Table 2.
Major studies on alemtuzumab-based RIC SCT in lymphoproliferative diseases
| Study | Diagnosis | Nr | Disease status | Age | Conditioning | Campath Dose | % Sib | TRM | Grade III – IV aGvHD | Extensive cGvHD | OS | DFS/PFS | DLI |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| [67] | NHL | 88 | 88.6% S | 48 | Flu-Mel | 100 mg | 71% | 23% | 4.5% | 4.5% | 3y-55% | 3y-50% | 36/88 |
| [68] | HG-NHL | 48 | 83% S | 46 | Flu-Mel | 20 – 100 mg | 62% | 29% | 4.2% | 13% | 4y-47% | 4y-48% | 12/48 |
| [77] | NHL, HL | 67 | 66% S | 54 | Flu-Mel, Clo-Mel, Flu-Bu | 100 mg | 57% | 30% | 16.4% grade II – IV | 7/67 | 3y-47% | 3y-30% | 3/67 |
| [69] | MCL | 70 | 81% S | 48 | Flu-Mel, BEAM, Flu-Bu | 30 – 100 mg | 60% | 18% | 10% | 34% | 5y-37% | 5y-14% | 27/70 |
| [46] | CLL | 41 | 83% S | 54 | Flu-Mel | 40 – 100 mg | 58% | 26% | 10% | 4.9% | 2y-51% | 5y-45% | 18/41 |
| [70] | FL | 82 | 90% S | 45 | Flu-Mel | 20 – 100 mg | 46% | 12% | 13% grade II – IV | 20% | 4y-76% | 4y-76% | 41/82 |
| [79] | FL | 44 | 90.9% S | 48 | BEAM | 50 – 100 mg | 64% | 20% | No grade III – IV | 6.8% | 3y-69% | 3y-58% | 13/44 |
| [78] | NHL, CLL, HL | 65 | 20% CR | 46 | BEAM | 50 – 100 mg | 87% | 13% | No grade III – IV | No extensive | 3y-63% | 3y-54% | 17/65 |
| [73] | HL | 36 | 55.5% S | 36 | Flu-Mel | 50 – 100 mg | 100% | 7% | No grade III – IV | 2/36 | 4y-62% | 4y-39% | 19/36 |
Age: median age, aGvHD: cumulative incidence of grade III-IV acute graft-versus-host disease, BEAM: bis-chloroethylnitrosourea, Etoposide, Ara-C, Melphalan, Bu: busulfan, Camp: campath/alemtuzumab, Camp dose: cumulative dose of alemtuzumab, cGvHD: cumulative incidence of extensive chronic graft-versus-host disease, CLL: chronic lymphocytic leukemia, CR: complete remission, DFS: disease-free survival, Disease Status: disease status at the time of transplantation, DLI: donor lymphocyte infusion given for relapse or mixed chimerism, FL: follicular lymphoma, Flu: Fludarabine, HG-NHL: High-grade non-Hodgkin’s lymphoma, HL: Hodgkin’s lymphoma, MCL: mantle cell lymphoma, Mel: melphalan, NHL: non-Hodgkin’s lymphoma, Nr: numbers of patients, OS: overall survival, PFS: progression-free survival, RIC: reduced-intensity conditioning, S: chemosensitive disease, SCT: allogeneic stem cell transplantation, % Sib: proportion of sibling donor, TRM: treatment-related mortality 1 year after transplantation