Table 3.
Characteristics of patients who are alive
Patient | Age | Performance score | Disease status at transplant | Donor/graft | Conditioning regimen | Acute GVHD | Chronic GVHD | Time to last contact |
---|---|---|---|---|---|---|---|---|
24 | 9 | 100 | relapse | Matched relative, BM | TBI (800 cGy fractionated) + Bu + Cy | extensive | 131 months | |
25 | 12 | 100 | CR3 | MSD, BM | Bu (8 mg/kg) + Cy + etoposide | 100 months | ||
26 | 16 | 80 | CR1 | MSD, BM | Cy + etoposide | 67 months | ||
27 | 6 | 100 | relapse | MSD, BM | Cy + ARAC + Mel (140 mg/m2) | 57 months | ||
28 | 7 | 100 | CR3 | MSD, PBPC | Cy + ARAC + Mel (142 mg/m2) | extensive | 48 months | |
29 | 12 | 100 | CR3 | Unrelated, PBPC | Bu (7 mg/kg) + FLU + ATG | 16 months | ||
30* | 14 | 80 | CR1 | Unrelated, CB | TBI (200 cGy) + Cy + FLU + ATG | grade 3 | 25 months | |
31 | 6 | Not reported | CR2 | Unrelated, CB | TBI (200 cGy) + Cy + FLU + ATG | grade 2 | 8 months | |
32 | 9 | 100 | CR2 | Unrelated, CB | TBI (200 cGy) + Cy + FLU + ATG | grade 2 | limited | 4 months |
33 | 15 | 90 | CR1 | MSD, PBPC | Bu (4 mg/kg) + FLU | 3 months | ||
34 | 16 | 100 | CR2 | MSD, PBPC | FLU + Mel (140 mg/m2) | 3 months | ||
35 | 7 | 80 | CR2 | Unrelated, PBPC | Bu (5 mg/kg) + FLU + ATG | 36 months | ||
36* | 3 | 80 | relapse | Unrelated, BM | TBI (450 cGy) + Cy + alemtuzumab | 37 months | ||
37 | 13 | 70 | CR1 | Unrelated, PBPC | TBI (200 cGy) + FLU | grade 3 | extensive | 61 months |
38 | 13 | 100 | unknown | Unrelated, PBPC | FLU + Mel (137 mg/m2) | grade 3 | extensive | 24 months |
Abbreviations: CR = complete remission; BM = bone marrow; PBPC = peripheral blood progenitor cells; MSD = matched sibling donor; TBI = total body irradiation; Bu = busulfan; Cy = cyclophosphamide; Mel = melphalan; FLU = fludarabine; ATG = anti-thymocyte globulin
Intervention post RIC HCT and outcome
Patient # 30: Second HCT (same donor, TBI 1200 cGY + Cy) for leukemia relapse 21 months after RIC HCT, leukemia relapse and third HCT 36 months after second HCT. Patient is alive, 4 months from the third HCT
Patient # 36: DLI for cytogenetic relapse 4 months after RIC HCT, and alive, 33 months after DLI