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. Author manuscript; available in PMC: 2019 Oct 18.
Published in final edited form as: N Engl J Med. 2019 Apr 18;380(16):1525–1534. doi: 10.1056/NEJMoa1815408

Table 1.

Characteristics of the Patients.*

Patient No. (Age at Gene Therapy) IL2RG Mutation Maternal T-Cell Engraftment CD3+ Cell Count CD19+ Cell Count  CD3− CD56+ Cell Count Medical History Busulfan Cumulative AUC CD34+ Cell Dose VCN of Graft Follow-up Duration Status at Last Follow-up
% of T cells cells/mm3 mg × hr/liter no. × 10−6/kg copies/cell mo
1 (6 mo) c.720G→A p. Trp240X 100 3916 1210  40 Neutropenia, CMV, coronavirus 20.0 4.46 0.16 24.9 CMV and coronavirus resolved, autoimmune cytopenia had developed but resolved
2 (3 mo) c.270(−15)A→G IVS2 branch point A splice  0   0 2340  13 Rhinovirus 22.5 8.67 1.13 23.1 No longer receiving IV immune globulin, immunized§
3 (4 mo) c.876(−1)G→A IVS5 splice  0  10 1138  18 Rhinovirus 20.7 9.26 0.80 20.1 No longer receiving IV immune globulin, immunized§
4 (14 mo) c.562C→T p. Gln188X  0   0  190   4 Disseminated BCG, legionella, rhino‑ virus 23.0 6.93 0.35 17.1 Disseminated BCG and legionella resolved, no longer receiving IV immune globulin, immunized
5 (3 mo) c.677G→A p. Arg266His  0   0 5832 1094 None 22.8 6.02 0.44 15.7 Outpatient
6 (11 mo) c.903_910del p. Glu302Argf‑sX11  0  41 1376  19 Disseminated BCG 22.9 4.60 0.17 14.6 Disseminated BCG resolved, no longer receiving IV immune globulin, immunized§
7 (2 (mo) c.548delT p. Leu183Trpf‑sX90  42  15 1178  11 Neutropenia 20.4 15.10 1.10 11.1 Outpatient
8 (3 mo) c.326_340del p.Glu109_ Ser113del  1   4 2590   2 Aphthous ulcers 22.2 6.52 0.36 6.7 Outpatient, ulcers resolved
*

AUC denotes area under the curve, BCG bacille Calmette–Guérin, CMV cytomegalovirus, IV intravenous, and VCN vector copy number.

All patients are off protective precautions (i.e., not in protective isolation and not receiving prophylactic antimicrobial agents).

Patient 1 received a gene therapy boost without busulfan conditioning 12 months after the first infusion because of poor reconstitution; the CD34+ cell dose of the boost was 2.5×106 cells per kilogram of body weight, and the vector copy number was 0.22 copies per cell. Data for this patient after the gene therapy boost are provided in the Supplementary Appendix.

§

The patient had a response to vaccines.