Outcome after post–allo-HCT nivolumab administration
| Patient . | Transplantation modalities and complications . | Nivolumab . | Outcome . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Donor type . | Conditioning . | History of GVHD/type . | Localization . | Grade . | Time from allo-HCT to initiation (mo) . | Treatment duration (weeks) . | Reason for discontinuation . | Nivolumab-induced GVHD . | Follow-up (d)* . | Current status . | Cause of death . | |||
| Localization . | Treatment . | Grade . | ||||||||||||
| 1 | MUD | Thio-Bu-Flu | Acute/chronic | Skin/ mucosa, mild | II | 15 | 2 | Nivolumab-induced GVHD | Liver | Corticosteroids and cyclosporine | III | 154 | Still in response | NA |
| 2 | Double unit-CB | Flu-Cy-TBI | Acute | Skin and gastrointestinal tract | III | 9 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroids | I | 223 | Still in response | NA |
| 3 | MRD | Flu-Bu-ATG | Acute | Skin | III | 19 | 2 | Nivolumab-induced GVHD | Liver | Corticosteroids | III | 105 | Died in response | Grade III GVHD and care refusal |
| 4 | MRD | Flu-Bu-ATG | Acute | Skin and gastrointestinal tract | II | 8 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroids | III | 363 | Still in response | NA |
| 5 | MUD | Flu-TBI-ATG | Acute | Skin | II | 2 | 2 | Nivolumab-induced GVHD | Skin and liver | No immunosuppressive therapy | IV | NE | Response not evaluable | Multiple organ failure |
| 6 | Haplo (father) | Flu-Cy-TBI | Acute | Skin and gastrointestinal tract | III | 7 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroid, basiliximab and photopheresis | IV | 132 | Death after relapse | Progressive disease |
| 7 | MRD | Flu-Bu-ATG | Acute | Skin | II | 17 | 50 | Ongoing | No | 188 | Relapse, new response after re-treatment | NA | ||
| 8 | MUD | Flu-Bu-ATG | Acute | Skin | III | 51 | 33 | Relapse | No | 245 | Relapse | NA | ||
| 9 | MRD | Flu-Bu-ATG | Acute | Skin and gastrointestinal tract | II | 27 | 34 | Ongoing | No | 231 | Still in response | NA | ||
| 10 | MRD | Flu-Mel | Acute | Skin | I | 59 | 67 | Ongoing | No | 450 | Still in response | NA | ||
| 11 | Double-unit CB | Flu-Cy-TBI | Chronic | Skin | NA | 29 | 13 | Consolidation with a second allo-HCT | No | 468 | Still in response | NA | ||
| 12 | MRD | Flu-TBI | Chronic | Mucosa | NA | 105 | 67 | Ongoing | No | 462 | Still in response | NA | ||
| 13 | MMUD | Flu-Bu-ATG | Chronic | Skin | NA | 7 | 7 | Cerebellar ataxia | No | 437 | Still in response | NA | ||
| 14 | MMUD | Flu-TBI | No | 28 | 17 | Relapse | No | 117 | Relapse | NA | ||||
| 15 | MRD | Flu-Bu-ATG | No | 12 | 14 | Relapse | No | 98 | Relapse | Complications of second allo-HCT | ||||
| 16 | MRD | Flu-Bu-ATG | No | 27 | 55 | Ongoing | No | 365 | Still in response | NA | ||||
| 17 | Double-unit CB | Flu-Cy-ATG | No | 12 | 55 | Ongoing | No | 374 | Still in response | NA | ||||
| 18 | MMUD | Flu-Bu-ATG | No | 33 | 21 | Hematologic toxicity | No | 456 | Still in response | NA | ||||
| 19 | MRD | Flu-Bu-ATG | No | 111 | 71 | Ongoing | No | 486 | Still in response | NA | ||||
| 20 | MRC | Flu-Bu-ATG | No | 53 | 8 | No response | No | 56 | No response | NA | ||||
| Patient . | Transplantation modalities and complications . | Nivolumab . | Outcome . | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Donor type . | Conditioning . | History of GVHD/type . | Localization . | Grade . | Time from allo-HCT to initiation (mo) . | Treatment duration (weeks) . | Reason for discontinuation . | Nivolumab-induced GVHD . | Follow-up (d)* . | Current status . | Cause of death . | |||
| Localization . | Treatment . | Grade . | ||||||||||||
| 1 | MUD | Thio-Bu-Flu | Acute/chronic | Skin/ mucosa, mild | II | 15 | 2 | Nivolumab-induced GVHD | Liver | Corticosteroids and cyclosporine | III | 154 | Still in response | NA |
| 2 | Double unit-CB | Flu-Cy-TBI | Acute | Skin and gastrointestinal tract | III | 9 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroids | I | 223 | Still in response | NA |
| 3 | MRD | Flu-Bu-ATG | Acute | Skin | III | 19 | 2 | Nivolumab-induced GVHD | Liver | Corticosteroids | III | 105 | Died in response | Grade III GVHD and care refusal |
| 4 | MRD | Flu-Bu-ATG | Acute | Skin and gastrointestinal tract | II | 8 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroids | III | 363 | Still in response | NA |
| 5 | MUD | Flu-TBI-ATG | Acute | Skin | II | 2 | 2 | Nivolumab-induced GVHD | Skin and liver | No immunosuppressive therapy | IV | NE | Response not evaluable | Multiple organ failure |
| 6 | Haplo (father) | Flu-Cy-TBI | Acute | Skin and gastrointestinal tract | III | 7 | 2 | Nivolumab-induced GVHD | Skin | Corticosteroid, basiliximab and photopheresis | IV | 132 | Death after relapse | Progressive disease |
| 7 | MRD | Flu-Bu-ATG | Acute | Skin | II | 17 | 50 | Ongoing | No | 188 | Relapse, new response after re-treatment | NA | ||
| 8 | MUD | Flu-Bu-ATG | Acute | Skin | III | 51 | 33 | Relapse | No | 245 | Relapse | NA | ||
| 9 | MRD | Flu-Bu-ATG | Acute | Skin and gastrointestinal tract | II | 27 | 34 | Ongoing | No | 231 | Still in response | NA | ||
| 10 | MRD | Flu-Mel | Acute | Skin | I | 59 | 67 | Ongoing | No | 450 | Still in response | NA | ||
| 11 | Double-unit CB | Flu-Cy-TBI | Chronic | Skin | NA | 29 | 13 | Consolidation with a second allo-HCT | No | 468 | Still in response | NA | ||
| 12 | MRD | Flu-TBI | Chronic | Mucosa | NA | 105 | 67 | Ongoing | No | 462 | Still in response | NA | ||
| 13 | MMUD | Flu-Bu-ATG | Chronic | Skin | NA | 7 | 7 | Cerebellar ataxia | No | 437 | Still in response | NA | ||
| 14 | MMUD | Flu-TBI | No | 28 | 17 | Relapse | No | 117 | Relapse | NA | ||||
| 15 | MRD | Flu-Bu-ATG | No | 12 | 14 | Relapse | No | 98 | Relapse | Complications of second allo-HCT | ||||
| 16 | MRD | Flu-Bu-ATG | No | 27 | 55 | Ongoing | No | 365 | Still in response | NA | ||||
| 17 | Double-unit CB | Flu-Cy-ATG | No | 12 | 55 | Ongoing | No | 374 | Still in response | NA | ||||
| 18 | MMUD | Flu-Bu-ATG | No | 33 | 21 | Hematologic toxicity | No | 456 | Still in response | NA | ||||
| 19 | MRD | Flu-Bu-ATG | No | 111 | 71 | Ongoing | No | 486 | Still in response | NA | ||||
| 20 | MRC | Flu-Bu-ATG | No | 53 | 8 | No response | No | 56 | No response | NA | ||||
ATG, antithymocyte globulin; Bu, busulfan; CB, cord blood; Cy, cyclophosphamide; Flu, fludarabine; Haplo, familial haploidentical donor; Mel, melphalan; MRD, matched related donor; MUD, matched unrelated donor; MMUD, mismatched unrelated donor; NA, not applicable; TBI, total body irradiation; Thio, thiotepa.
Follow-up duration is given from nivolumab initiation.