Table 1.
Ref. | n | Preparative regimen | T-cell depletion/engraftment | GVHD prophylaxis | Acute GVHD | Chronic GVHD | TRM | OS |
Perugia, | 255 | TBI +/- | Yes | none | 17% | < 5% | 41% | 47%2 |
Aversa et al[59-61] | MA | 84%-96% | ||||||
ATG | ||||||||
Peking, GIAC[69,70] | 250 | MA | No | CsA, MTX | 45% | 31% | 12%-48% | 56%-71% AML1 |
ATG | G-BM + G-PB | MMF | 25%-60% ALL1 | |||||
100% | ||||||||
Montreal | TBI +/- | Yes | none | 20% | 25% | 15% | 47% | |
Bastien et al[56] | 19 | MA | T cell | |||||
ATG | “Add Back” | |||||||
100% | ||||||||
Baltimore | 210 | NMA | No | Tacro, MMF | 27% | 13% | 15% | 40%-45% |
Studies[64-67] | 87% | PTCyclo | ||||||
Di Bartolomeo et al[68] | 88 | MA 80% | No | CsA, MTX | 24% | 6% | 36% | 33%-54%1 |
NMA 20% | G-BM | MMF | ||||||
ATG | 91% | Basilixumab |
Survival range including standard and high-risk groups;
Survival for patients in complete remission. A variety of approaches have been studied that compare MA-myeloablative to NMA-non myeloablative, T cell depletion of graft, and GVHD prophylaxis. Engraftment rates are high, and GVHD can be attenuated through T cell depletion of the graft or by intensive anti-GVHD prophylaxis, including ATG. GVHD: Graft-vs-host disease; TRM: Treatment related mortality; OS: Overall survival; TBI: Total body irradiation; ATG: Anti-thymocyte globulin; CsA: Cyclosporine A; MTX: Methotrexate; MMF: Mycophenolate mofetil; PTCyclo: Post transplant cyclophosphamide; AML: Acute myeloid leukemia; ALL: Acute lymphoblastic leukemia; Tacro: Tacrolimus.