Table 1.
Pat1 (male) | Pat2 (female) | |
---|---|---|
Age at diagnosis |
10 months |
0 months |
Age at umbilical-SCT |
20 months |
15 months |
Conditioning regimen umbilical-SCT1 |
Bu/Cy/Thy |
Bu/Cy/Thy |
HLA match |
6/6 |
4/6 |
TNC (×106/kg) |
75 |
44 |
CD34+ (×106/kg) |
1.2 |
0.26 |
GvHD prophylaxis |
Ciclosporin and methylprednisolon |
|
Outcome |
Graft rejection day +39 |
Non engraftment with autologous reconstitution day +42 |
Time from umbilical- to haplo-SCT |
54 days |
59 days |
Age at haplo-SCT |
22 months |
17 months |
Cell source |
Peripheral blood stem cells from father |
|
CD34+ (106/kg) |
27 |
15 |
CD3+ (106/kg) |
0.047 |
0.0024 |
T-cell depletion |
CliniMACS selection of CD34+ cells [20] |
|
B-cell depletion |
Rituximab in vivo day +1 |
|
Conditioning regimen haplo-SCT1 |
Flu/Eto/OKT3 |
Flu/TT/Mel/OKT3 |
GvHD prophylaxis |
Mycophenolate mofetil day -1 to +28 |
|
Engraftment ANC > 500/ml |
Day +10 |
Day +16 |
Complications | None | Encephalitis of unknown origin - recovered |
TNC total nucleated cells, GvHD graft versus host disease, ANC absolute neutrophil count, Bu busulfan, Cy cyclophosphamide, Thy thymoglobuline, Flu fludarabine, Eto etoposide, OKT3 muromonab, TT thiotepa, Mel melphalan. 1 for doses, see Methods.