Probabilities of molecular remission at 2 years post-initial DLI for 66 patients treated for relapse after allogeneic SCT for CML
Variable . | No. of patients . | 2-yr probability of molecular remission % (95% CI) . | P value . |
---|---|---|---|
Type of relapse at time of DLI | |||
Molecular | 8 | 100 | |
Cytogenetic | 19 | 84 (62-94) | .0003 |
Hematologic, CP | 30 | 55 (38-78) | |
Hematologic, AP | 9 | 29 (8-64) | |
Interval SCT to relapse | |||
<9 months | 25 | 56 (33-76) | .08 |
≥9 months | 41 | 76 (61-89) | |
Interval relapse to DLI | |||
<9 months | 28 | 73 (53-87) | .31 |
≥9 months | 38 | 66 (49-79) | |
GVHD prophylaxis | |||
Non-TCD | 22 | 55 (34-74) | .19 |
TCD | 44 | 76 (58-83) | |
Patient sex | |||
Male | 31 | 72 (52-86) | .87 |
Female | 35 | 66 (47-80) | |
Donor sex | |||
Male | 46 | 72 (57-84) | .19 |
Female | 19 | 58 (32-80) | |
Donor match | |||
Identical sibling | 35 | 65 (47-80) | .20 |
Matched unrelated | 31 | 75 (55-88) | |
AGVHD grade post SCT | |||
0-1 | 41 | 67 (50-80) | .53 |
2-4 | 25 | 63 (43-80) | |
CGVHD post-SCT | |||
Nil | 33 | 70 (51-84) | .66 |
Limited/extensive | 31 | 67 (48-82) |
Variable . | No. of patients . | 2-yr probability of molecular remission % (95% CI) . | P value . |
---|---|---|---|
Type of relapse at time of DLI | |||
Molecular | 8 | 100 | |
Cytogenetic | 19 | 84 (62-94) | .0003 |
Hematologic, CP | 30 | 55 (38-78) | |
Hematologic, AP | 9 | 29 (8-64) | |
Interval SCT to relapse | |||
<9 months | 25 | 56 (33-76) | .08 |
≥9 months | 41 | 76 (61-89) | |
Interval relapse to DLI | |||
<9 months | 28 | 73 (53-87) | .31 |
≥9 months | 38 | 66 (49-79) | |
GVHD prophylaxis | |||
Non-TCD | 22 | 55 (34-74) | .19 |
TCD | 44 | 76 (58-83) | |
Patient sex | |||
Male | 31 | 72 (52-86) | .87 |
Female | 35 | 66 (47-80) | |
Donor sex | |||
Male | 46 | 72 (57-84) | .19 |
Female | 19 | 58 (32-80) | |
Donor match | |||
Identical sibling | 35 | 65 (47-80) | .20 |
Matched unrelated | 31 | 75 (55-88) | |
AGVHD grade post SCT | |||
0-1 | 41 | 67 (50-80) | .53 |
2-4 | 25 | 63 (43-80) | |
CGVHD post-SCT | |||
Nil | 33 | 70 (51-84) | .66 |
Limited/extensive | 31 | 67 (48-82) |
DLI, donor lymphocyte infusion; SCT, stem cell transplantation; CML, chronic myeloid leukemia; CI, confidence interval; CP, chronic phase; AP, advanced phase; GVHD, graft-versus-host disease; TCD, in vitro or in vivo T-cell depletion with Campath (CD52) monoclonal antibodies; AGVHD, acute graft-versus-host disease; CGVHD, chronic graft-versus-host disease.