Table 2.
Characteristics of patients who were alive 2-years after transplantation.
Characteristic | Number (percent) |
---|---|
Number | 950 |
Age at transplant, years | |
≤10 | 458 (48%) |
11 – 17 | 276 (29%) |
18 – 29 | 142 (15%) |
30 – 39 | 47 (5%) |
40 – 49 | 21 (2%) |
≥ 50 | 6 (1%) |
Sex, male/female | 531(56%)/419(44%) |
Disease type, Hemoglobin SS/SP-thalassemia | 917(97%)/33(3%) |
Performance score | |
≤ 80 | 187 (20%) |
90 – 100 | 711 (75%) |
Not reported | 52 (5%) |
Donor type | |
HLA-matched sibling | 627 (66%) |
Haploidentical relative | 124 (13%) |
HLA-matched unrelated | 95 (10%) |
HLA-mismatched unrelated | 104 (11%) |
Graft type | |
Bone marrow | 669 (70%) |
Peripheral blood | 167 (18%) |
Umbilical cord blood | 114 (12%) |
Conditioning regimen intensity | |
Myeloablative | 496 (52%) |
Reduced-intensity | 237 (25%) |
Non-myeloablative | 173 (18%) |
Not reported | 44 (5%) |
In vivo T-cell depletion | |
None | 67 (7%) |
Yes | 864 (91%) |
GVHD prophylaxis | |
Ex vivo T-cell depletion | 15 (2%) |
CD 34 selection | 34 (4%) |
Post-transplant cyclophosphamide/CNI/other | 92 (10%) |
CNI/mycophenolate or methotrexate | 643 (68%) |
CNI/prednisone | 63 (7%) |
Other | 103 (11%) |
History of grade II-IV acute GVHD | |
None | 777 (82%) |
Yes | 146 (15%) |
Not reported | 27 (3%) |
History of chronic GVHD | |
None | 727 (77%) |
Yes | 217 (23%) |
Not reported | 6 (1%) |
Transplant period | |
2000 – 2005 | 101 (11%) |
2006 – 2010 | 182 (19%) |
2011 – 2015 | 443 (47%) |
2016 – 2017 | 224 (24%) |
Follow up, median (range), months | 62 (24 – 244) |
Abbreviation:
CNI = calcineurin inhibitor
GVHD = graft versus host disease
Conditioning regimen intensity
Myeloablative: busulfan was administered orally at a concentration greater than 8 mg/kg or intravenously at a concentration greater than 6 mg/kg, or melphalan was administered at concentrations greater than 150 mg/m2
Reduced intensity: lower doses of busulfan or melphalan
Non-myeloablative: Total body irradiation regimens (dose 200–400 cGy) alone or with cyclophosphamide and/or fludarabine