Table 1.
Authors | N | Median age (years) |
T depletion |
Graft failure (%) |
GVHD (%) | NRM (%)* |
Relapse (%)* |
Overall survival (%)* |
EFS (%)* |
||
---|---|---|---|---|---|---|---|---|---|---|---|
Acute II–IV | Acute III and IV | Chronic | |||||||||
Myeloablative conditioning | |||||||||||
Szydlo et al.1 | 340 | 25 | Ex vivo (49%) | ||||||||
1 Ag MM | 9 | 44 | a | 52 | b | 28–65 | — | 15–36 | |||
2 Ag MM | 16 | 56 | 60 | 37–45 | — | 20–25 | |||||
O’Reilly et al.7 | 52 | Ex vivo | c | 9 | 3 | 20 | |||||
Mehta et al.8 | 201 | 23 | In (71%)+ ex vivo | 2 | 13 | — | 15 | 31 | 18 | 19 | |
Aversa et al.9 | 104 | 33 | Ex vivo | 9 | 8 | — | 7 | 37 | 25 | 39 | — |
Lu et al.10 | 135 | 24 | In vivo | 1 | 40 | 16 | 55 | 22 | 18 | d | |
Nonmyeloablative conditioning | |||||||||||
Rizzieri et al.11 | 49 | e | In vivo | 14 | 16 | — | 14 | 31 | — | 31 | — |
Luznik et al.12 | 68 | In vivo | 13 | 34 | 6 | 22 | f | 51 | 36 | 26 |
Boxes illustrate salient results:
effect of HLA mismatch on severe GVHD after myeloablative, T-cell-replete BMT
excessive NRM in early trials of haploidentical SCT
increased risk of graft failure with ex vivo graft TCD without intensive immunosuppressive conditioning
improved outcome of myeloablative SCT using in vivo TCD
nonmyeloablative conditioning permits transplantation of older patients with reduced treatment-related mortality. See text for details of the studies.
Data on NRM (non-relapse mortality) are for 1–2 years after transplantation. Data on relapse, overall survival and EFS are for 1–2 years (all studies except Lu et al.10) or for 5 years after transplantation (Lu et al.). 1 Ag MM = 1 HLA Ag mismatch.