Table 1.
Patients | N (%) | Notes |
Sex | ||
Male | 43 (61) | |
Female | 27 (39) | |
Age at diagnosis, median (range), y | 0.96 (0.0 (prenatal)-14.2) | |
Age at HSCT, median (range), y | 3.5 (0.3-16.1) | |
Time from diagnosis to HSCT, median (range), mo | 10.5 (1.2-177.7) | |
for SCID patients, mo | 2.7 (1.3-16.8) | |
Diagnosis | n (%) | |
SCID | 21 [3 Omenn] (30) | RAG1-2: 8; IL2RG: 3; JAK3: 2; ADA: 2; PNP: 1; DCLRE1C: 1; CD3e: 1; IL7R: 1; unk: 2 |
SAA* | 13 (18.5) | |
RBC disorders | 11 (15.5) | Thal: 10; SCD: 1 |
HLH | 6 (8.5) | |
Other PID | 11 (15.5) | CID: 2 (1 IL7R; 1 RAG1-2); WAS: 2; IPEX: 1; HIES: 1; CGD: 1; CD27def: 1; WHIM: 1; LRBA-def: 1; NEMO-def: 1 |
IBMFS | 3 (4.5) | CAMT: 1; SDS: 1; SCN: 1 |
Metabolic disorders | 3 (4.5) | ALD: 2; MLD: 1 |
Other | 2 (3) | Osteopetrosis: 1; NMO: 1 |
Previous HSCT | 5 (7) | |
Donor characteristics | median (range) | |
Age, y | 37.5 (20-51) | |
Type of donor | n (%) | |
Mother | 41 (58.5) | |
Father | 26 (37) | |
Sibling | 3 (4.5) | |
Sex mismatch | 35 (50) | |
Female donor → male recipient | 26/35 (74) | |
HLA-match | ||
Host-versus-graft direction | n (%) | |
5/10 | 42 (60) | |
6/10 | 20 (28.5) | |
7/10 | 8 (11.5) | |
Graft-versus-host direction | n (%) | |
5/10 | 32 (46) | |
6/10 | 22 (31.5) | |
7/10 | 16 (22.5) | |
CMV status for donor/recipient | n (%) | |
NEG/NEG | 3 (4.5) | |
POS/NEG | 10 (14) | |
NEG/POS | 7 (10) | |
POS/POS | 50 (71.5) | |
Infectious status at HSCT | n (%) | |
No infections | 47 (67) | |
Infection present | 23 (33) | |
Bacterial | 3 (13) | |
Viral | 17 (74) | |
Fungal | 3 (13) | |
Conditioning regimen used | n (%) | |
Busulfan†+Thiotepa+Fludarabine | 24 (34) | Thal, SCD, HLH, metabolic disorders, some PIDs |
Treosulfan+Thiotepa+Fludarabine | 18 (26) | some PIDs, IBMFs, other |
Treosulfan+Fludarabine | 16 (23) | SCID |
Cyclophosphamide+Fludarabine ±TBI | 11 (15.5) | SAA |
Other | 1 (1.5) | |
Cell dose infused | median (range) | |
CD34+ cells × 106/kg | 20.3 (8.5-48.8) | |
αβ+ T cells × 106/kg | 0.034 (0.002-0.095) | |
γδ+ T cells × 106/kg | 13.0 (1.0-143.4) | |
NK cells × 106/kg | 48.5 (8.1-156.1) | |
CD20+ cells × 106/kg | 0.02 (0.003-1.96) |
ALD, adrenoleukodystrophy; CAMT, congenital amegakaryocytic thrombocytopenia; FA, Fanconi anemia; IBMFS, inherited bone marrow failure syndromes; mo, months; NEMO, Nuclear factor-kappa B essential modulator (NEMO) deficiency; SAA, severe aplastic anemia; unk, unknown; WAS, Wiskott-Aldrich syndrome; y, years.
1 patient with EB and SAA
busulfan was adjusted to maintain Css between 600 and 900 ng/ml