Table 1.
Medical Center |
||||
---|---|---|---|---|
Patients and Outcomes | Northwestern University* |
Stanford University | Massachussetts General Hospital |
Samsung Medical Center |
HLA matched or mismatched | mismatched | matched/mismatched | mismatched | mismatched |
Recipient conditioning regimen | TBI+CY+Flu | TLI+ATG/TLI+ATG | LTI+CY+anti-CD2mAb | CY+ATG |
Donor cell composition | mobilized blood CD34 cells + T cells + facilitator cells |
mobilized blood CD34 cells + T cells |
whole bone marrow | whole bone marrow |
No. patients enrolled and given kidney transplants | 37 | 29/19 | 10 | 7 |
No. patients with withdrawal of IS drugs attempted | 22 | 24/6** | 7 | 4 |
No. patients continuously off IS drugs | 22 | 21/0 | 4 | 2 |
Duration continuously off IS drugs | 8–81 mos | 84–168 mos | 25–35 mos | |
No. patients off IS drugs with return to IS drugs due to rejection or relapse |
0 | 3/2 | 3 | 2 |
Duration off IS drugs before return to IS drugs | - | 12–63 mos/3–5 mos | 48–84 mos | 2–16 mos |
TBI-200 cGy total body irradiation; TLI-80–120 cGyx10 doses total lymphoid irradiation; CY-cyclophosphamide; ATG-anti-thymocyte globulin; Flu-fluorabine; CD34 cells; G-CSF; mobilized blood with enriched hematopoietic progenitor T cells from immobilized blood, mAb-monoclonal antibody, LTI-700cGy local thymic irradiation.
One of 37 recipients was enrolled and transplanted at Duke University
4 patients returned to therapeutic levels of Tac after loss of chimerism