Table 1.
PATIENT | |
Age at SCT in years (median) | 13–69 (46) |
Sex of patients (m/f) | 83/48 |
CMV positive | 75 (58%) |
DONOR | |
Sex of donors (m/f) | 90/41 |
CMV positive | 73 (56%) |
Matched/Mismatched | 107/24 |
Related/Unrelated | 51/80 |
DISEASE | |
AML | 35 (27%) |
ALL | 16 (12%) |
Lymphoma | 11 (8%) |
Multiple Myeloma | 20 (15%) |
CML | 26 (20%) |
Myelodysplastic Syndrome | 10 (8%) |
Others | 13 (10%) |
TYPE OF TRANSPLANT | |
PBSC | 109 (83%) |
BMT | 22 (17%) |
CONDITIONING REGIMENS | |
Bu/Cy+/−VP16 | 50 (38%) |
TBI/Cy/VP16 | 19 (14%) |
RIC | 62 (48%) |
ENGRAFTMENT | |
Leukocyte (≥ 1.0 ×109/L) | 6–26 days (mean 15) |
Lymphocyte (×106/ml) | 20–3340 (mean 1008) |
NK cells (×106/ml) | 8–858 (mean 239) |
ACUTE GVHD | |
Grade 0–I | 82 (63%) |
Grade II–IV | 49 (37%) |
Grade III–IV | 29 (22%) |
INFECTIONS | |
Definite sepsis | 50 (38%) |
Clinical sepsis | 56 (43%) |
Pneumonia | 76 (58%) |
Fungal | 46 (35%) |
Bacterial | 17 (13%) |
Atypical | 8 (6%) |
Viral | 5 (4%) |
CMV infection/reactivation | |
Yes | 46 (35%) |
No | 85 (65%) |
VZV/HSV infection/reactivation | |
Yes | 33 (25%) |
No | 98 (75%) |
DEATH AND CAUSE | n=62 (47%) |
Infection | 23 (17.5%) |
TRM | 37 (28%) |
Relapse | 20 |
GvHD | 8 |
GvHD with infection | 6 |
Toxicity | 3 |
Other | 2 (1.5%) |
PBCST, peripheral blood stem cell transplantation; BMT, bone marrow transplantation; NK cells, natural killer cells; Bu, Busulfan; Cy cyclophophamide; VP16, Etoposide; TBI, total body irradiation; RIC, reduced intensification conditioning