Infusions, no. . | Response to primary T-cell therapy . | Survival after T-cell therapy, d . | Status . | Cause of death . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 10/10MREL | ALL | WR,A/I | FLH | N/A | N/A | Y | PR | 16 | CTL | 3rd | 1.0 | 3 | CR | 357 | Alive | N/A |
2 | 6/10MMUR | AA | Li,Lu | DLBL | N/A | N/A | Y | Failed | 163 | CTL | SC | 1.0 | 1 | CR | 127 | Dead | GVHD predated CTL |
3 | 10/10MREL | ALPS type IA,HD | Li,A/I | HD | M | Y | N | N/A | 5 | CTL | SC | 1.0 | 1 | NE | 8 | Dead | Relapsed HD |
4 | 8/10MMREL | ALL | Li,A/I | ALCL | D | N/A | N | N/A | 4 | CTL | SC | 0.1 | 2 | PD | 16 | Dead | Sepsis |
0.4 | 1 | ||||||||||||||||
5 | 10/10MUR | AML | WR,A/I | DLBL | D | Y | Y | PR | 39 | CTL | SC | 1.0 | 3 | CR | 187 | Alive | N/A |
6 | 4/6MMUR | AML | WR, LI, Lu, CNS, A/I | DLBL | D | N/A | Y | Failed | 110 | CTL | 3rd | 1.0 | 9 | CR | 203 | Alive | N/A |
7 | 9/10MMUR | AML | WR | DLBL | D | Y | Y | GIR | 69 | CTL | SC | 1.0 | 3 | CR | 290 | Dead | Relapsed AML |
8 | 5/10MMREL | EBV+ HLH | A/I | DLBL | H | Y | Y | Failed | 1 (89)* | CTL | 3rd | 1.0 | 3 | CR | 217 | Alive | N/A |
9 | 3/6MMREL | AML | WR,A/I | DLBL | N/A | Y | Y | GIR | 312 | CTL | SC | 1.0 | 1 | CR | 2066 | Alive | N/A |
10 | 6/6MUR | CML | CNS | DLBL | N/A | N/A | N | N/A | 22 | CTL | SC | 1.0 | 1 | CR | 4848 | Alive | N/A |
11 | 7/10MMREL | FA | WR | DLBL | D | N/A | Y | Failed | 1 | CTL | SC | 1.0 | 3 | CR | 3569 | Alive | N/A |
12 | 8/10MMUR | AML | WR, A/I | DLBL | N/A | Y | Y | Failed | 17 | CTL | SC | 0.7 | 1 | PD | 17 | Dead | EBV-LPD |
0.96 | 2 | ||||||||||||||||
13 | 5/6MMUR | MLD | A/I,WR | DLBL | D | Y | Y | Failed | 161 | CTL | 3rd | 1.0 | 3 | PD | 24 | Dead | EBV-LPD |
14 | 7/10MMREL | ALL | WR, Li, Lu | DLBL | D | Y | Y | GIR | 26 | CTL | SC | 0.5 | 1 | PD | 29 | Dead | EBV-LPD |
1.0;1.0;1.0 | 3 | ||||||||||||||||
15 | 4/4MUR | AA | WR | DLBL | N/A | N/A | N | N/A | 9 | CTL | SC | 1.0 | 3 | CR | 719 | Dead | Primary Graft Failure |
16 | 8/10MMUR | AML | WR | DLBL | N/A | Y | N | N/A | 6 | CTL | SC | 1.0 | 3 | CR | 2006 | Alive | N/A |
17 | 8/10MMUR | T-cell NHL | WR, A/I, Lu | DLBL | D | N/A | Y | Failed | 29 | CTL | 3rd | 0.85 | 3 | CR | 476 | Alive | N/A |
1.0 | 2 | ||||||||||||||||
18 | 10/10MREL | MDS/AML | WR,A/I | DLBL | D | Y | Y | Failed | 70 | DLI | SC | 0.5 | 1 | PD | 17 | Dead | EBV-LPD |
19 | 10/10MREL | CML | WR,A/I | DLBL | M | Y | N | N/A | 7 | DLI | SC | 1.0 | 1 | CR | 4970 | Alive | N/A |
20 | 8/10MMUR | AML | Li,Lu | DLBL | D | Y | Y | Failed | 28 | DLI | SC | 0.095 | 1 | NE | 5 | Dead | GVHD |
21 | 8/8MREL | ABL | WR,A/I | DLBL | N/A | Y | N | N/A | 9 | DLI | SC | 1.0 | 1 | CR | 188 | Dead | Interstitial pneumonia |
22 | 5/6MMREL | CML | WR, Lu | DLBL | D | N/A | N | N/A | 16 | DLI | SC | 0.5 | 1 | CR | 2742 | Alive | N/A |
23 | 6/6MUR | AML | WR | DLBL | D | Y | N | N/A | 4 | DLI | SC | 0.5 | 1 | CR | 4573 | Alive | N/A |
24 | 10/10MREL | HD | WR, Lu | DLBL | D | Y | N | N/A | 3 | DLI | SC | 1.0 | 1 | CR | 2143 | Dead | Relapsed HD |
25 | 10/10MREL | AML | Li,A/I | DLBL | M | Y | N | N/A | 8 | DLI | SC | 0.5 | 1 | CR | 3045 | Alive | N/A |
26 | 10/10MREL | CML | WR, A/I | DLBL | D | Y | N | N/A | 5 | DLI | SC | 1.0 | 1 | CR | 3310 | Dead | Relapsed CML |
27 | 6/6MUR | ALL | Li, A/I, Lu | DLBL | D | N/A | N | N/A | 3 | DLI | SC | 0.5 | 1 | CR | 487 | Dead | Relapsed ALL |
28 | 8/8MREL | AML | WR,Li,Lu | DLBL | N/A | Y | N | N/A | 46 | DLI | SC | 1.0 | 1 | CR | 4203 | Alive | N/A |
29 | 10/10MREL | SecAML | WR, A/I | PLPL | D | N | Y | GIR | 8 | DLI | SC | 0.1 | 1 | CR | 887 | Alive | N/A |
30 | 6/6MUR | CML | A/I | DLBL | N/A | N/A | N | N/A | 14 | DLI | SC | 0.5 | 1 | CR | 801 | Dead | GVHD |
31 | 6/6MREL | CML | WR, Lu | DLBL | N/A | Y | N | N/A | 1 | DLI | SC | 0.5 | 1 | NE | 4 | Dead | Hemothorax post lung biopsy |
32 | 6/6MUR | CML | WR, A/I, Li | DLBL | D | Y | N | N/A | 40 | DLI | SC | 0.5 | 1 | PD | 15 | Dead | Sepsis |
33 | 6/6MUR | CML | CNS, Lu | DLBL | N/A | N/A | N | N/A | 1 | DLI | SC | 0.21 | 1 | CR | 407 | Dead | Relapsed CML |
0.37 | 1 | ||||||||||||||||
34 | 10/10MREL | MDS/RAEB | WR | DLBL | N/A | N/A | Y | Failed | 31 | DLI | SC | 0.5 | 1 | CR | 60 | Dead | Fungemia |
35 | 10/10MUR | AML | WR, Li, A/I, Lu | DLBL | N/A | Y | Y | Failed | 70 | DLI | SC | 0.5 | 1 | PD | 14 | Dead | EBV-LPD |
36 | 6/6MUR | ALL | Lu | DLBL | N/A | Y | Y | Failed | 13 | DLI | SC | 0.5 | 1 | CR | 183 | Dead | Sepsis |
37 | 6/6MREL | AML | WR | DLBL | N/A | N/A | N | N/A | 8 | DLI | SC | 0.5 | 1 | CR | 5007 | Alive | N/A |
38 | 10/10MREL | CML | A/I | DLBL | N/A | N/A | N | N/A | 9 | DLI | SC | 0.79 | 1 | CR | 21 | Alive | N/A |
39 | 10/10MREL | AML | Li, A/I | DLBL | D | Y | N | N/A | 4 | DLI | SC | 0.5 | 1 | NE | 7 | Dead | EBV-LPD |
1.0 | 1 | ||||||||||||||||
40 | 6/6MUR | CML | WR | DLBL | M | Y | N | N/A | 3 | DLI | SC | 0.33 | 1 | CR | 606 | Dead | Relapsed CML |
41 | 10/10MREL | XLPD | WR, A/I, Li | DLBL | D | Y | N | N/A | 4 | CTL | SC | 1.0 | 3 | PD | 47 | Dead | EBV-LPD |
42 | 9/10MMREL | NHL | Li, A/I | DLBL | D | Y | Y | N/A | 20 | CTL | SC | 1.0 | 3 | CR | 3190 | Alive | N/A |
43 | 8/10MMREL | ALL | WR, CNS | DLBL | D | Y | Y | Failed | 32 | DLI | SC | 0.5 | 1 | PD | 593 | Dead | Sepsis |
44 | 10/10MREL | AML | WR, CNS | DLBL | N/A | Y | Y | GIR | 63 | DLI | SC | 0.5 | 2 | SD | 85 | Dead | EBV-LPD |
45 | 10/10MUR | ALL | WR, A/I, CNS | DLBL | H | Y | Y | Failed | 17 | DLI | SC | 0.1 | 1 | PD | 144 | Dead | EBV-LPD |
46 | 10/10MREL | ALL | WR, Lu, Li, A | DLBL | N/A | N/A | N | N/A | 15 | DLI | SC | 0.55 | 1 | CR | 6149 | Alive | N/A |
0.35 | 1 | ||||||||||||||||
0.12 | 1 | ||||||||||||||||
47 | 10/10MREL | CML | Lu,WR,A | DLBL | D | Y | N | N/A | 13 | DLI | SC | 1.0 | 2 | CR | 7 | Dead | Interstitial pneumonia |
48 | 10/10MREL | ANLL | WR,Lu | DLBL | D | N | N | N/A | 6 | DLI | SC | 2.0 | 1 | CR | 17 | Dead | Interstitial pneumonia |
49 | 10/10MREL | ANLL | WR | DLBL | D | N/A | N | N/A | 13 | DLI | SC | 1.0 | 1 | CR |
Patient no. . | Donor . | Primary diagnosis . | Sites involved in EBV-LPD . | Histology of EBV-LPD . | Origin of LPD . | Tumor clonal . | Rituximab prior to primary T-cell therapy . | Response to rituximab . | Time to primary T-cell therapy, d . | Primary T-cell therapy . | T-cell origin . | T-cell dose, CD3+ × 106/kg . | Infusions, no. . | Response to primary T-cell therapy . | Survival after T-cell therapy, d . | Status . | Cause of death . |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1 | 10/10MREL | ALL | WR,A/I | FLH | N/A | N/A | Y | PR | 16 | CTL | 3rd | 1.0 | 3 | CR | 357 | Alive | N/A |
2 | 6/10MMUR | AA | Li,Lu | DLBL | N/A | N/A | Y | Failed | 163 | CTL | SC | 1.0 | 1 | CR | 127 | Dead | GVHD predated CTL |
3 | 10/10MREL | ALPS type IA,HD | Li,A/I | HD | M | Y | N | N/A | 5 | CTL | SC | 1.0 | 1 | NE | 8 | Dead | Relapsed HD |
4 | 8/10MMREL | ALL | Li,A/I | ALCL | D | N/A | N | N/A | 4 | CTL | SC | 0.1 | 2 | PD | 16 | Dead | Sepsis |
0.4 | 1 | ||||||||||||||||
5 | 10/10MUR | AML | WR,A/I | DLBL | D | Y | Y | PR | 39 | CTL | SC | 1.0 | 3 | CR | 187 | Alive | N/A |
6 | 4/6MMUR | AML | WR, LI, Lu, CNS, A/I | DLBL | D | N/A | Y | Failed | 110 | CTL | 3rd | 1.0 | 9 | CR | 203 | Alive | N/A |
7 | 9/10MMUR | AML | WR | DLBL | D | Y | Y | GIR | 69 | CTL | SC | 1.0 | 3 | CR | 290 | Dead | Relapsed AML |
8 | 5/10MMREL | EBV+ HLH | A/I | DLBL | H | Y | Y | Failed | 1 (89)* | CTL | 3rd | 1.0 | 3 | CR | 217 | Alive | N/A |
9 | 3/6MMREL | AML | WR,A/I | DLBL | N/A | Y | Y | GIR | 312 | CTL | SC | 1.0 | 1 | CR | 2066 | Alive | N/A |
10 | 6/6MUR | CML | CNS | DLBL | N/A | N/A | N | N/A | 22 | CTL | SC | 1.0 | 1 | CR | 4848 | Alive | N/A |
11 | 7/10MMREL | FA | WR | DLBL | D | N/A | Y | Failed | 1 | CTL | SC | 1.0 | 3 | CR | 3569 | Alive | N/A |
12 | 8/10MMUR | AML | WR, A/I | DLBL | N/A | Y | Y | Failed | 17 | CTL | SC | 0.7 | 1 | PD | 17 | Dead | EBV-LPD |
0.96 | 2 | ||||||||||||||||
13 | 5/6MMUR | MLD | A/I,WR | DLBL | D | Y | Y | Failed | 161 | CTL | 3rd | 1.0 | 3 | PD | 24 | Dead | EBV-LPD |
14 | 7/10MMREL | ALL | WR, Li, Lu | DLBL | D | Y | Y | GIR | 26 | CTL | SC | 0.5 | 1 | PD | 29 | Dead | EBV-LPD |
1.0;1.0;1.0 | 3 | ||||||||||||||||
15 | 4/4MUR | AA | WR | DLBL | N/A | N/A | N | N/A | 9 | CTL | SC | 1.0 | 3 | CR | 719 | Dead | Primary Graft Failure |
16 | 8/10MMUR | AML | WR | DLBL | N/A | Y | N | N/A | 6 | CTL | SC | 1.0 | 3 | CR | 2006 | Alive | N/A |
17 | 8/10MMUR | T-cell NHL | WR, A/I, Lu | DLBL | D | N/A | Y | Failed | 29 | CTL | 3rd | 0.85 | 3 | CR | 476 | Alive | N/A |
1.0 | 2 | ||||||||||||||||
18 | 10/10MREL | MDS/AML | WR,A/I | DLBL | D | Y | Y | Failed | 70 | DLI | SC | 0.5 | 1 | PD | 17 | Dead | EBV-LPD |
19 | 10/10MREL | CML | WR,A/I | DLBL | M | Y | N | N/A | 7 | DLI | SC | 1.0 | 1 | CR | 4970 | Alive | N/A |
20 | 8/10MMUR | AML | Li,Lu | DLBL | D | Y | Y | Failed | 28 | DLI | SC | 0.095 | 1 | NE | 5 | Dead | GVHD |
21 | 8/8MREL | ABL | WR,A/I | DLBL | N/A | Y | N | N/A | 9 | DLI | SC | 1.0 | 1 | CR | 188 | Dead | Interstitial pneumonia |
22 | 5/6MMREL | CML | WR, Lu | DLBL | D | N/A | N | N/A | 16 | DLI | SC | 0.5 | 1 | CR | 2742 | Alive | N/A |
23 | 6/6MUR | AML | WR | DLBL | D | Y | N | N/A | 4 | DLI | SC | 0.5 | 1 | CR | 4573 | Alive | N/A |
24 | 10/10MREL | HD | WR, Lu | DLBL | D | Y | N | N/A | 3 | DLI | SC | 1.0 | 1 | CR | 2143 | Dead | Relapsed HD |
25 | 10/10MREL | AML | Li,A/I | DLBL | M | Y | N | N/A | 8 | DLI | SC | 0.5 | 1 | CR | 3045 | Alive | N/A |
26 | 10/10MREL | CML | WR, A/I | DLBL | D | Y | N | N/A | 5 | DLI | SC | 1.0 | 1 | CR | 3310 | Dead | Relapsed CML |
27 | 6/6MUR | ALL | Li, A/I, Lu | DLBL | D | N/A | N | N/A | 3 | DLI | SC | 0.5 | 1 | CR | 487 | Dead | Relapsed ALL |
28 | 8/8MREL | AML | WR,Li,Lu | DLBL | N/A | Y | N | N/A | 46 | DLI | SC | 1.0 | 1 | CR | 4203 | Alive | N/A |
29 | 10/10MREL | SecAML | WR, A/I | PLPL | D | N | Y | GIR | 8 | DLI | SC | 0.1 | 1 | CR | 887 | Alive | N/A |
30 | 6/6MUR | CML | A/I | DLBL | N/A | N/A | N | N/A | 14 | DLI | SC | 0.5 | 1 | CR | 801 | Dead | GVHD |
31 | 6/6MREL | CML | WR, Lu | DLBL | N/A | Y | N | N/A | 1 | DLI | SC | 0.5 | 1 | NE | 4 | Dead | Hemothorax post lung biopsy |
32 | 6/6MUR | CML | WR, A/I, Li | DLBL | D | Y | N | N/A | 40 | DLI | SC | 0.5 | 1 | PD | 15 | Dead | Sepsis |
33 | 6/6MUR | CML | CNS, Lu | DLBL | N/A | N/A | N | N/A | 1 | DLI | SC | 0.21 | 1 | CR | 407 | Dead | Relapsed CML |
0.37 | 1 | ||||||||||||||||
34 | 10/10MREL | MDS/RAEB | WR | DLBL | N/A | N/A | Y | Failed | 31 | DLI | SC | 0.5 | 1 | CR | 60 | Dead | Fungemia |
35 | 10/10MUR | AML | WR, Li, A/I, Lu | DLBL | N/A | Y | Y | Failed | 70 | DLI | SC | 0.5 | 1 | PD | 14 | Dead | EBV-LPD |
36 | 6/6MUR | ALL | Lu | DLBL | N/A | Y | Y | Failed | 13 | DLI | SC | 0.5 | 1 | CR | 183 | Dead | Sepsis |
37 | 6/6MREL | AML | WR | DLBL | N/A | N/A | N | N/A | 8 | DLI | SC | 0.5 | 1 | CR | 5007 | Alive | N/A |
38 | 10/10MREL | CML | A/I | DLBL | N/A | N/A | N | N/A | 9 | DLI | SC | 0.79 | 1 | CR | 21 | Alive | N/A |
39 | 10/10MREL | AML | Li, A/I | DLBL | D | Y | N | N/A | 4 | DLI | SC | 0.5 | 1 | NE | 7 | Dead | EBV-LPD |
1.0 | 1 | ||||||||||||||||
40 | 6/6MUR | CML | WR | DLBL | M | Y | N | N/A | 3 | DLI | SC | 0.33 | 1 | CR | 606 | Dead | Relapsed CML |
41 | 10/10MREL | XLPD | WR, A/I, Li | DLBL | D | Y | N | N/A | 4 | CTL | SC | 1.0 | 3 | PD | 47 | Dead | EBV-LPD |
42 | 9/10MMREL | NHL | Li, A/I | DLBL | D | Y | Y | N/A | 20 | CTL | SC | 1.0 | 3 | CR | 3190 | Alive | N/A |
43 | 8/10MMREL | ALL | WR, CNS | DLBL | D | Y | Y | Failed | 32 | DLI | SC | 0.5 | 1 | PD | 593 | Dead | Sepsis |
44 | 10/10MREL | AML | WR, CNS | DLBL | N/A | Y | Y | GIR | 63 | DLI | SC | 0.5 | 2 | SD | 85 | Dead | EBV-LPD |
45 | 10/10MUR | ALL | WR, A/I, CNS | DLBL | H | Y | Y | Failed | 17 | DLI | SC | 0.1 | 1 | PD | 144 | Dead | EBV-LPD |
46 | 10/10MREL | ALL | WR, Lu, Li, A | DLBL | N/A | N/A | N | N/A | 15 | DLI | SC | 0.55 | 1 | CR | 6149 | Alive | N/A |
0.35 | 1 | ||||||||||||||||
0.12 | 1 | ||||||||||||||||
47 | 10/10MREL | CML | Lu,WR,A | DLBL | D | Y | N | N/A | 13 | DLI | SC | 1.0 | 2 | CR | 7 | Dead | Interstitial pneumonia |
48 | 10/10MREL | ANLL | WR,Lu | DLBL | D | N | N | N/A | 6 | DLI | SC | 2.0 | 1 | CR | 17 | Dead | Interstitial pneumonia |
49 | 10/10MREL | ANLL | WR | DLBL | D | N/A | N | N/A | 13 | DLI | SC | 1.0 | 1 | CR |
Survival after T-cell therapy is the duration between the primary T-cell therapy and day of last visit or day of death.
Sec indicates secondary; MREL, matched related; MMREL, mismatched related; MUR, matched unrelated; MMUR, mismatched unrelated; HD, Hodgkin disease; NHL, nonHodgkin lymphoma; ALPS, autoimmune lymphoproliferative syndrome; AA, aplastic anemia; FA, Fanconi anemia; HLH, hemophagocytic lymphohistiocytosis; MLD, metachromatic leukodystrophy; MDS, myelodysplastic syndrome; RAEB, refractory anemia with excess blasts; WR, Waldeyer ring; A/I, abdomen/intestine; Li, liver; Lu, lung; NE, not evaluable; GIR, good initial response but short lived; N/A, not applicable; FLH, focal lymphoid hyperplasia; ALCL, anaplastic large cell lymphoma; PLPL, polymorphic lymphoplasmocytic lymphoma; Y, yes; D, donor; H, host; M, mixed (host and donor); N/A, not available; SC, stem cell donor; and 3rd, third-party donor.
This patient received EBV-CTLs from 2 different donors. The first set of cells was infused 1 day after the EBV-LPD diagnosis, and the patient failed to respond. The second set of cells was infused 89 days after failure. The patient achieved a CR with the second EBV-CTL therapy.