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. 2019 Aug 8;7:295. doi: 10.3389/fped.2019.00295

Table 4.

Common conditioning regimens used in PID HSCT, adapted from (17).

Conditioning regimens Drug combination +/– Engrafment rate Toxicity
Myeloablative Conditioning (MAC)* Bu (90 ± 5 mg × h/L iv) + Flu (160 mg/m2) Alemtuzumab or ATG High High
Reduced Intensity Conditioning (RIC) Bu (60 ±5 mg × h/L iv) + Flu (180 mg/m2) Alemtuzumab or ATG Variable Low
Flu (150 mg/m2) + Melphalan (140 mg/m2) Alemtuzumab
Treosulphan (42 g/m2) + Flu (150 mg/m2)° None or Alemtuzumab

Thiotepa can be used in addition to current conditioning regimen when more myelosuppression is needed.

*

Bu/CY conditioning is associated with increased risk of VOD and no longer recommended.

°

Regimen also assessed as reduced toxicity conditioning. Bu, busulfan; Flu, fludarabine; ATG, antithymocyte globulin; CY, cyclophosphamide; VOD, veno-occlusive disease.