Response and incidence of graft-versus-host disease after treatment with bulk or escalating dose donor lymphocyte infusion
. | Donor Lymphocyte Infusion Dose Regimen . | |
---|---|---|
Bulk (n = 28) . | Escalating (n = 20) . | |
Probability of cytogenetic remission at 2 years (95% CI) | 67% (49%-83%) | 91% (63%-98%) |
GVHD | ||
Acute | ||
Grade 0 | 10* (37%) | 15 (75%) |
Grade 1 | 5* (19%) | 3 (15%) |
Grade 2 | 5* (19%) | 2 (10%) |
Grades 3-4 | 7* (26%) | 0 (0%) |
Chronic | ||
Non/limited | 15*,† (59%) | 17‡ (89%) |
Extensive | 11*,† (41%) | 2‡ (11%) |
. | Donor Lymphocyte Infusion Dose Regimen . | |
---|---|---|
Bulk (n = 28) . | Escalating (n = 20) . | |
Probability of cytogenetic remission at 2 years (95% CI) | 67% (49%-83%) | 91% (63%-98%) |
GVHD | ||
Acute | ||
Grade 0 | 10* (37%) | 15 (75%) |
Grade 1 | 5* (19%) | 3 (15%) |
Grade 2 | 5* (19%) | 2 (10%) |
Grades 3-4 | 7* (26%) | 0 (0%) |
Chronic | ||
Non/limited | 15*,† (59%) | 17‡ (89%) |
Extensive | 11*,† (41%) | 2‡ (11%) |
CI, confidence interval; GVHD, graft-versus-host disease; DLI, donor lymphocyte infusion.
GVHD data for 1 patient are unknown.
One patient died of grade 4 acute GVHD 46 days after DLI and could not be evaluated for response or chronic GVHD.
The follow-up of 1 patient was too short from DLI (<5 months) to evaluate chronic GVHD.