Table I.
Characteristics of patients who underwent an allogeneic transplant after a failed autologous transplant for DLBCL from 2000–2012 reported to the CIBMTR. (Italicized text indicates variables available in CRF-level data patients).
Number of patients | 503 |
Number of CRF-level data patients | 155 |
Number of centres | 133 |
Median age at transplant, years (range) | 52 (19–72) |
Male gender | 305 (61) |
Race | |
Caucasian/White | 444 (88) |
Black | 17 (3) |
Others1 | 33 (7) |
Missing | 9 (2) |
Karnofsky Performance Score | |
80–100% | 393 (78) |
<80% | 52 (10) |
Missing | 58 (12) |
Stage III/IV at Diagnosis | 83 (54) |
Remission status at HCT | |
Complete remission | 175 (35) |
Partial remission | 197 (39) |
Chemorefractory | 106 (21) |
Untreated | 12 (2) |
Unknown | 13 (3) |
Rituximab prior to HCT | 112 (72) |
Radiation therapy prior to HCT | 98 (63) |
Lines of therapy prior to alloHCT | |
Median (range) | 4 (1–7) |
History of transformation from indolent histology | 25 (16) |
Elevated lactate dehydrogenase at HCT | 52 (34) |
Active extranodal disease at HCT | 49 (32) |
Bone marrow involvement at HCT | |
No bone marrow involvement | 141 (91) |
Bone marrow involvement | 7 (5) |
Missing | 7 (5) |
Bulky Disease (>5 cm) at HCT | 15 (10) |
Conditioning regimen intensity | |
Myeloablative | 127 (25) |
Reduced intensity conditioning | 376 (75) |
TBI in conditioning regimens | |
Myeloablative doses of TBI | 41 (8) |
Graft type | |
Bone marrow | 47 (9) |
Peripheral Blood | 456 (91) |
Type of donor | |
HLA-identical sibling | 253 (50) |
Unrelated well-matched | 118 (23) |
Unrelated partially matched | 132 (26) |
Donor-Recipient CMV Status | |
−/+ | 102 (20) |
Other | 226 (45) |
Missing | 175 (35) |
GVHD Prophylaxis | |
CNI + MMF +- others | 180 (36) |
CNI + MTX +-others (except MMF) | 219 (43) |
CNI + others (except MTX, MMF) | 64 (13) |
Other GVHD prophylaxis2 | 7 (1) |
Missing GVHD prophylaxis | 33 (7) |
Antithymocyte globulin in conditioning | 110 (22) |
Alemtuzumab in conditioning | 7 (1) |
Year of Transplant | |
2000–2003 | 111 (22) |
2004–2007 | 154 (31) |
2008–2012 | 238 (47) |
Time from autoHCT to alloHCT | |
Median (range) | 15 (1–198) |
≤12 months | 201 (40) |
>12 months | 302 (60) |
Median follow-up of survivors (range), months | 55 (1–149) |
HCT=haematopoietic cell transplantation; alloHCT=allogeneic haematopoietic cell transplantation; autoHCT= autologous haematopoietic cell transplantation; TBI=total body irrdation; CMV=Cytomegalovirus; GVHD=graft-versus-host disease; CNI=calcineurin inhibitor; MMF=mycophenolate mofetil; MTX=methotrexate
Asian (n=25), Native American (n=1), Pacific Islander (n=1), other (n=6)
MMF/Campath (n=1), MMF/Sirolimus (n=1), MTX(n=3), MMF/MTX(n=1), MMF/MTX/Sirolimus (n=1)