Transplant characteristics and outcomes
. | Patient . | |||||
---|---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | 6 . | |
HLA matching* | 5 of 8 | 6 of 8 | 7 of 10 | 9 of 10 | 7 of 10 | 7 of 10 |
Total nucleated cell dose (×107/kg) | 12.4 | 9.1 | 41.8 | 49.9 | 31.7 | 33.1 |
Days to neutrophil engraftment† | 24 | 15 | 13 | 11 | 12 | 14 |
Days to platelet engraftment† | 54 | 63 | 26 | 42 | 17 | 49 |
First post-HCT chimerism (% donor)‡ | 98 WB 98 CD3 98 CD15 | 96 WB 97 CD3 96 CD15 | 98 WB 98 CD3 98 CD15 | 95 WB | 98 WB 97 CD3 98 CD15 | 100 WB 100 CD3 100 CD15 |
Most recent HCT chimerism (% donor)‡ | 92 WB 99 CD3 87 CD33 | 58 WB 57 CD3 43 CD33 | 83 WB | |||
Psychosine (in nmol/L) at 1 y§ | 12 | 17 | 12 | 19 | 13.2 | 3.6 |
Acute GVHD, maximum grade (organs involved) | (Possible mild upper gut) | 2 (skin) | 3 (skin, gut) | |||
Feeding intolerance post-HCT | Yes | Yes | Yes | Yes | Yes | Yes |
Transplant complications|| | CMV viremia, renal insufficiency, pericardial effusion, AIHA | AIHA | Colonic perforation related to colonoscopy | VOD, renal insufficiency, bacterial infection |
. | Patient . | |||||
---|---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | 6 . | |
HLA matching* | 5 of 8 | 6 of 8 | 7 of 10 | 9 of 10 | 7 of 10 | 7 of 10 |
Total nucleated cell dose (×107/kg) | 12.4 | 9.1 | 41.8 | 49.9 | 31.7 | 33.1 |
Days to neutrophil engraftment† | 24 | 15 | 13 | 11 | 12 | 14 |
Days to platelet engraftment† | 54 | 63 | 26 | 42 | 17 | 49 |
First post-HCT chimerism (% donor)‡ | 98 WB 98 CD3 98 CD15 | 96 WB 97 CD3 96 CD15 | 98 WB 98 CD3 98 CD15 | 95 WB | 98 WB 97 CD3 98 CD15 | 100 WB 100 CD3 100 CD15 |
Most recent HCT chimerism (% donor)‡ | 92 WB 99 CD3 87 CD33 | 58 WB 57 CD3 43 CD33 | 83 WB | |||
Psychosine (in nmol/L) at 1 y§ | 12 | 17 | 12 | 19 | 13.2 | 3.6 |
Acute GVHD, maximum grade (organs involved) | (Possible mild upper gut) | 2 (skin) | 3 (skin, gut) | |||
Feeding intolerance post-HCT | Yes | Yes | Yes | Yes | Yes | Yes |
Transplant complications|| | CMV viremia, renal insufficiency, pericardial effusion, AIHA | AIHA | Colonic perforation related to colonoscopy | VOD, renal insufficiency, bacterial infection |
AIHA, autoimmune hemolytic anemia; CD3, percentage of CD3+ cells; CD15, percentage of CD15+ cells; CMV, cytomegalovirus; GVHD, graft versus host disease; HLA, human leukocyte antigen; P, patient; VOD, veno-occlusive disease; WB, whole blood.
HLA loci considered in matching included A, B, C, DRβ1 if matching 8 loci and DQ if matching at 10 loci.
Defined as the first of 3 consecutive post-HCT days with an absolute neutrophil count ≥500 cells/mm3 or the first of 3 consecutive days with an untransfused platelet count ≥20 000/mm3.
First postengraftment restriction fragment length polymorphism performed around day +30 post-HCT.
Psychosine levels measured on dried blood spot (normal <2 nmol/L, P1, P2, and P5) or whole blood samples (normal <10 nmol/L; P3, P4, P6).
Complications were mild and self-resolved (renal insufficiency [P2 and P6]) or required treatment and resolved (CMV viremia [P2], pericardial effusion [P2], AIHA [P3], perforation [P5], VOD [P6], bacterial infection [P6]).