Table 1.

Patients, engraftment, GVHD occurrence, and response to GCV treatment and outcome

Patient no.Age, yDiagnosisClinical status at time of BMTEngraftmentGVHD after infusion of GMCOutcome
Onset dateGradeResponse
47 HG B-cell lymphoma; prior autologous BMT Sensitive relapse Yes D31 II CR GCV alone Death D91, cerebral toxoplasmosis  
43 Ph+ALL CR1 Yes — — — Death D129, ALL relapse  
38 HG B-cell lymphoma Refractory relapse Yes D15 III CR GCV alone Death D106, refractory lymphoma 
49 Myelodysplasia Refractory Yes — — — Death D38, posttraumatic cerebral hemorrhage  
52 HG B-cell lymphoma CR2 Yes — — — Death D72, EBV-LPD + lung aspergillosis 
41 CML CP Yes D20 II CR GCV + steroids Alive 34 months +, CR  
51 Ph+ALL CR1 Yes, late
graft failure* 
— — — Alive 34 months +, CR 
43 CML CP Yes — — — Alive 29 months +, CR  
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, yDiagnosisClinical status at time of BMTEngraftmentGVHD after infusion of GMCOutcome
Onset dateGradeResponse
47 HG B-cell lymphoma; prior autologous BMT Sensitive relapse Yes D31 II CR GCV alone Death D91, cerebral toxoplasmosis  
43 Ph+ALL CR1 Yes — — — Death D129, ALL relapse  
38 HG B-cell lymphoma Refractory relapse Yes D15 III CR GCV alone Death D106, refractory lymphoma 
49 Myelodysplasia Refractory Yes — — — Death D38, posttraumatic cerebral hemorrhage  
52 HG B-cell lymphoma CR2 Yes — — — Death D72, EBV-LPD + lung aspergillosis 
41 CML CP Yes D20 II CR GCV + steroids Alive 34 months +, CR  
51 Ph+ALL CR1 Yes, late
graft failure* 
— — — Alive 34 months +, CR 
43 CML CP Yes — — — Alive 29 months +, CR  
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.

F1-153

Chronic GVHD after nongene-modified donor lymphocyte infusion for cytogenetic relapse 2 years after transplantation.

F1-155

Second allogeneic transplantation (cyclosphosphamide plus ATG conditioning regimen, unmanipulated G-CSF–mobilized peripheral blood graft) on day 152 because of late graft failure.

F1-154

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.

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