Patient and disease characteristics
Characteristic . | No. (%) . |
---|---|
Sex | |
Male recipients | 58 (61) |
Male donors | 55 (59) |
Sex match | |
Female > male | 68 (72) |
CMV serology | |
Donor positive | 36 (38) |
Recipient positive | 55 (58) |
Diagnosis | |
Acute myeloid leukemia | 12 (13) |
Acute lymphoblastic leukemia | 21 (22) |
Chronic myelogenous leukemia* | 33 (35) |
Myelodysplastic syndrome | 10 (10) |
Aplastic anemia† | 13 (14) |
Lymphoma‡ | 4 (3) |
Other§ | 2 (2) |
Disease risk∥ | |
High risk | 64 (67) |
Conditioning regimen | |
TBI based | 45 (47) |
Intensified conditioning¶ | 66 (69) |
Including ATG | 32 (34) |
GvHD prophylaxis | |
Cyclosporine + methotrexate | 72 (76) |
Cyclosporine + prednisone | 10 (11) |
Cyclosporine alone | 12 (13) |
T-cell depletion | 11 (12) |
Source of cells | |
Bone marrow | 68 (72) |
Peripheral blood | 19 (20) |
Cord blood | 8 (8) |
Donor type | |
HLA-identical sibling | 62 (65) |
Unrelated | 29 (31) |
Mismatched related | 4 (4) |
Characteristic . | No. (%) . |
---|---|
Sex | |
Male recipients | 58 (61) |
Male donors | 55 (59) |
Sex match | |
Female > male | 68 (72) |
CMV serology | |
Donor positive | 36 (38) |
Recipient positive | 55 (58) |
Diagnosis | |
Acute myeloid leukemia | 12 (13) |
Acute lymphoblastic leukemia | 21 (22) |
Chronic myelogenous leukemia* | 33 (35) |
Myelodysplastic syndrome | 10 (10) |
Aplastic anemia† | 13 (14) |
Lymphoma‡ | 4 (3) |
Other§ | 2 (2) |
Disease risk∥ | |
High risk | 64 (67) |
Conditioning regimen | |
TBI based | 45 (47) |
Intensified conditioning¶ | 66 (69) |
Including ATG | 32 (34) |
GvHD prophylaxis | |
Cyclosporine + methotrexate | 72 (76) |
Cyclosporine + prednisone | 10 (11) |
Cyclosporine alone | 12 (13) |
T-cell depletion | 11 (12) |
Source of cells | |
Bone marrow | 68 (72) |
Peripheral blood | 19 (20) |
Cord blood | 8 (8) |
Donor type | |
HLA-identical sibling | 62 (65) |
Unrelated | 29 (31) |
Mismatched related | 4 (4) |
Including 16 patients who received grafts in first chronic phase; 13 in accelerated phase, and 4 in blast crisis.
Five patients with idiopathic aplastic anemia, 3 with paroxysmal nocturnal hemoglobinuria, and 5 with Fanconi anemia.
Two patients with high-grade lymphoma, 1 with low-grade lymphoma, and 1 with Hodgkin disease.
Myelofibrosis in 2 patients.
Patient with chronic myelogenous leukemia first chronic phase, acute leukemia in first remission, and patient with acquired aplastic anemia were considered as having low-risk diseases; all other patients were considered as having high-risk diseases.
Standard conditionings were cyclophosphamide with either busulfan or TBI or cyclophosphamide plus ATG (in aplastic anemia). All other conditionings were considered as intensified conditioning regime.