Table 2.
Transplantation details, outcome, and clinical status post-HSCT. Key: AIHA, autoimmune hemolytic anemia; AUC, area under the curve; BM, bone marrow; CsA, ciclosporin A; MMF, mycophenolate mofetil; MSD, matched sibling donor; MUD, matched unrelated donor; PBSC, peripheral blood stem cell; PTCy, post-transplant cyclophosphamide
| Patient | Age at HSCT (years) | Stem cell source and HLA match | Conditioning regimen Serotherapy |
GvHD prophylaxis | GvHD and treatment | Follow-up duration (years) | Latest donor chimerism | Latest %DHR + | Outcome | Post-HSCT infection | Post-HSCT inflammation or autoimmunity |
|---|---|---|---|---|---|---|---|---|---|---|---|
| P1 | 15 | 10/10 MUD-PBSC |
Treosulfan 42 g/m2 Fludarabine 150 mg/m2 Thiotepa 10 mg/kg Alemtuzumab 1 mg/kg |
CsA/MMF | - | 4 | 100% | 100% | Survival | None |
AIHA — resolved Rash and arthralgia in remission |
| P2 | 18 | 10/10 MUD-PBSC |
Treosulfan 42 g/m2 Fludarabine 150 mg/m2 Thiotepa 10 mg/kg Alemtuzumab 1 mg/kg |
CsA/MMF | - | - | 100% | 100% | Death D + 30 — toxic leukoencephalopathy from conditioning agents | - | - |
| P3 | 20 | 10/10 MUD-BM |
Busulfan (AUC: 44 mg/L*h) Fludarabine 180 mg/m2 Alemtuzumab 0.6 mg/kg |
CsA/MMF | Grade I skin — topical steroids | 8 | 100% | 100% | Survival | None | Clinical and histological remission from colitis |
| P4 | 56 | 10/10 MSD-PBSC |
Busulfan (AUC: 49 mg/L*h) Alemtuzumab 1 mg/kg |
PTCy Sirolimus |
Grade I skin — topical steroids | 3 | 60% | 60% | Survival | None |
Clinical remission from colitis and lupus Hypothyroidism continues |
| P5 | 22 | Haplo-PBSC |
Busulfan (AUC: 49 mg/L*h) Fludarabine 150 mg/m2 Cyclophosphamide 29 mg/kg |
PTCy Sirolimus |
Grade 3 GI/liver — corticosteroids, infliximab | - | 100% | 98% | Death D + 100 — multiorgan failure from disseminated adenovirus and GvHD | - | - |
| P6 | 7 | 10/10 MSD-BM |
Busulfan (AUC: 91 mg/L*h) Fludarabine 160 mg/m2 Alemtuzumab 0.6 mg/kg |
CsA | - | 2 | 100% | 100% | Survival | None | None |
| P7 | 1 |
TCRαβ/CD19-depleted 9/10 MUD-PBSC (single C-antigen HLA mismatch) |
Busulfan (AUC: 85 mg/L*h) Fludarabine 150 mg/m2 Alemtuzumab 0.6 mg/kg |
CsA/MMF | - | 3 | 100% | 100% | Survival | None | Remission of colitis |