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. Author manuscript; available in PMC: 2010 Dec 1.
Published in final edited form as: Biol Blood Marrow Transplant. 2009 Sep 8;15(12):1609–1619. doi: 10.1016/j.bbmt.2009.08.020

Table 1. Patient Characteristics.

Six patients developed viral infections concurrent with or immediately preceding LLME DLI. All had resolution or partial resolution of the viral disease. Four of six developed rapid recovery of CD3+/CD4+ cells. Two patients, who expired at days 35 and 46 s/p LLME DLI of other causes did not.

Age/Gender Disease Graft Type LLME DLI Infection Time to CD4>100 (days) GVHD
CD3+ T Cell Dose/Kg Days s/p HPCT Virus Days s/p HPCT Resolved? Other Therapy for OI
1 65 M ALL - 1st CR Sib 1 × 106 99 EBV-PTLD 113 Partial1 Rituximab NA No
2 23 M CML - 2nd CP Sib 1 × 106 102 Adeno, CMV 91, 105 Yes Ganciclovir, Cidofovir, IVIg 21 No
3 53 M CML - 2nd CP Sib 1 × 107 64 CMV 28 Yes Foscarnet + IVIg 57 Grade 32
4 61 M ALL - Ph+-1st CR Sib 1 × 107 48 CMV 26 Yes Ganciclovir/valganciclovir, IVIg 34 No
5 28 M AML- 1st relapse Sib 1 × 107 72 EBV- PTLD 75 Yes Rituximab 10 No
6 45 M AML - 2nd relapse URD 1 × 106 69 CMV 24 Yes Valganciclovir NA No

HPCT – Hematopoietic Progenitor Cell Transplant; GVHD – Graft-Versus-Host Disease; ALL – acute lymphoblastic leukemia; CML – chronic myelogenous leukemia; AML – acute myelogenous leukemia; CR – complete remission; CP – chronic phase; Ph+ - Philadelphia Chromosone; Sib – HLA identical sibling donor; IRD – unrelated donor; EBV-PTLD – Epstein Barr Virus related Post-Transplant Lymphoproliferative Disease; Adeno – Adenovirus; CMV – cytomegalovirus; OI – Opportunistic Infection; IVIg – Intravenous Immune Globulin

1

Patient expired from pulmonary and renal complications prior to complete resolution of EBV-PTLD.

2

This patient had no GVHD following his first dose of LLME DLI (1 × 10e7/kg) but did not achieve a CD4 count >200/ul. He was therefore offered a second dose of DLI (actual dose 4.1 × 10e7/kg) and received it 43 days after the first dose. He subsequently developed Grade III GVHD within a few days of the second DLI administration. The trial was subsequently changed to allow for further DLI only if the CD4 count was < 100/ul.