Table 3.
Characteristics and outcomes of UCBT recipients who developed CMV disease (n = 10)
Age, y | Prophylaxis | Diagnosis | Conditioning regimen | No. donors | aGVHD grade, days | Time to CMV reactivation, days | Viral load at first reactivation, copies/mL | Time to CMV disease, days | Sites of CMV disease | Out-come |
---|---|---|---|---|---|---|---|---|---|---|
Early disease (days 0-100) | ||||||||||
42 | Standard | AML | Cy + Flu + TBI (1320 cGy) | 2 | 2 (21) | 57 | 3354 | 92 | GI | Alive |
64 | Standard | AML | Cy + Flu + TBI (1320 cGy) | 2 | 2 (34) | 18 | 22 000 | 34 | Lung | Dead |
23 | Standard | ALL | Cy + Flu + ATG + TBI (200 cGy) | 2 | 3 (15) | 17* | 35 | 17* | Lung | Alive |
28 | Standard | AML | CY + Flu + TBI (1320 cGy) | 2 | NE | 21* | 63 | 33 | Disseminated | Dead |
21 | Standard | ALL | Cy + Flu + TBI (1320 cGy) | 2 | NE | 8* | 6000 | 11* | GI | Dead |
42 | Standard | ALL | Cy + Flu + TBI (1320 cGy) | 2 | 2 (35) | 3* | 100 | 66 | GI | Alive |
1 | Intensive | Hystiocytosis | Campath + Mel + Flu | 1 | 0 | 3* | 47 | 11* | Lung | Alive |
53 | Intensive | AML | Treo + Flu + TBI (200 cGy) | 2 | NE | - | - | 42† | Lung | Dead |
Late disease (days 101-365) | ||||||||||
54 | Standard | AML | Cy + Flu + ATG, TBI (200 cGy) | 1 | 0 | 21 | 1053 | 191 | Lung | Dead |
2 | Standard | AML | Cy + Flu + TBI (1320 cGy) | 2 | 3 (10) | 8* | 3200 | 165 | Lung | Alive |
ALL indicates acute lymphoblastic leukemia; AML, acute myelogenous leukemia; ATG, antithymocyte globulin; Cy, cyclophosphamide; Flu, fludarabine; GI, gastrointestinal; Intensive, intensive prophylactic strategy; Mel, melphalan, NE, not evaluable; Standard, standard prophylactic strategy; TBI, total body irradiation; and UCBT, umbilical cord blood transplantation.
Complication developed preengraftment.
Developed early relapse.