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. 2022 May 6;6(9):2897–2907. doi: 10.1182/bloodadvances.2021006309

Table 2.

Characteristics of scheduled VST treatment failures

Patient number Indication for transplant Conditioning intensity and graft GVHD prophylaxis EBV and CMV serostatus (donor/recipient) Viral load prior to VST infusion Transplant day at infusion Criteria for treatment failure Peak viral load by 100 d after transplant Additional antiviral therapy (posttransplant day therapy started) Status at last follow-up
1 ALL, CR1 MAC Haploidentical PBSC T-cell depletion CMV: −/+ EBV: +/+ Plasma BK 911 27 EBV viremia 536 198 (EBV) Rituximab (day +94) Dead, sepsis, day 675
9 FA MAC MUD PBSC T-cell depletion CMV: +/− EBV: +/− Plasma BK 927 21 Symptomatic BK viruria 11 837 (BKV) None Alive
20 SDS RIC MUD Marrow CSA, MMF, abatacept CMV: −/indeterminate EBV: +/+ N/A 30 EBV viremia 528 917 (EBV) Rituximab (day +82), 3rd party VST (day +83) Alive
22 β-thalassemia MAC MUD Marrow Tacrolimus, MMF, abatacept CMV: +/+ EBV: −/+ N/A 21 CMV viremia 9400 (CMV) Valganciclovir (day+57) Alive
26 NK lympho- proliferative disorder RIC MUD Marrow Tacrolimus, MMF CMV: +/− EBV: +/+ N/A 21 Grade 3-4 GVHD 308 723 (ADV) Cidofovir (day +98) Dead, MOF, day 199

ALL, acute lymphoblastic leukemia; CSA, cyclosporine A; CR1, first complete remission; FA, Fanconi anemia; MAC, myeloablative conditioning; MMF, mycophenolate mofetil; MOF, multiorgan failure; MUD, matched unrelated donor; NK, natural killer cell; PBSC, peripheral blood stem cells; RIC, reduced intensity conditioning; SDS, Shwachman-Diamond syndrome; VST, virus-specific T cell.