Table 4b.
Summary of studies analyzing risk factors for chronic GVHD after UCBT
Study | Population | Incidence of chronic GVHD | Risk Factors |
---|---|---|---|
Macmillan et al.11 | Single UCBT (n=80) |
18% | Prior grades II–IV acute GVHD |
Double UCBT (n=185) |
17% | ||
Lazaryan et al.10 | Single UCBT (n=295) |
7% | Age ≥ 18 Non-use of cyclosporine/MMF for GVHD prophylaxis |
Double UCBT (n=416) |
26% | Higher HLA-mismatch Myeloablative conditioning Prior grades II–IV acute GVHD |
|
Ponce et al.13 | Double UCBT (n=115) |
23% | Not reported |
Narimatsu et al.14 | Single UCBT (n=1072) |
28% | Higher recipient body weight Higher HLA-mismatch Myeloablative conditioning Use of mycophenolate mofetil Prior grades II–IV acute GVHD |
Xavier et al.12 | Double UCBT (n=921) |
25% | Higher HLA-mismatch Prior grades II–IV acute GVHD |
Chen et al. | Single UCBT (n=810) |
27% | Prior grades II–IV acute GVHD |
Double UCBT (n=594) |
26% |
Abbreviations: GVHD = graft-vs.-host disease; UCBT = umbilical cord blood transplantation; UCB = umbilical cord blood; MMF = mycophenolate mofetil; ATG = anti-thymocyte globulin; HLA = human leukocyte antigen; iv-TCD = in vivo T-cell depletion