Table 3.
Neutrophil engraftment | Platelet engraftment | Grades 2–4 acute GVHD | Chronic GVHD | Relapse at 4 years | NRM at 4 years | LFS at 4 years | OS at 4 years | ||
---|---|---|---|---|---|---|---|---|---|
MSDT (n = 61) |
Pre-MRD neg (Group1, n = 48) |
100% (95%CI, 100%) |
97.9% (95%CI, 93.8–100%) |
19.1% (95%CI, 7.9–30.3%) |
56.5% (95%CI, 40.4–72.6%) |
13.8% (95%CI, 1.6–26.0%)a |
15.2% (95%CI, 4.6–25.8%) |
71.0% (95%CI, 56.3–85.7%)b |
77.6% (95%CI, 65.3–89.9%)c |
Pre–MRD pos (Group2, n = 13) |
100% (95%CI, 100%) |
100% (95%CI, 100%) |
23.8% (95%CI, 0.1–47.5%) |
38.3% (95%CI, 7.7–68.9%) |
56.4% (95%CI, 15.8–97.0%) |
7.7% (95%CI, 0–23.0%) |
35.9% (95%CI, 2.0–69.8%) |
35.9% (95%CI, 2.0–69.8%) |
|
Haplo-HSCT (n = 141) |
Pre-MRD neg (Group3, n = 100) |
100% (95%CI, 100%) |
90.1% (95%CI, 83.8–96.4%) |
22.1% (95%CI, 13.9–30.3%) |
44.9% (95%CI, 33.5–56.3%) |
10.7% (95%CI, 3.8–17.6%)a |
16.3% (95%CI, 9.0–23.6%) |
72.3% (95%CI, 63.1–81.5%)d |
75.7% (95%CI, 66.3–85.1%)e |
Pre-MRD pos (Group4, n = 41) |
100% (95%CI, 100%) |
94.9% (95%CI, 87.8–100%) |
22.0% (95%CI, 9.3–34.7%) |
38.5% (95%CI, 21.4–55.6%) |
14.8% (95%CI, 3.6–26.0%)f |
7.3% (95%CI, 0–15.3%) |
77.7% (95%CI, 64.8–90.6%)g |
80.5% (95%CI, 68.3–92.7%)h |
P < 0.001 compared with the Pre-MRDpos MSDT group.
P = 0.024 compared with the Pre-MRDpos MSDT group.
P = 0.011 compared with the Pre-MRDpos MSDT group.
P = 0.043 compared with the Pre-MRDpos MSDT group.
P = 0.020 compared with the Pre-MRDpos MSDT group.
P = 0.021 compared with the Pre-MRDpos MSDT group.
P = 0.036 compared with the Pre-MRDpos MSDT group.
P = 0.027 compared with the Pre-MRDpos MSDT group.
MSDT, human leukocyte antigen matched sibling donor transplantation; haplo-HSCT, haploidentical stem cell transplantation; MRD, minimal residual disease; Pre-MRD pos, positive MRD status before transplantation; Pre-MRD neg, negative MRD status before transplantation; GVHD, graft-vs.-host disease; NRM= non-relapse mortality.