Table 4.
Parameter (Ref.) | Timing | Result | Outcome | Multivariate analysis |
---|---|---|---|---|
Lymphocyte count [812,813] | Day 15 | <500/μl | Decreased OS and PFS (autologous HCT) | Yes |
Lymphocyte count [814,815] | Day 30 | <300/μl | Decreased OS and LFS, Increased NRM (allogeneic HCT) | Yes |
B-cells and monocyte counts [816] | Day 80 | Low (cutoff value not given) | Increased infections | Yes |
CD4 T-cell count [59] | 3 months | <200/μl | Decreased OS, Increased NRM and infections | Yes (OS and NRM), No (infections) |
CD8 T-cell and B-cell counts [817] | 6 months | Low (cutoff value not given) | Increased treatment failure (death, relapse or graft failure) | No |
CMV peptide–specific CD8 T-cell counts* [818] | Every 2 weeks during days 0 to 65 | <7 cells/ml in all samples | Increased risk of recurrent or persistent CMV reactivation | Not specified |
CMV-specific lymphoproliferation [248] | 4 months | Undetectable proliferation | Increased late CMV disease | No |
NK-cell chimerism [815] | First 100 days | Incomplete chimerism | Decreased RFS | Yes |
NK-cell count [819] | Day 15 | <80/μl | Decreased OS and PFS (autologous HCT) | Yes |
CD56high NK-cell count [820] | Day 14 | <7/μl** | Decreased OS, increased NRM | Yes (OS), No (NRM) |
Non-HLA genetics [821–824] | Pre-transplant | At risk allele in donor or recipient | Increased infections, survival | No |
Assay measuring the quantity but not quality of CMV-specific T cells.
Patients were split into low, intermediate and high groups with cutoffs of 4/μl and 9/μl.
Abbreviations: OS – overall survival, PFS – progression-free survival, LFS – leukemia-free survival, NRM – non-relapse mortality, CMV - cytomegalovirus