Molecular response and clinical outcome
Patient no. . | BCR-ABL day 28 . | Maximum response . | Relapse . | Intervention . | BCR-ABL at last follow-up . | Follow-up, mo . |
---|---|---|---|---|---|---|
Specific cytotoxicity in vitro/pentamer in vivo positive | ||||||
1 | 0.1 | MMR | Cyt +250 | IM, DLI | ND | 63 |
3 | 0.07 | PCR-negative | — | — | ND | 55 |
5 | ND | PCR-negative | — | — | ND | 51 |
11 | ND | PCR-negative | — | — | ND | 41 |
14 | 0.12 | PCR-negative | — | — | ND | 31 |
Specific cytotoxicity in vitro/pentamer in vivo-negative | ||||||
6 | 0.003 | PCR-negative | Mol +630 | DLI, IM | 0.08 | 47 cGvHD |
12 | ND | MMR | — | — | 0.03 | 40 |
Cytotoxicity-negative/pentamer in vivo-negative | ||||||
2 | 0.15 | PCR-negative | Mol +320 | DLI, IM | 0.1 | 60 cGvHD |
Cytoxoxicity-negative/pentamer in vivo-positive | ||||||
4 | 0.34 | MMR | Hem +330 | IM, DLI | ND | 53 cGvHD |
7 | 0.07 | PCR-negative | Mol +270 | — | 0.12 | 45 |
8 | ND | PCR-negative | Mol +420 | IM | 0.05 | 44 cGvHD |
9 | ND | PCR-negative | — | — | ND | 42 |
12* | ND | MMR | — | — | 0.03 | 40 |
13 | ND | PCR-negative | — | — | ND | 39 |
Early death | ||||||
10 | ND | PCR-negative | — | — | ND | 4† |
Patient no. . | BCR-ABL day 28 . | Maximum response . | Relapse . | Intervention . | BCR-ABL at last follow-up . | Follow-up, mo . |
---|---|---|---|---|---|---|
Specific cytotoxicity in vitro/pentamer in vivo positive | ||||||
1 | 0.1 | MMR | Cyt +250 | IM, DLI | ND | 63 |
3 | 0.07 | PCR-negative | — | — | ND | 55 |
5 | ND | PCR-negative | — | — | ND | 51 |
11 | ND | PCR-negative | — | — | ND | 41 |
14 | 0.12 | PCR-negative | — | — | ND | 31 |
Specific cytotoxicity in vitro/pentamer in vivo-negative | ||||||
6 | 0.003 | PCR-negative | Mol +630 | DLI, IM | 0.08 | 47 cGvHD |
12 | ND | MMR | — | — | 0.03 | 40 |
Cytotoxicity-negative/pentamer in vivo-negative | ||||||
2 | 0.15 | PCR-negative | Mol +320 | DLI, IM | 0.1 | 60 cGvHD |
Cytoxoxicity-negative/pentamer in vivo-positive | ||||||
4 | 0.34 | MMR | Hem +330 | IM, DLI | ND | 53 cGvHD |
7 | 0.07 | PCR-negative | Mol +270 | — | 0.12 | 45 |
8 | ND | PCR-negative | Mol +420 | IM | 0.05 | 44 cGvHD |
9 | ND | PCR-negative | — | — | ND | 42 |
12* | ND | MMR | — | — | 0.03 | 40 |
13 | ND | PCR-negative | — | — | ND | 39 |
Early death | ||||||
10 | ND | PCR-negative | — | — | ND | 4† |
MMR indicates major molecular response (< 0.1); Cyt, cytogenetic relapse; Mol, molecular relapse; Hem, cGvHD, chronic GVHD; CNS, central nervous system; ND, not detectable (below the detection limit of the nested PCR assay, < 1-2 × 10−6); and —, not applicable.