Table 1.

Patient and transplant characteristics

Adult (n = 10)Pediatric (n = 11)All (N = 21)P
BMT to study, median (range), y 3.6 (1-12.1) 1.8 (1-4.5) 2.4 (1-12.1) .07 
cGVHD onset to study, median (range), y 2.0 (0.1-11.8) 1.1 (0.1-3) 1.5 (0.1-11.8) .17 
No. of cGVHD sites involved, median (range) 3.5 (1-6) 3 (1-4) 3 (1-6) .58 
No. of prior cGVHD therapies, median (range) 3 (1-6) 2 (1-4) 2 (1-6) .11 
NIH consensus global cGVHD severity, n (%)    .34 
 Mild 1 (10) 0 (0) 1 (5)  
 Moderate 5 (50) 9 (82) 14 (67)  
 Severe 4 (40) 2 (18) 6 (28)  
Daily prednisone dose at enrollment, median (range), mg/kg* 0.3 (0-0.6) 0.5 (0-1) 0.3 (0-1) .06 
Prior grade I-IV acute GVHD, n (%) 6 (60) 6 (54.5) 12 (57.1) 1.0 
Age, median (range), y 57 (33-71) 12 (2-23) 23 (2-71) <.0001 
Patient sex, n (%)    .36 
 Male 6 (60) 9 (81.8) 15 (71.4)  
 Female 4 (40) 2 (18.2) 6 (28.6)  
Primary disease, n (%)    .11 
 AML 2 (20) 2 (18.2) 4 (19.0)  
 CLL 2 (20) 0 (0) 2 (9.5)  
 CML 1 (10) 0 (0) 1 (4.8)  
 Hodgkin disease 1 (10) 0 (0) 1 (4.8)  
 Anemia/red cell disorder 0 (0) 2 (18.2) 2 (9.5)  
 Immunodeficiency 0 (0) 1 (9.1) 1 (4.8)  
 ALL 0 (0) 5 (45.6) 5 (23.8)  
 MDS 1 (10) 1 (9.1) 2 (9.5)  
 NHL 3 (30) 0 (0) 3 (14.3)  
Conditioning regimen intensity, n (%)    .002 
 Myeloablative 2 (20) 10 (90.9) 12 (57.1)  
 Nonmyeloablative 8 (80) 1 (9.1) 9 (42.9)  
HLA molecular typing (A, B, C, DRB1), n (%)    .16 
 Matched unrelated 8 (80) 5 (45.4) 13 (61.9)  
 Matched related 2 (20) 3 (27.3) 5 (23.8)  
 Mismatch unrelated 0 (0) 3 (27.3) 3 (14.3)  
Patient or donor CMV serostatus, n (%)    .15 
 Positive 1 (10) 5 (45.5) 6 (28.6)  
Graft source, n (%)    <.0001 
 Bone marrow 0 (0) 11 (100) 11 (52.4)  
 PBSC 10 (100) 0 (0) 10 (47.6)  
Adult (n = 10)Pediatric (n = 11)All (N = 21)P
BMT to study, median (range), y 3.6 (1-12.1) 1.8 (1-4.5) 2.4 (1-12.1) .07 
cGVHD onset to study, median (range), y 2.0 (0.1-11.8) 1.1 (0.1-3) 1.5 (0.1-11.8) .17 
No. of cGVHD sites involved, median (range) 3.5 (1-6) 3 (1-4) 3 (1-6) .58 
No. of prior cGVHD therapies, median (range) 3 (1-6) 2 (1-4) 2 (1-6) .11 
NIH consensus global cGVHD severity, n (%)    .34 
 Mild 1 (10) 0 (0) 1 (5)  
 Moderate 5 (50) 9 (82) 14 (67)  
 Severe 4 (40) 2 (18) 6 (28)  
Daily prednisone dose at enrollment, median (range), mg/kg* 0.3 (0-0.6) 0.5 (0-1) 0.3 (0-1) .06 
Prior grade I-IV acute GVHD, n (%) 6 (60) 6 (54.5) 12 (57.1) 1.0 
Age, median (range), y 57 (33-71) 12 (2-23) 23 (2-71) <.0001 
Patient sex, n (%)    .36 
 Male 6 (60) 9 (81.8) 15 (71.4)  
 Female 4 (40) 2 (18.2) 6 (28.6)  
Primary disease, n (%)    .11 
 AML 2 (20) 2 (18.2) 4 (19.0)  
 CLL 2 (20) 0 (0) 2 (9.5)  
 CML 1 (10) 0 (0) 1 (4.8)  
 Hodgkin disease 1 (10) 0 (0) 1 (4.8)  
 Anemia/red cell disorder 0 (0) 2 (18.2) 2 (9.5)  
 Immunodeficiency 0 (0) 1 (9.1) 1 (4.8)  
 ALL 0 (0) 5 (45.6) 5 (23.8)  
 MDS 1 (10) 1 (9.1) 2 (9.5)  
 NHL 3 (30) 0 (0) 3 (14.3)  
Conditioning regimen intensity, n (%)    .002 
 Myeloablative 2 (20) 10 (90.9) 12 (57.1)  
 Nonmyeloablative 8 (80) 1 (9.1) 9 (42.9)  
HLA molecular typing (A, B, C, DRB1), n (%)    .16 
 Matched unrelated 8 (80) 5 (45.4) 13 (61.9)  
 Matched related 2 (20) 3 (27.3) 5 (23.8)  
 Mismatch unrelated 0 (0) 3 (27.3) 3 (14.3)  
Patient or donor CMV serostatus, n (%)    .15 
 Positive 1 (10) 5 (45.5) 6 (28.6)  
Graft source, n (%)    <.0001 
 Bone marrow 0 (0) 11 (100) 11 (52.4)  
 PBSC 10 (100) 0 (0) 10 (47.6)  

ALL, acute lymphoblastic leukemia; AML, acute myelogenous leukemia; BMT, bone marrow transplantation; CLL, chronic lymphocytic leukemia; CML, chronic myelogenous leukemia; CMV, cytomegalovirus; MDS, myelodysplastic syndrome; NHL, non-Hodgkin lymphoma; NIH, National Institutes of Health; PBSC, peripheral blood stem cell.

*

One pediatric patient and 1 adult patient were SR but were already weaned off systemic steroids at study entry.

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