Table 1.
Patient no | Diagnosis | Patient’s HLA-A | Donor | Donor’s HLA-A | Donor’s CMV serostatus | Conditioning regimen | aGvHD post-SCT | Day of aGvHD post-SCT | Day of aGvHD treatment post-SCT | Day of CMV reactivation post-SCT | CMV reactivation symptom | CMV load upon 1st dose of TCR-T cell | Day of TCR-T cell infusion post-SCT |
01 | AML | 02:01, 02:07 | Daughter | 02:01, 02:07 | Positive | DAC+BU/CY+ATG | Yes | 20 | Steroids (1 mg/kg, D20–27, 0.5 mg/kg, D28–32) and ruxolitinib (5 mg, D20–32) | 37 | Viremia | 16 520 copies/mL | 41, 47 |
02 | MDS-EB2 | 02:01, 33:03 | Sibling | 02:01, 33:03 | Positive | DAC+BU/CY+ATG | Yes | 111 | Steroids (1 mg/kg, D111–119, 0.5 mg/kg, D120–125), anti-CD25 monoclonal antibody (D111, 113, 118, 125 and 133) and ruxolitinib (5 mg, D112–127) | 118 | Colitis | 2368 copies/mL | 120 |
03 | AML | 24:02, 02:01 | Son | 24:02, 02:01 | Positive | DAC+BU/CY+ATG | Yes | 17 | Steroids (1 mg/kg, D17–21, 0.5 mg/kg, D22–23), anti-CD25 monoclonal antibody (D24, 27 and 32) and ruxolitinib (5 mg, D17–37) | 30 | Colitis | <1000 copies/mL* | 32, 37, 55 |
04 | AML | 24:02, 02:06 | Father | 24:02, 33:03 | Positive | DAC+BU/CY+ATG | Yes | 30 | Steroids (1 mg/kg, D30–35, then 0.5 mg/kg, D36–38), anti-CD25 monoclonal antibody (D31, 33, 38, 45, 53) and ruxolitinib (5 mg, D30–44) | 47 | Pneumonia | 3710 copies/mL | 50, 57, 68 |
05 | ALL | 02:03, 24:02 | Son | 02:03, 24:02 | Positive | DAC+BU/CY+ATG | No | N/A | N/A | 43 | Viremia | 10 650 copies/mL | 61, 65 |
06 | AML | 11:01, 02:07 | Son | 11:01, 11:01 | Positive | DAC+BU/CY+ATG | No | N/A | N/A | 45 | Viremia | 1100 copies/mL | 45 |
*Patient 03 developed CMV colitis on day 30 post-SCT, 9 days before blood CMV load reached ≥1×103 copies/mL. To treat CMV colitis on time, the first dose of CMV-TCR-T cells was infused on day 32 post-SCT. On that day, blood CMV-DNA level was <1000 copies/mL.
aGvHD, acute graft-versus-host disease; ALL, acute lymphocytic leukemia; AML, acute myeloid leukemia; ATG, anti-thymocyte globulin; BU, busulfan; CMV, cytomegalovirus; CY, cyclophosphamide; DAC, decitabine; HLA, human leukocyte antigen; MDS-EB2, myelodysplastic syndromes with excess blasts type 2;N/A, not applicable; SCT, stem cell transplantation; TCR-T cell, T cell receptor-engineered T cell;