Table 1.

Patient, donor, and transplant characteristics

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)  
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

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