Outcomes after hematopoietic cell transplantation (grouped by rejection status and diagnoses)
UPN . | Diagnosis . | % donor CD3+ . | Rejection . | DLI . | GVHD . | Survival, days . | Summary of outcome as of 4/1/00 . | ||
---|---|---|---|---|---|---|---|---|---|
Day 28 . | Day 56 . | Acute (grade) . | Chronic . | ||||||
UL 6072-153 | ALL-REL3 | 85 | 100 | Yes* | I | 3562-155 | CR → REL → chemo/DLI → CR → Aspergillus | ||
5772-153 | MF-AML-IF | 84 | 85 | III | Lim-S | > 621 | CR | ||
FH 142412-154 | AML-aplasia | 85 | 95 | 0 | Ext-S, G‡ | > 549 | CR | ||
134612-153 | AML-CR1 | 46 | 43 | Yes × 2 | II† | Ext-S | > 759 | Rel → chemo → CR → DLI → REL → chemo | |
145602-159 | AML-CR1 | 40 | 99 | Yes | 0 | > 473 | CR | ||
UL 6462-153 | AML-CR1 | 60 | NE | Yes* | II† | Lim-S | > 341 | Rel → DLI → CR → Rel → chemo/DLI → CR | |
6272-159 | AML-CR1 | NE | NE | 0 | > 410 | CR | |||
6362-159 | AML-CR1 | 58 | 63 | III | Lim-S | > 383 | CR | ||
UL 6162-159 | AML-CR2 | 55 | 50 | Yes* | 0 | 1722-155 | Rel → PD | ||
FH 133612-153 | AML-CR3 | 50 | 90 | Yes* | II | Ext-S, G | 1682-155 | Rel × 2 → DLI → CR mucor infection | |
SU 18572-153 | AML-IF | 50 | NE | 0 | NE | 382-155 | PD → conventional BMT | ||
FH 129142-153 | CLL-REL2 | 100 | 100 | II | Ext-S, O‡ | 3612-155 | MCR Pneumococcal sepsis | ||
SU 18792-153 | CLL-PR2 | 56 | 86 | III | Ext-S, G | > 528 | MCR | ||
FH 145872-159 | CLL-REF | 10 | 20 | 0 | Ext-S, L, O | > 368 | PR | ||
145862-159 | CLL-REF | 90 | 80 | Yes* | II | Ext-S, L | 2442-155 | PD | |
SU 20282-159 | CLL-PR2 | 30 | 25 | Yes* | 0 | > 375 | PR → PD | ||
FH 143222-159 | CLL-REF | 65 | 95 | I | Ext-E, O, S | > 319 | MCR | ||
146272-159 | CLL-REF | 71 | 96 | III | Ext-L, O, S | > 325 | CR | ||
UL 5962-153 | CML-AP | 79 | 95 | Yes* | II† | Lim-S | > 530 | MCR | |
UL 6052-153 | CML-CP | 27 | 32 | 0 | Lim-S | > 488 | MCR | ||
FH 142142-159 | CML-CP | 45 | 50 | II | Ext-O, S | > 393 | MCR | ||
UL 6342-159 | CML-CP | 43 | 70 | I | Lim-O | > 390 | MCR | ||
FH 147262-159 | CML-CP2-160 | 100 | 95 | II | Ext-E, G, L, O, S | > 368 | MCR | ||
SU 19552-153 | HD-CR2 | 60 | 90 | Yes × 2 | 0 | 1642-155 | PD | ||
FH 138172-159 | HD-PR | 99 | 99 | II | Ext-E, G, O, S | > 464 | CR | ||
142262-159 | HD-REF | 59 | 92 | Yes* | II | Ext-S | > 444 | CR → Rel → XRT/chemo + DLI → PR | |
146922-159 | HD-REF | 70 | 90 | Yes* | II† | NE | 1592-155 | PD → Aspergillus infection | |
135272-159 | MM-PR | 99 | 97 | II | Ext-E, O, S | > 416 | CR | ||
139222-159 | MM-PR | 83 | 94 | Yes | 0 | > 417 | CR2-164 | ||
119242-159 | MM-PR | 94 | 97 | 0 | > 473 | CR2-164 | |||
135412-159 | MM-REF | 98 | 100 | II | NE | 912-155 | PD | ||
142742-159 | MM-REF | 90 | 95 | II | Ext-G, S | > 310 | CR | ||
UL 6252-159 | MM-REF | 100 | NE | III | NE | 542-155 | PR. Pneumonia, multiorgan failure | ||
FH 142242-159 | NHL-REF | 88 | 100 | II | NE | 642-155 | CR. Intracranial hemorrhage | ||
144132-159 | WM-REF | 58 | 62 | II | Ext-E, O, S | > 380 | SD | ||
146582-159 | WM-REF | 85 | 90 | Yes × 2* | 0 | Lim-S, O | > 333 | SD | |
UL 6442-159 | AML-CR1 | 20 | 5 | Yes | Yes | 0 | 1332-155 | Rel → 2nd NMHCT → engrafted → PD | |
142842-159 | CLL-PR | 19 | 24 | Yes | Yes | 0 | > 376 | PD | |
140912-153 | CML-AP | 40 | 30 | Yes | Yes | I | 2272-155 | PD → Conventional BMT | |
SU 20002-159 | CML-AP | 25 | 30 | Yes | Yes | 0 | 4072-155 | PD → 2nd NMHCT → rejected → PD | |
SU 19482-153 | CML-CP | 60 | 30 | Yes | Yes | 0 | > 501 | PD → 2nd NMHCT → rejected | |
UL 6222-159 | CML-CP | 10 | 8 | Yes | Yes | 0 | > 341 | PD | |
FH 130092-153 | MDS-RAEB-T | 40 | 35 | Yes | Yes | 0 | 1832-155 | PD + liver cirrhosis | |
132462-153 | MM-REF | 43 | 35 | Yes | Yes | 0 | > 731 | PD psoriasis in CR | |
132302-153 | MM-PR | 15 | 5 | Yes | Yes | 0 | > 751 | REL |
UPN . | Diagnosis . | % donor CD3+ . | Rejection . | DLI . | GVHD . | Survival, days . | Summary of outcome as of 4/1/00 . | ||
---|---|---|---|---|---|---|---|---|---|
Day 28 . | Day 56 . | Acute (grade) . | Chronic . | ||||||
UL 6072-153 | ALL-REL3 | 85 | 100 | Yes* | I | 3562-155 | CR → REL → chemo/DLI → CR → Aspergillus | ||
5772-153 | MF-AML-IF | 84 | 85 | III | Lim-S | > 621 | CR | ||
FH 142412-154 | AML-aplasia | 85 | 95 | 0 | Ext-S, G‡ | > 549 | CR | ||
134612-153 | AML-CR1 | 46 | 43 | Yes × 2 | II† | Ext-S | > 759 | Rel → chemo → CR → DLI → REL → chemo | |
145602-159 | AML-CR1 | 40 | 99 | Yes | 0 | > 473 | CR | ||
UL 6462-153 | AML-CR1 | 60 | NE | Yes* | II† | Lim-S | > 341 | Rel → DLI → CR → Rel → chemo/DLI → CR | |
6272-159 | AML-CR1 | NE | NE | 0 | > 410 | CR | |||
6362-159 | AML-CR1 | 58 | 63 | III | Lim-S | > 383 | CR | ||
UL 6162-159 | AML-CR2 | 55 | 50 | Yes* | 0 | 1722-155 | Rel → PD | ||
FH 133612-153 | AML-CR3 | 50 | 90 | Yes* | II | Ext-S, G | 1682-155 | Rel × 2 → DLI → CR mucor infection | |
SU 18572-153 | AML-IF | 50 | NE | 0 | NE | 382-155 | PD → conventional BMT | ||
FH 129142-153 | CLL-REL2 | 100 | 100 | II | Ext-S, O‡ | 3612-155 | MCR Pneumococcal sepsis | ||
SU 18792-153 | CLL-PR2 | 56 | 86 | III | Ext-S, G | > 528 | MCR | ||
FH 145872-159 | CLL-REF | 10 | 20 | 0 | Ext-S, L, O | > 368 | PR | ||
145862-159 | CLL-REF | 90 | 80 | Yes* | II | Ext-S, L | 2442-155 | PD | |
SU 20282-159 | CLL-PR2 | 30 | 25 | Yes* | 0 | > 375 | PR → PD | ||
FH 143222-159 | CLL-REF | 65 | 95 | I | Ext-E, O, S | > 319 | MCR | ||
146272-159 | CLL-REF | 71 | 96 | III | Ext-L, O, S | > 325 | CR | ||
UL 5962-153 | CML-AP | 79 | 95 | Yes* | II† | Lim-S | > 530 | MCR | |
UL 6052-153 | CML-CP | 27 | 32 | 0 | Lim-S | > 488 | MCR | ||
FH 142142-159 | CML-CP | 45 | 50 | II | Ext-O, S | > 393 | MCR | ||
UL 6342-159 | CML-CP | 43 | 70 | I | Lim-O | > 390 | MCR | ||
FH 147262-159 | CML-CP2-160 | 100 | 95 | II | Ext-E, G, L, O, S | > 368 | MCR | ||
SU 19552-153 | HD-CR2 | 60 | 90 | Yes × 2 | 0 | 1642-155 | PD | ||
FH 138172-159 | HD-PR | 99 | 99 | II | Ext-E, G, O, S | > 464 | CR | ||
142262-159 | HD-REF | 59 | 92 | Yes* | II | Ext-S | > 444 | CR → Rel → XRT/chemo + DLI → PR | |
146922-159 | HD-REF | 70 | 90 | Yes* | II† | NE | 1592-155 | PD → Aspergillus infection | |
135272-159 | MM-PR | 99 | 97 | II | Ext-E, O, S | > 416 | CR | ||
139222-159 | MM-PR | 83 | 94 | Yes | 0 | > 417 | CR2-164 | ||
119242-159 | MM-PR | 94 | 97 | 0 | > 473 | CR2-164 | |||
135412-159 | MM-REF | 98 | 100 | II | NE | 912-155 | PD | ||
142742-159 | MM-REF | 90 | 95 | II | Ext-G, S | > 310 | CR | ||
UL 6252-159 | MM-REF | 100 | NE | III | NE | 542-155 | PR. Pneumonia, multiorgan failure | ||
FH 142242-159 | NHL-REF | 88 | 100 | II | NE | 642-155 | CR. Intracranial hemorrhage | ||
144132-159 | WM-REF | 58 | 62 | II | Ext-E, O, S | > 380 | SD | ||
146582-159 | WM-REF | 85 | 90 | Yes × 2* | 0 | Lim-S, O | > 333 | SD | |
UL 6442-159 | AML-CR1 | 20 | 5 | Yes | Yes | 0 | 1332-155 | Rel → 2nd NMHCT → engrafted → PD | |
142842-159 | CLL-PR | 19 | 24 | Yes | Yes | 0 | > 376 | PD | |
140912-153 | CML-AP | 40 | 30 | Yes | Yes | I | 2272-155 | PD → Conventional BMT | |
SU 20002-159 | CML-AP | 25 | 30 | Yes | Yes | 0 | 4072-155 | PD → 2nd NMHCT → rejected → PD | |
SU 19482-153 | CML-CP | 60 | 30 | Yes | Yes | 0 | > 501 | PD → 2nd NMHCT → rejected | |
UL 6222-159 | CML-CP | 10 | 8 | Yes | Yes | 0 | > 341 | PD | |
FH 130092-153 | MDS-RAEB-T | 40 | 35 | Yes | Yes | 0 | 1832-155 | PD + liver cirrhosis | |
132462-153 | MM-REF | 43 | 35 | Yes | Yes | 0 | > 731 | PD psoriasis in CR | |
132302-153 | MM-PR | 15 | 5 | Yes | Yes | 0 | > 751 | REL |
GVHD indicates graft-versus-host disease; DLI, donor lymphocyte infusion; NE, not evaluable; PD, progressive disease; BMT, bone marrow transplantation; MCR, molecular remission; XRT, radiation therapy; SD, stable disease; NMHCT, nonmyeloablative hematopoietic cell transplantation; TBI, total-body irradiation; MMF, mycophenolate mofetil; and CSP, cyclosporine. For other abbreviations, see Table 1.
Indicates initial DLI given for relapse or progressive disease.
Indicates GVHD first occurred after DLI.
Indicates GVHD resolved; patient off immunosuppressive therapy. GVHD extent: Lim indicates limited GVHD; Ext, extensive GVHD. GVHD organ involvement: E indicates eyes; G, gastrointestinal; L, liver; O, oral; S, skin.
Cohort 1: CSP scheduled day −1 to +35.
Patient died.
CSP taper delayed to day +100 to prevent GVHD because of active fungal infection.
Cohort 2: CSP scheduled day −1 to +56.
Patient 14726 received fludarabine 30 mg/m2 × 3 in addition to TBI/MMF/CSP.
Trace monoclonal protein detected intermittently by immunofixation after CR was achieved.