TABLE VI.
Outcome | Patients (n = 48) |
---|---|
Alive and well with phenotype reversal | 41 (85) |
Full donor chimerism (>95%)* | 33 (69) |
Mixed CD3+ donor chimerism only (<95%)† | 3 (6) |
Mixed donor chimerism in both compartments (<95%)‡ | 3 (6) |
Other§ | 2 (6) |
Alive with phenotype reversal but significant ongoing complications|| | 4 (8) |
Other | 3 (6) |
Partial phenotype reversal, mixed donor chimerism¶ | 2 (4) |
Too early to evaluate phenotype reversal (<100 days post-HCT) | 1 (2) |
Values are n (%).
Whole blood or myeloid donor chimerism >95%; CD3+ chimerism, if available (n = 14), was >95%.
Whole blood or myeloid donor chimerism >95%; CD3+ chimerism <95% (9.2%, 40%, 93%).
Whole blood or myeloid donor chimerism <95% (range, 52%−82%) and CD3+ himerism <95% (range, 67.5%−84%).
Whole blood donor chimerism <95% (n = 1, 94%) and full CD3+ donor chimerism but mixed myeloid and whole blood donor chimerism (n = 1, 96%, 86%, 90%, respectively).
Ongoing complications include GVHD (n = 2) and chronic kidney disease (n = 2). All have 100% donor chimerism.
One patient has resolution of recurrent respiratory infections and enteropathy with negative EBV, CMV, and adenovirus in blood, but recent ocular HSV and VZV despite prophylaxis 2 years post-HCT; last donor chimerism: 35% whole blood, 26% myeloid, 34% CD3+, 17% CD19+. The other patient has improvement of disseminated Mycoplasma orale infection but continued immune thrombocytopenia and hypogammaglobulinemia 2.8 years post-HCT; last donor chimerism: 85% myeloid, 58% CD3+, 99% CD19+, 82% natural killer.