Table 1.
Donor Type | |||
---|---|---|---|
Related | Unrelated | All participants | |
Total number | 24 | 78 | 102 |
Sex, female/male (% female) | 9/15 (38%) | 28/50 (36%) | 37/65 (36%) |
Actual body weight (kg) | 80 (50 – 119) | 83 (45 – 142) | 82 (45 – 142) |
HCT-CI[40] | |||
0 | 1 (4%) | 8 (10%) | 9 (9%) |
1–2 | 3 (13%) | 17 (22%) | 20 (20%) |
3–4 | 11 (46%) | 30 (38%) | 41 (40%) |
≥5 | 9 (38%) | 23 (29%) | 32 (32%) |
Recipients’ ages, years | 59 (20 – 69) | 62 (28 – 75) | 62 (20 – 75) |
CMV positive recipient or donor | 16 (67%) | 51 (65%) | 67 (66%) |
Kahl Disease risk[27] | |||
Low | 4 (17%) | 29 (37%) | 33 (32%) |
Standard | 16 (67%) | 33 (42%) | 49 (48%) |
High | 4 (17%) | 16 (21%) | 20 (20%) |
Diagnosis | |||
Non-Hodgkin lymphoma | 7 (29%) | 27 (35%) | 34 (33%) |
Chronic lymphocytic leukemia | 8 (33%) | 14 (18%) | 22 (22%) |
Acute myelogenous leukemia | 4 (17%) | 11 (14%) | 15 (15%) |
Myelodysplastic syndrome | 1 (4%) | 9 (12%) | 10 (10%) |
Multiple myeloma | 1 (4%) | 8 (10%) | 9 (9%) |
Acute lymphocytic leukemia | 1 (4%) | 3 (4%) | 4 (4%) |
Myelofibrosis / Myeloproliferative disorder | 0 | 3 (4%) | 3 (3%) |
Aplastic anemia | 0 | 2 (3%) | 2 (2%) |
Hodgkin disease | 2 (8%) | 0 | 2 (2%) |
Paroxysmal nocturnal hemoglobinuria | 0 | 1 (1%) | 1 (1%) |
Female donor to male recipient | 10 (42%) | 19 (24%) | 29 (28%) |
Donors’ ages, years | 55 (23 – 73) | 31 (20 – 58) | 35 (20 – 73) |
HLA-mismatched graft | 1 (4%) | 2 (3%) | 3 (3%) |
Conditioning regimen | |||
2Gy TBI + FLU ± auto | 11 (46%) | 38 (49%) | 49 (48%) |
2Gy TBI + FLU + rituximab ± autob | 11 (46%) | 20 (26%) | 31 (30%) |
3Gy TBI + FLU ± rituximabb | 2 (8%) | 13 (17%) | 15 (15%) |
4–4.5 Gy TBI + FLU | 0 | 7 (9%) | 7 (7%) |
Post-grafting immunosuppression | |||
MMF Q8h | 1 (4%) | 78 (100%) | 79 (77%) |
MMF Q12h | 23 (96%) | 0 | 23 (23%) |
Cyclosporine+MMF±sirolimusc | 14 (58%) | 54 (69%) | 68 (67%) |
Tacrolimus+MMF±sirolimusd | 10 (42%) | 24 (31%) | 34 (33%) |
Data shown as median (range) or as number (%).
Rituximab given on days −3, +10, +24, and +38 relative to transplant;
Ten participants received cyclosporine + sirolimus, one with a matched donor and nine with unrelated donors;
Five participants received tacrolimus + sirolimus, all with unrelated donors.
Abbreviations: auto: autologous transplant; CMV: cytomegalovirus; FLU: fludarabine monophosphate; HCT-CI: HCT comorbidity index; HLA: human leukocyte antigen; MMF: mycophenolate mofetil; TBI: total body irradiation.