Table 1.

Patient and transplantation characteristics after allogeneic HSCT and conventional or nonmyeloablative conditioning


Factors

Conventional; n = 917

Nonmyeloablative; n = 183

P
Median patient age, y (range)   41 (1-66)   53 (1-73)   .001  
Male/female   504/413   115/68   .051  
Prior transplantation (%)    .001  
    Yes   20 (2)   56 (31)   
    No   897 (98)   127 (69)   
Underlying diagnosis (%)    .001  
    CML   316 (34)   15 (8)   
    Acute leukemia/MDS   513 (56)   52 (28)   
    Other malignancy   60 (7)   108 (59)   
        Lymphoma/CLL   45   59   
        Multiple myeloma   8   34   
        Other tumors*  7   15   
    Nonmalignant disease   28 (3)   8 (4)   
        Aplastic anemia   14   —   
        Immunodeficiencies   2   7   
        Other diseases*  12   1   
Disease risk (%)    .001  
    Low   623 (68)   89 (49)   
    High   294 (32)   94 (51)   
Conditioning (%)    NE  
    TBI-based, more than 12 Gy   273 (30)   —   
    TBI-based, 12 Gy   256 (28)   —   
    Non-TBI-based, 0 Gy   388 (42)   —   
    2 Gy TBI   —   56 (31)   
    2 Gy TBI + fludarabine   —   127 (69)   
Donor (%)    .001  
    HLA-matched related   429 (47)   120 (66)   
    HLA-mismatched related   55 (6)   —   
    Unrelated   433 (47)   63 (34)   
Stem cell source (%)    .001  
    PBSC   317 (35)   166 (91)   
    Bone marrow   600 (65)   17 (9)   
Recipient CMV serostatus (%)    .035  
    Positive   446 (49)   105 (57)   
    Negative   471 (51)   78 (43)   
Donor CMV status (%)    NS  
    Positive   371 (40)   86 (47)   
    Negative   546 (60)   97 (53)   
GVHD prophylaxis (%)§    NE  
    MTX-containing regimens   877 (96)   —   
    Others
 
40 (4)
 
183 (100)
 

 

Factors

Conventional; n = 917

Nonmyeloablative; n = 183

P
Median patient age, y (range)   41 (1-66)   53 (1-73)   .001  
Male/female   504/413   115/68   .051  
Prior transplantation (%)    .001  
    Yes   20 (2)   56 (31)   
    No   897 (98)   127 (69)   
Underlying diagnosis (%)    .001  
    CML   316 (34)   15 (8)   
    Acute leukemia/MDS   513 (56)   52 (28)   
    Other malignancy   60 (7)   108 (59)   
        Lymphoma/CLL   45   59   
        Multiple myeloma   8   34   
        Other tumors*  7   15   
    Nonmalignant disease   28 (3)   8 (4)   
        Aplastic anemia   14   —   
        Immunodeficiencies   2   7   
        Other diseases*  12   1   
Disease risk (%)    .001  
    Low   623 (68)   89 (49)   
    High   294 (32)   94 (51)   
Conditioning (%)    NE  
    TBI-based, more than 12 Gy   273 (30)   —   
    TBI-based, 12 Gy   256 (28)   —   
    Non-TBI-based, 0 Gy   388 (42)   —   
    2 Gy TBI   —   56 (31)   
    2 Gy TBI + fludarabine   —   127 (69)   
Donor (%)    .001  
    HLA-matched related   429 (47)   120 (66)   
    HLA-mismatched related   55 (6)   —   
    Unrelated   433 (47)   63 (34)   
Stem cell source (%)    .001  
    PBSC   317 (35)   166 (91)   
    Bone marrow   600 (65)   17 (9)   
Recipient CMV serostatus (%)    .035  
    Positive   446 (49)   105 (57)   
    Negative   471 (51)   78 (43)   
Donor CMV status (%)    NS  
    Positive   371 (40)   86 (47)   
    Negative   546 (60)   97 (53)   
GVHD prophylaxis (%)§    NE  
    MTX-containing regimens   877 (96)   —   
    Others
 
40 (4)
 
183 (100)
 

 

Numbers of patients (% of the total) are shown for all categories except patient age and patient sex. AML indicates acute myeloid leukemia; ALL, acute lymphocytic leukemia; HD, Hodgkin disease; NHL, non-Hodgkin lymphoma; CLL, chronic lymphocytic leukemia; MM, multiple myeloma; —, not applicable; NE, not evaluable; and NS, not statistically significant.

*

Other tumors include renal cell carcinoma. Other diseases include paroxysmal nocturnal hemoglobinuria.

Patients were stratified based on underlying disease, as described previously.31  High risk was defined as active, de novo, or relapsed AML, MDS (refractory anemia with excess blasts or excess blasts in transformation), myeloproliferative disorder, ALL, CLL, NHL, HD, MM regardless of status, accelerated phase or blastic crisis of CML, or other tumors such as renal cell carcinoma. Low risk was defined as nonmalignant disease, including aplastic anemia, immunodeficiency syndrome, any of the diseases mentioned with unknown disease status or in remission except for MM, CML chronic phase, and MDS (refractory anemia with or without ringed sideroblasts).

The PBSC group included 6 patients who received PBSCs and bone marrow.

§

After nonmyeloablative transplantation, all patients were given MMF and CSP. After conventional transplantation, most patients were given MTX and CSP, and others received MMF and CSP (n = 31) or CSP and anti-T-cell antibodies (n = 9).

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