Patient characteristics
Characteristic . | Test set 1 (Fred Hutchinson Cancer Research Center collection) (n = 38) . | Test set 2 (University Hospital Regensburg collection) (n = 23) . | Replication set 1 cGVHD Consortium (U54) (n = 198) . | Replication set 2 Vancouver cGvHD network collection (n = 83) . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
cGVHD (n = 17) . | Control (n = 21) . | cGVHD (n = 19) . | Control (n = 4) . | cGVHD (n = 104) . | Control (n = 94) . | cGVHD (n = 30) . | Control (n = 53) . | |||||||||
No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | |
Time from HCT to sample, mo | ||||||||||||||||
Early (<9) | 0 | 1 | 5 | 9 | 47 | 2 | 50 | 65 | 63 | 49 | 52 | 23 | 77 | 46 | 87 | |
Late (>9) | 17 | 100 | 20 | 95 | 10 | 53 | 2 | 50 | 39 | 38 | 45 | 48 | 7 | 23 | 7 | 13 |
Prior aGVHD | ||||||||||||||||
No | 4 | 25 | 6 | 30 | 6 | 32 | 4 | 100 | 42 | 40 | 40 | 43 | 8 | 29 | 18 | 34 |
Yes | 12 | 75 | 14 | 70 | 13 | 68 | 0 | 62 | 60 | 54 | 57 | 20 | 71 | 35 | 66 | |
Age, y | ||||||||||||||||
<50 | 9 | 53 | 8 | 38 | 12 | 63 | 3 | 75 | 41 | 39 | 37 | 39 | 17 | 57 | 30 | 57 |
≥50 | 8 | 47 | 13 | 62 | 7 | 37 | 1 | 25 | 63 | 61 | 57 | 61 | 13 | 43 | 23 | 43 |
Donor | ||||||||||||||||
Matched related | 6 | 35 | 11 | 52 | 6 | 32 | 1 | 25 | 39 | 38 | 27 | 29 | 11 | 38 | 14 | 27 |
Matched unrelated | 10 | 59 | 5 | 24 | 10 | 53 | 2 | 50 | 45 | 43 | 33 | 35 | 14 | 48 | 30 | 58 |
Mismatched | 1 | 6 | 5 | 24 | 3 | 16 | 1 | 25 | 20 | 19 | 34 | 36 | 4 | 14 | 8 | 15 |
Stem cell source | ||||||||||||||||
PBSCs | 16 | 94 | 15 | 71 | 19 | 100 | 3 | 75 | 93 | 89 | 57 | 61 | 28 | 97 | 46 | 92 |
BM | 1 | 6 | 6 | 29 | 0 | 1 | 25 | 5 | 5 | 7 | 7 | 1 | 3 | 3 | 6 | |
Umbilical cord blood | 0 | 0 | 0 | 0 | 6 | 6 | 30 | 32 | 0 | 1 | 2 | |||||
Conditioning | ||||||||||||||||
Myeloablative without TBI | 5 | 29 | 5 | 25 | 11 | 58 | 2 | 50 | 22 | 21 | 14 | 15 | 6 | 20 | 9 | 17 |
Myeloablative with TBI | 3 | 18 | 6 | 30 | 8 | 42 | 2 | 50 | 22 | 21 | 25 | 27 | 16 | 53 | 13 | 25 |
Nonmyeloablative | 9 | 53 | 9 | 45 | 0 | 0 | 60 | 58 | 55 | 59 | 8 | 27 | 31 | 58 | ||
GVHD prophylaxis | ||||||||||||||||
CNI + MTX/MMF with or without sirolimus | 16 | 94 | 20 | 95 | 6 | 32 | 1 | 25 | 94 | 90 | 71 | 76 | 24 | 89 | 25 | 47 |
CNI with or without sirolimus | 0 | 0 | 0 | 0 | 8 | 8 | 16 | 17 | 0 | 0 | ||||||
CNI + MTX/MMF + ATG | 0 | 0 | 13 | 68 | 3 | 75 | 0 | 0 | 3 | 11 | 28 | 53 | ||||
Other | 1 | 6 | 1 | 5 | 0 | 0 | 2 | 2 | 7 | 7 | 0 | 0 | ||||
Sex | ||||||||||||||||
Male | 7 | 41 | 10 | 48 | 14 | 74 | 2 | 50 | 63 | 61 | 50 | 53 | 19 | 63 | 29 | 55 |
Female | 10 | 59 | 11 | 52 | 5 | 26 | 2 | 50 | 41 | 39 | 44 | 47 | 11 | 37 | 24 | 45 |
Female donor to male patient | ||||||||||||||||
No | 13 | 76 | 17 | 81 | 17 | 89 | 4 | 100 | 77 | 74 | 77 | 82 | 26 | 90 | 45 | 88 |
Yes | 4 | 24 | 4 | 19 | 2 | 11 | 0 | 27 | 26 | 17 | 18 | 3 | 10 | 6 | 12 | |
CMV serostatus | ||||||||||||||||
Negative | 5 | 29 | 12 | 57 | 15 | 79 | 4 | 100 | 48 | 47 | 41 | 44 | 13 | 43 | 29 | 57 |
Positive | 12 | 71 | 9 | 43 | 4 | 21 | 0 | 55 | 53 | 53 | 56 | 17 | 57 | 22 | 43 | |
Disease diagnosis | ||||||||||||||||
AML | 4 | 24 | 9 | 43 | 11 | 58 | 2 | 50 | 30 | 29 | 34 | 36 | 12 | 41 | 17 | 43 |
ALL | 3 | 18 | 3 | 14 | 2 | 11 | 0 | 14 | 13 | 13 | 14 | 6 | 21 | 4 | 10 | |
CML | 0 | 1 | 5 | 0 | 0 | 8 | 8 | 5 | 5 | 2 | 7 | 2 | 5 | |||
CLL | 1 | 6 | 0 | 0 | 0 | 3 | 3 | 3 | 3 | 2 | 7 | 5 | 13 | |||
MDS | 1 | 6 | 3 | 14 | 1 | 5 | 0 | 23 | 22 | 14 | 15 | 1 | 3 | 8 | 20 | |
HL/NHL | 4 | 24 | 4 | 19 | 4 | 21 | 1 | 25 | 14 | 13 | 15 | 16 | 2 | 7 | 4 | 10 |
MM | 0 | 1 | 5 | 0 | 1 | 25 | 7 | 7 | 7 | 7 | 2 | 7 | 0 | |||
Other | 4 | 24 | 0 | 1 | 5 | 0 | 5 | 5 | 3 | 3 | 2 | 7 | 0 | |||
Receiving steroids at sample draw | ||||||||||||||||
No | 14 | 82 | 21 | 100 | 10 | 53 | 4 | 100 | 55 | 53 | 83 | 88 | NA | |||
Yes | 3 | 18 | 0 | 9 | 47 | 0 | 49 | 47 | 11 | 12 | ||||||
cGVHD characteristics | ||||||||||||||||
Median days from HCT to cGVHD (range) | 362 (257-818) | 281 (106-1953) | 203 (83-566) | 174 (74-383) | ||||||||||||
Median days from cGVHD to sample (range) | 2 (0-24) | 0 (–1 to 0) | 6 (–12 to 29) | 2 (–21 to 27) | ||||||||||||
Skin involvement | 59 | 79 | 63 | 65 | ||||||||||||
Oral involvement | 65 | 53 | 61 | 83 | ||||||||||||
GI involvement | 41 | 21 | 25 | 26 | ||||||||||||
Eye involvement | 35 | 26 | 41 | 26 | ||||||||||||
Joint involvement | 29 | 5 | 15 | 9 | ||||||||||||
Lung involvement | 59 | 21 | 48 | 48 | ||||||||||||
Liver involvement | 47 | 32 | 56 | 43 | ||||||||||||
Genital involvement | 18 | 0 | 7 | 4 | ||||||||||||
NIH overall severity | ||||||||||||||||
Mild | 12 | 26 | 18 | 21 | ||||||||||||
Moderate | 53 | 47 | 54 | 46 | ||||||||||||
Severe | 35 | 26 | 28 | 32 |
Characteristic . | Test set 1 (Fred Hutchinson Cancer Research Center collection) (n = 38) . | Test set 2 (University Hospital Regensburg collection) (n = 23) . | Replication set 1 cGVHD Consortium (U54) (n = 198) . | Replication set 2 Vancouver cGvHD network collection (n = 83) . | ||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
cGVHD (n = 17) . | Control (n = 21) . | cGVHD (n = 19) . | Control (n = 4) . | cGVHD (n = 104) . | Control (n = 94) . | cGVHD (n = 30) . | Control (n = 53) . | |||||||||
No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | No. . | % . | |
Time from HCT to sample, mo | ||||||||||||||||
Early (<9) | 0 | 1 | 5 | 9 | 47 | 2 | 50 | 65 | 63 | 49 | 52 | 23 | 77 | 46 | 87 | |
Late (>9) | 17 | 100 | 20 | 95 | 10 | 53 | 2 | 50 | 39 | 38 | 45 | 48 | 7 | 23 | 7 | 13 |
Prior aGVHD | ||||||||||||||||
No | 4 | 25 | 6 | 30 | 6 | 32 | 4 | 100 | 42 | 40 | 40 | 43 | 8 | 29 | 18 | 34 |
Yes | 12 | 75 | 14 | 70 | 13 | 68 | 0 | 62 | 60 | 54 | 57 | 20 | 71 | 35 | 66 | |
Age, y | ||||||||||||||||
<50 | 9 | 53 | 8 | 38 | 12 | 63 | 3 | 75 | 41 | 39 | 37 | 39 | 17 | 57 | 30 | 57 |
≥50 | 8 | 47 | 13 | 62 | 7 | 37 | 1 | 25 | 63 | 61 | 57 | 61 | 13 | 43 | 23 | 43 |
Donor | ||||||||||||||||
Matched related | 6 | 35 | 11 | 52 | 6 | 32 | 1 | 25 | 39 | 38 | 27 | 29 | 11 | 38 | 14 | 27 |
Matched unrelated | 10 | 59 | 5 | 24 | 10 | 53 | 2 | 50 | 45 | 43 | 33 | 35 | 14 | 48 | 30 | 58 |
Mismatched | 1 | 6 | 5 | 24 | 3 | 16 | 1 | 25 | 20 | 19 | 34 | 36 | 4 | 14 | 8 | 15 |
Stem cell source | ||||||||||||||||
PBSCs | 16 | 94 | 15 | 71 | 19 | 100 | 3 | 75 | 93 | 89 | 57 | 61 | 28 | 97 | 46 | 92 |
BM | 1 | 6 | 6 | 29 | 0 | 1 | 25 | 5 | 5 | 7 | 7 | 1 | 3 | 3 | 6 | |
Umbilical cord blood | 0 | 0 | 0 | 0 | 6 | 6 | 30 | 32 | 0 | 1 | 2 | |||||
Conditioning | ||||||||||||||||
Myeloablative without TBI | 5 | 29 | 5 | 25 | 11 | 58 | 2 | 50 | 22 | 21 | 14 | 15 | 6 | 20 | 9 | 17 |
Myeloablative with TBI | 3 | 18 | 6 | 30 | 8 | 42 | 2 | 50 | 22 | 21 | 25 | 27 | 16 | 53 | 13 | 25 |
Nonmyeloablative | 9 | 53 | 9 | 45 | 0 | 0 | 60 | 58 | 55 | 59 | 8 | 27 | 31 | 58 | ||
GVHD prophylaxis | ||||||||||||||||
CNI + MTX/MMF with or without sirolimus | 16 | 94 | 20 | 95 | 6 | 32 | 1 | 25 | 94 | 90 | 71 | 76 | 24 | 89 | 25 | 47 |
CNI with or without sirolimus | 0 | 0 | 0 | 0 | 8 | 8 | 16 | 17 | 0 | 0 | ||||||
CNI + MTX/MMF + ATG | 0 | 0 | 13 | 68 | 3 | 75 | 0 | 0 | 3 | 11 | 28 | 53 | ||||
Other | 1 | 6 | 1 | 5 | 0 | 0 | 2 | 2 | 7 | 7 | 0 | 0 | ||||
Sex | ||||||||||||||||
Male | 7 | 41 | 10 | 48 | 14 | 74 | 2 | 50 | 63 | 61 | 50 | 53 | 19 | 63 | 29 | 55 |
Female | 10 | 59 | 11 | 52 | 5 | 26 | 2 | 50 | 41 | 39 | 44 | 47 | 11 | 37 | 24 | 45 |
Female donor to male patient | ||||||||||||||||
No | 13 | 76 | 17 | 81 | 17 | 89 | 4 | 100 | 77 | 74 | 77 | 82 | 26 | 90 | 45 | 88 |
Yes | 4 | 24 | 4 | 19 | 2 | 11 | 0 | 27 | 26 | 17 | 18 | 3 | 10 | 6 | 12 | |
CMV serostatus | ||||||||||||||||
Negative | 5 | 29 | 12 | 57 | 15 | 79 | 4 | 100 | 48 | 47 | 41 | 44 | 13 | 43 | 29 | 57 |
Positive | 12 | 71 | 9 | 43 | 4 | 21 | 0 | 55 | 53 | 53 | 56 | 17 | 57 | 22 | 43 | |
Disease diagnosis | ||||||||||||||||
AML | 4 | 24 | 9 | 43 | 11 | 58 | 2 | 50 | 30 | 29 | 34 | 36 | 12 | 41 | 17 | 43 |
ALL | 3 | 18 | 3 | 14 | 2 | 11 | 0 | 14 | 13 | 13 | 14 | 6 | 21 | 4 | 10 | |
CML | 0 | 1 | 5 | 0 | 0 | 8 | 8 | 5 | 5 | 2 | 7 | 2 | 5 | |||
CLL | 1 | 6 | 0 | 0 | 0 | 3 | 3 | 3 | 3 | 2 | 7 | 5 | 13 | |||
MDS | 1 | 6 | 3 | 14 | 1 | 5 | 0 | 23 | 22 | 14 | 15 | 1 | 3 | 8 | 20 | |
HL/NHL | 4 | 24 | 4 | 19 | 4 | 21 | 1 | 25 | 14 | 13 | 15 | 16 | 2 | 7 | 4 | 10 |
MM | 0 | 1 | 5 | 0 | 1 | 25 | 7 | 7 | 7 | 7 | 2 | 7 | 0 | |||
Other | 4 | 24 | 0 | 1 | 5 | 0 | 5 | 5 | 3 | 3 | 2 | 7 | 0 | |||
Receiving steroids at sample draw | ||||||||||||||||
No | 14 | 82 | 21 | 100 | 10 | 53 | 4 | 100 | 55 | 53 | 83 | 88 | NA | |||
Yes | 3 | 18 | 0 | 9 | 47 | 0 | 49 | 47 | 11 | 12 | ||||||
cGVHD characteristics | ||||||||||||||||
Median days from HCT to cGVHD (range) | 362 (257-818) | 281 (106-1953) | 203 (83-566) | 174 (74-383) | ||||||||||||
Median days from cGVHD to sample (range) | 2 (0-24) | 0 (–1 to 0) | 6 (–12 to 29) | 2 (–21 to 27) | ||||||||||||
Skin involvement | 59 | 79 | 63 | 65 | ||||||||||||
Oral involvement | 65 | 53 | 61 | 83 | ||||||||||||
GI involvement | 41 | 21 | 25 | 26 | ||||||||||||
Eye involvement | 35 | 26 | 41 | 26 | ||||||||||||
Joint involvement | 29 | 5 | 15 | 9 | ||||||||||||
Lung involvement | 59 | 21 | 48 | 48 | ||||||||||||
Liver involvement | 47 | 32 | 56 | 43 | ||||||||||||
Genital involvement | 18 | 0 | 7 | 4 | ||||||||||||
NIH overall severity | ||||||||||||||||
Mild | 12 | 26 | 18 | 21 | ||||||||||||
Moderate | 53 | 47 | 54 | 46 | ||||||||||||
Severe | 35 | 26 | 28 | 32 |
ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; ATG, antithymocyte globulin; BM, bone marrow; CLL, chronic lymphocytic leukemia; CML, chronic myeloid leukemia; CMV, cytomegalovirus; CNI, calcineurin inhibitor; HCT, hematopoietic stem cell transplantation; HL, Hodgkin lymphoma; MDS, myelodysplastic syndrome; MM, multiple myeloma; MMF, mycophenolate mofetil; MTX, methotrexate; NHL, non-Hodgkin lymphoma; PBSC, peripheral blood stem cell.