Table 1.
Patient & Treatment Characteristics and Outcomes (N=89)
VARIABLE | All patients (N=89) |
TKI Exposure (n=55) |
TKI non-exposure (n=34) |
---|---|---|---|
Patient gender (Female/Male) | 36(40%) / 53(60%) | 22 (40%) / 33 (60%) | 14 (41%) / 20 (59%) |
Age (years) at HCT: median (range) | 44 (18 - 62) | 45 (18 - 62) | 41 (20 − 59) |
Time (months) from diagnosis to HCT
median (range) |
8.4 (1.8 - 125.9) | 5.5 (1.8 - 125.9) | 18 (3 − 123.1) |
Diagnosis
ALL Ph+ CML |
48(54%) 41(46%) |
36 (65%) 19 (35%) |
12 (35%) 22 (65%) |
Donor type
Matched Sibling Mismatched Sibling Matched Unrelated Donor Mismatched Unrelated Donor |
48(54%) 1 (1%) 12(14%) 28 (31%) |
33 (60%) 0 (0%) 6 (11%) 16 (29%) |
15 (44%) 1 (3%) 6 (18%) 12 (35%) |
Conditioning regimen
Reduced intensity Myeloablative Radiation-based Non-radiation-based |
15(17%) 74(83%) 59 (66%) 30 (34%) |
11 (20%) 44 (80%) 40 (73%) 15 (27%) |
4 (12%) 30 (88%) 19 (56%) 15 (44%) |
GVHD prophylaxis
Sirolimus/Tacrolimus-based Tacrolimus/Methotrexate-based Cyclosporine/MMF |
73 (82%) 14(16%) 2(2%) |
46 (85%) 7 (11%) 2 (4%) |
27 (79%) 7 (21%) 0 (0%) |
Time (months) to TKI start:
median (range) |
1.9 ( 0.7-17.9) | 1.9 ( 0.7-17.9) | N/A |
Duration (months) of TKI exposure*:
median (range) |
9.1 (0.1-89.4) | 9.1 (0.1-89.4) | N/A |
Acute GVHD
None Grade I Grade II Grade III Grade IV |
36(40%) 11 (12%) 27 (30%) 12 (14%) 3 (4%) |
24 (43%) 7 (13%) 16 (29%) 7 (13%) 1 (2%) |
12 (35%) 4 (12%) 11 (32%) 5 (15%) 2 (6%) |
Chronic GVHD
None Limited Extensive Died Prior to Day +100 |
13(14%) 6 (7%) 64 (72%) 6(7%) |
9 (16%) 5 (9%) 39 (71%) 2 (4%) |
4 (12%) 1 (3%) 25 (73%) 4 (12%) |
Sclerodermatous GVHD
Time of Onset Median (months) |
15 (17%) 16.8 (6.7-53.7) |
8 (15%) 13.8 (10.3-33.1) |
7 (21%) 17.1 (6.7-53.7) |
2-year Overall Survival | 72.5% ( 95% CI 61.8-80.7) | 73.8% (59.8 − 83.6) | 70.4% (51.9 − 82.8) |
2-year Progression-Free Survival | 65.9% (95% CI 54.9- 74.8) | 65.1% (50.9 − 76.2) | 67.3% (48.7 − 80.4) |
2-year Relapse/Progression
(cumulative incidence) |
14.8% (95% CI 8.9-24.3) | 22.0% (13.3 − 36.2) | 3.1% (0.4 − 21.1) |
HCT, hematopoietic cell transplantation; TKI, tyrosine kinase inhibitor; GVHD, graft-versus-host disease; MMF, mycophenolate mofetil; scGVHD, sclerodermatous graft-versus-host disease
Duration of exposure defined as start of TKI until discontinuation, last follow-up, or development of scGVHD, whichever occurred first.