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.