Table 1.
Characteristics of patients with unrelated donors and HLA-identical sibling donors (12)
Characteristic | Unrelated transplant Number (%) |
Sibling transplant Number (%) |
---|---|---|
HLA compatibility, n (%) | ||
Matched a | 423 (45) | 993 (100) |
mismatched | 395 (42) | 0 |
unknown | 118 (13) | 0 |
Age, median years (range) | 35 (<1 – 59) | 38 (<1–67) |
Transplant year, n (%) | ||
1985–1991 | 159 (17) | 391 (39) |
1992–2002 | 777 (83) | 602 (61) |
Gender match (patient/donor), n (%) | ||
Male/Male | 329 (35) | 332 (33) |
Male/Female | 202 (22) | 250 (25) |
Female/Male | 234 (25) | 189 (19) |
Female/Female | 171 (18) | 222 (22) |
Total body irradiation, n (%) | ||
yes | 858 (92) | 537 (54) |
no | 78 (8) | 456 (46) |
Disease group, n (%) b | ||
non-malignant disease | 82 (9) | 170 (17) |
low risk malignancy | 546 (58) | 497 (50) |
high risk malignancy | 308 (33) | 326 (33) |
Source of stem cells, n (%) | ||
bone marrow | 905 (97) | 848 (85) |
peripheral blood | 31 (3) | 145 (15) |
Outcomes, cumulative incidence | ||
Grades II–IV acute GVHD (day 100) | 86% | 56% |
Grades III–IV acute GVHD (day 100) | 37% | 19% |
Clinical extensive chronic GVHD (5 years) | 52% | 43% |
Non-relapse mortality (5 years) | 39% | 25% |
patient and donor matched for HLA-A, B, C and DRB1
non-malignant disease: aplastic anemia, immune deficiency disorder, lymphoproliferative disease, myelodysplastic syndrome and paroxysmal nocturnal hematuria; low risk malignancy: acute lymphoblastic leukemia (ALL), acute myeloid leukemia (AML) or non-Hodgkin lymphoma (NHL) in remission and chronic myelogenous leukemia (CML) in chronic phase; high risk malignancy: ALL, AML, chronic lymphocytic leukemia, NHL in relapse, CML beyond chronic phase, multiple myeloma and Hodgkin’s disease.