Table 1.

Probabilities of molecular remission at 2 years post-initial DLI for 66 patients treated for relapse after allogeneic SCT for CML

VariableNo. of patients2-yr probability of molecular remission % (95% CI)P value
Type of relapse at time of DLI    
 Molecular 100  
 Cytogenetic 19 84  (62-94) .0003  
 Hematologic, CP 30 55  (38-78)  
 Hematologic, AP 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)  
VariableNo. of patients2-yr probability of molecular remission % (95% CI)P value
Type of relapse at time of DLI    
 Molecular 100  
 Cytogenetic 19 84  (62-94) .0003  
 Hematologic, CP 30 55  (38-78)  
 Hematologic, AP 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.

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