Table 3.
Study ID | Dose level | # Doses | Time from GVHD dx (years) | Baseline severity | Treatment on day 1 | Other treatments | Severity at last f/u | Overall response1 | Steroid dose (mg/kg) |
---|---|---|---|---|---|---|---|---|---|
EPIC2014-07 | 2 | 2 | 2.1 | Severe | Steroid, FK2 | Sirolimus, MMF, ruxolitinib, ECP, imatinib, MTX, rituximab | Severe | PR | 0.3→0.3 |
EPIC2014-12 | 2 | 2 | 0.23 | Mod | Steroid | FK, ruxolitinib | Mod | PR | 0.5→0.2 |
EPIC2014-13 | 2 | 2 | 0.54 | Severe | FK5 | Steroid, ruxolitinib, ibrutinib, ECP | Severe | PD | 0→0 |
EPIC2014-14 | 3 | 4 | 1.7 | Severe | Steroid, FK, ruxolitinib | N/A | Severe | SD | 0.1→0.1 |
EPIC2014-16 | 3 | 4 | 6.2 | Severe | Steroid, sirolimus, ibrutinib6 | FK, ECP | Severe | PR | 0.6→0.4 |
EPIC2014-177 | 3 | 2 | 4.4 | Severe | Ruxolitinib, MMF | Steroid, rituximab, FK, MMF, imatinib, sirolimus, ECP, ruxolitinib | Mod | PR | 0→0 |
EPIC2014-188 | 3 | 4 | 0.2 | Mild | Steroid, FK, ruxolitinib | N/A | Mild | PR | 0.2→0 |
GVHD, graft-versus-host disease; MSC, mesenchymal stromal cells; dx, diagnosis; f/u, follow-up; mod, moderate; FK, tacrolimus; MMF, mycophenolate mofetil; ECP, extracorporeal photopheresis; MTX, methotrexate; PR, partial response; PD, progressive disease; SD, stable disease; EGD, esophagogastroduodenoscopy; UGI, upper gastrointestinal; LGI, lower GI.
(1)Overall response assessed at 3 months following first MSC infusion.
(2)Ibrutinib started 3 months following first MSC infusion.
(3)Date of diagnostic EGD, prior history of skin and nail chronic GVHD.
(4)Overlap GVHD diagnosed on 4/30/2015.
(5)Jakafi started at 9 months following first MSC infusion.
(6)Ruxolitinib started 5 months following first MSC infusion and ibrutinib discontinued.
(7)History of acute skin only GVHD, quiescent at study enrollment.
(8)At enrollment, patient had acute GVHD (stage 1 UGI, 2 LGI); at treatment, patient had only chronic GVHD.