Table 2. Chronic GVHD Characteristics.
N (% or range) | |
---|---|
All | 258 |
Median months from transplant to cGVHD Dx | 7 (2-267a) |
Median months from cGVHD Dx to consent | 23 (0-222) |
Median months from transplant to consent | 36 (4-297) |
cGVHD Organ Involvementb | |
Skin | 204 (79) |
Joints and Fascia | 164 (64) |
Eyes | 206 (80) |
Mouth | 176 (68) |
Lungs | 198 (77) |
Liver | 132 (51) |
GI | 113 (44) |
Genital (females only, N=113) | 64 (57) |
Average NIH Organ Score | 1.13 (0.14-2.14) |
Number of organs affected by cGVHD | Median 5 (1-8) |
1-2 | 12 (4) |
3-4 | 92 (36) |
5-6 | 111 (43) |
7-8 | 43 (17) |
NIH Global Scorec | |
Mild | 3 (1) |
Moderate | 71 (28) |
Severe | 184 (71) |
Prior cGVHD Systemic Treatment Regimens | |
<2 | 26 (10) |
2-3 | 95 (37) |
4-5 | 89 (34) |
>5 | 46 (18) |
Unknown | 2 (1) |
Intensity of Current Immunosuppressiond | |
None/Mild | 60 (23) |
Moderate | 97 (38) |
High | 100 (39) |
Unknown | 1 (<1) |
Current Use of Calcineurin Inhibitor | |
Yes | 120 (47) |
No | 138 (53) |
Prednisone-Equivalent Corticosteroid Dose | |
None | 114 (44) |
<0.25mg/kg/day | 69 (26) |
0.25mg/kg/day to 0.5mg/kg/day | 35 (14) |
>0.5mg/kg/day | 40 (16) |
cGVHD diagnosed in patient after donor lymphocyte infusion; longest period from transplant to cGVHD diagnosis without intermediate donor lymphocyte infusion was 103 months
cGVHD organ involvement per NIH organ staging (28).
Definition for NIH Global score is as follows: mild (1 to 2 organs affected by chronic GVHD with scores of 1), moderate (more than 2 organs with score of 1, any score of 2, or lung score of 1), or severe (any score of 3 or lung score of 2) (28).
Definition of intensity of current immunosuppression is as follows: mild (single-agent prednisone 0.5mg/kg/day), moderate (single-agent prednisone 0.5mg/kg/day and/or any single agent/modality), high (2 or more agents/modalities +/- prednisone 0.5mg/kg/day) (4).
Abbreviations: cGVHD–Chronic GVHD, Dx–Diagnosis, GI–Gastrointestinal