Patients, engraftment, GVHD occurrence, and response to GCV treatment and outcome
Patient no. . | Age, y . | Diagnosis . | Clinical status at time of BMT . | Engraftment . | GVHD after infusion of GMC . | Outcome . | ||
---|---|---|---|---|---|---|---|---|
Onset date . | Grade . | Response . | ||||||
1 | 47 | HG B-cell lymphoma; prior autologous BMT | Sensitive relapse | Yes | D31 | II | CR GCV alone | Death D91, cerebral toxoplasmosis |
2 | 43 | Ph+ALL | CR1 | Yes | — | — | — | Death D129, ALL relapse |
3 | 38 | HG B-cell lymphoma | Refractory relapse | Yes | D15 | III | CR GCV alone | Death D106, refractory lymphoma |
4 | 49 | Myelodysplasia | Refractory | Yes | — | — | — | Death D38, posttraumatic cerebral hemorrhage |
5 | 52 | HG B-cell lymphoma | CR2 | Yes | — | — | — | Death D72, EBV-LPD + lung aspergillosis |
6 | 41 | CML | CP | Yes | D20 | II | CR GCV + steroids | Alive 34 months +, CR |
7 | 51 | Ph+ALL | CR1 | Yes, late graft failure* | — | — | — | Alive 34 months +, CR† |
8 | 43 | CML | CP | Yes | — | — | — | Alive 29 months +, CR |
9 | 43 | CML | CP | Yes | D135 CGVHD | — | CR GCV alone‡ | Alive 31 months +, CR1-153 |
10 | 46 | CML | CP | Yes, late graft failure1-155 | — | — | — | Death D159, EBV-lymphoma1-155 |
11 | 49 | HG B-cell lymphoma | Refractory | Yes | — | — | — | Death D252, acute GVHD1-154 |
12 | 55 | Waldenström disease | Refractory | Yes | D40 | I# | CR GCV alone | Death D300, sepsis |
Patient no. . | Age, y . | Diagnosis . | Clinical status at time of BMT . | Engraftment . | GVHD after infusion of GMC . | Outcome . | ||
---|---|---|---|---|---|---|---|---|
Onset date . | Grade . | Response . | ||||||
1 | 47 | HG B-cell lymphoma; prior autologous BMT | Sensitive relapse | Yes | D31 | II | CR GCV alone | Death D91, cerebral toxoplasmosis |
2 | 43 | Ph+ALL | CR1 | Yes | — | — | — | Death D129, ALL relapse |
3 | 38 | HG B-cell lymphoma | Refractory relapse | Yes | D15 | III | CR GCV alone | Death D106, refractory lymphoma |
4 | 49 | Myelodysplasia | Refractory | Yes | — | — | — | Death D38, posttraumatic cerebral hemorrhage |
5 | 52 | HG B-cell lymphoma | CR2 | Yes | — | — | — | Death D72, EBV-LPD + lung aspergillosis |
6 | 41 | CML | CP | Yes | D20 | II | CR GCV + steroids | Alive 34 months +, CR |
7 | 51 | Ph+ALL | CR1 | Yes, late graft failure* | — | — | — | Alive 34 months +, CR† |
8 | 43 | CML | CP | Yes | — | — | — | Alive 29 months +, CR |
9 | 43 | CML | CP | Yes | D135 CGVHD | — | CR GCV alone‡ | Alive 31 months +, CR1-153 |
10 | 46 | CML | CP | Yes, late graft failure1-155 | — | — | — | Death D159, EBV-lymphoma1-155 |
11 | 49 | HG B-cell lymphoma | Refractory | Yes | — | — | — | Death D252, acute GVHD1-154 |
12 | 55 | Waldenström disease | Refractory | Yes | D40 | I# | CR GCV alone | Death D300, sepsis |
HG indicates high grade; D, day; CR, complete remission; ALL, acute lymphoblastic leukemia; CML, chronic myelogenous leukemia; CP, chronic phase; and CGVHD, chronic GVHD.
Second allogeneic transplantation from the same donor (ATG conditioning regimen, unmanipulated BMT) on day 301 because of late graft failure.
Intermittent presence of amino bcr/abl mRNA transcript in PBMCs.
Concomitant Ig infusion.
Chronic GVHD after nongene-modified donor lymphocyte infusion for cytogenetic relapse 2 years after transplantation.
Second allogeneic transplantation (cyclosphosphamide plus ATG conditioning regimen, unmanipulated G-CSF–mobilized peripheral blood graft) on day 152 because of late graft failure.
Refractory grade IV acute GVHD after infusion of non–gene-modified donor lymphocyte infusion for lymphoma relapse.
#GCV treatment of grade I acute GVHD because of a concomitant CMV lung infection.