Baseline characteristics
. | HLA-matched/younger donor . | HLA-matched/older donor . | PBM matched/younger donor . | PBM matched/older donor . | PBM mismatched/younger donor . | PBM mismatched/older donor . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | 10 531 . | 3 572 . | 357 . | 257 . | 616 . | 339 . | ||||||
Donor age in y, median (IQR) | 25.4 (22.4-28.9) | 41.9 (38.2-47.3) | 26.6 (23.1-30) | 43.8 (39.6-48.4) | 26.7 (23.2-29.7) | 42.9 (39.0-48.4) | ||||||
Patient age in y, median (IQR) | 56.2 (38.9-64.8) | 54.7 (38.6-64.0) | 52.1 (33.4-61.4) | 50.7 (35.4-60.0) | 50.3 (30.1-61.0) | 51.7 (31.4-61.2) | ||||||
Patient age, y | ||||||||||||
<40 | 2 741 | 26% | 951 | 27% | 107 | 30% | 75 | 29% | 212 | 34% | 113 | 33% |
40-55 | 2 505 | 24% | 953 | 27% | 96 | 27% | 89 | 35% | 165 | 27% | 93 | 27% |
55.1-65 | 3 100 | 29% | 1 006 | 28% | 115 | 32% | 62 | 24% | 165 | 27% | 94 | 28% |
>65 | 2 214 | 21% | 677 | 19% | 39 | 11% | 31 | 12% | 76 | 12% | 40 | 12% |
Disease | ||||||||||||
AML | 6 057 | 57% | 2 033 | 57% | 201 | 56% | 136 | 53% | 372 | 60% | 199 | 59% |
ALL | 2 052 | 19% | 750 | 21% | 77 | 22% | 66 | 26% | 137 | 22% | 74 | 22% |
MDS | 2 451 | 23% | 804 | 22% | 79 | 22% | 55 | 21% | 109 | 18% | 67 | 20% |
Stage | ||||||||||||
Early-intermediate | 6 991 | 66% | 2 366 | 66% | 230 | 64% | 168 | 65% | 408 | 66% | 239 | 70% |
Advanced | 3 569 | 34% | 1 221 | 34% | 127 | 36% | 89 | 35% | 210 | 34% | 101 | 30% |
Graft source | ||||||||||||
BM | 2 061 | 20% | 664 | 19% | 76 | 21% | 54 | 21% | 148 | 24% | 71 | 21% |
PB | 8 499 | 80% | 2 923 | 81% | 281 | 79% | 203 | 79% | 470 | 76% | 269 | 79% |
Conditioning | ||||||||||||
MAC | 6 310 | 60% | 2 263 | 63% | 221 | 62% | 177 | 69% | 410 | 66% | 208 | 61% |
NMA/RIC | 4 250 | 40% | 1 324 | 37% | 136 | 38% | 80 | 31% | 208 | 34% | 132 | 39% |
GVHD prophylaxis | ||||||||||||
Tac based | 8 892 | 84% | 2 954 | 82% | 280 | 78% | 193 | 75% | 457 | 74% | 269 | 79% |
CsA based | 1 668 | 16% | 633 | 18% | 77 | 22% | 64 | 25% | 161 | 26% | 71 | 21% |
In vivo TCD | ||||||||||||
No | 6 612 | 63% | 2 245 | 63% | 166 | 46% | 142 | 55% | 269 | 44% | 171 | 50% |
Yes | 3 948 | 37% | 1 342 | 37% | 191 | 54% | 115 | 45% | 349 | 56% | 169 | 50% |
Sex mismatch | ||||||||||||
F-to-M | 1 272 | 12% | 599 | 17% | 80 | 22% | 56 | 22% | 109 | 18% | 67 | 20% |
Others | 9 288 | 88% | 2 988 | 83% | 277 | 78% | 201 | 78% | 509 | 82% | 273 | 80% |
KPS | ||||||||||||
<90 | 4 327 | 41% | 1 441 | 40% | 129 | 36% | 105 | 41% | 219 | 35% | 132 | 39% |
90-100 | 6 233 | 59% | 2 146 | 60% | 228 | 64% | 152 | 59% | 399 | 65% | 208 | 61% |
HCT-CI | ||||||||||||
0-1 | 3 964 | 38% | 1 467 | 41% | 154 | 43% | 112 | 44% | 275 | 45% | 148 | 44% |
≥2 | 6 596 | 62% | 2 120 | 59% | 203 | 57% | 145 | 56% | 343 | 55% | 192 | 56% |
D/R CMV status | ||||||||||||
+/+ | 2 762 | 26% | 1 159 | 32% | 110 | 31% | 83 | 32% | 185 | 30% | 102 | 30% |
+/− | 985 | 9% | 419 | 12% | 32 | 9% | 30 | 12% | 79 | 13% | 45 | 13% |
−/+ | 3 847 | 36% | 1 187 | 33% | 122 | 34% | 81 | 32% | 214 | 35% | 118 | 35% |
−/− | 2 966 | 28% | 822 | 23% | 93 | 26% | 63 | 25% | 140 | 23% | 75 | 22% |
HLA-DPB1 mismatch | ||||||||||||
GVH nonpermissive mismatch | 1 461 | 18% | 510 | 19% | 46 | 19% | 39 | 22% | 99 | 23% | 57 | 23% |
No GVH nonpermissive mismatch | 6 634 | 82% | 2 178 | 81% | 200 | 81% | 139 | 78% | 341 | 78% | 196 | 77% |
Time to HCT, mo | ||||||||||||
<6 | 6 007 | 57% | 1 949 | 54% | 165 | 46% | 112 | 44% | 287 | 46% | 157 | 46% |
6-12 | 2 058 | 19% | 785 | 22% | 79 | 22% | 52 | 20% | 134 | 22% | 74 | 22% |
12-24 | 1 283 | 12% | 418 | 12% | 58 | 16% | 44 | 17% | 108 | 17% | 62 | 18% |
>24 | 11% | 434 | 12% | 55 | 15% | 48 | 19% | 89 | 14% | 47 | 14% | |
Year of HCT | ||||||||||||
≤2014 | 5 258 | 50% | 2 122 | 59% | 236 | 66% | 185 | 72% | 374 | 61% | 239 | 70% |
>2014 | 5 302 | 50% | 1 465 | 41% | 121 | 34% | 72 | 28% | 244 | 39% | 101 | 30% |
Follow-up in mo, median (IQR) | 48.0 (25.29-71.6) | 52.9 (31.4-73.7) | 59.6 (36.1-89.6) | 60.7 (34.6-92.7) | 49.9 (32.0-72.2) | 60.5 (36.2-89.7) |
. | HLA-matched/younger donor . | HLA-matched/older donor . | PBM matched/younger donor . | PBM matched/older donor . | PBM mismatched/younger donor . | PBM mismatched/older donor . | ||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
. | 10 531 . | 3 572 . | 357 . | 257 . | 616 . | 339 . | ||||||
Donor age in y, median (IQR) | 25.4 (22.4-28.9) | 41.9 (38.2-47.3) | 26.6 (23.1-30) | 43.8 (39.6-48.4) | 26.7 (23.2-29.7) | 42.9 (39.0-48.4) | ||||||
Patient age in y, median (IQR) | 56.2 (38.9-64.8) | 54.7 (38.6-64.0) | 52.1 (33.4-61.4) | 50.7 (35.4-60.0) | 50.3 (30.1-61.0) | 51.7 (31.4-61.2) | ||||||
Patient age, y | ||||||||||||
<40 | 2 741 | 26% | 951 | 27% | 107 | 30% | 75 | 29% | 212 | 34% | 113 | 33% |
40-55 | 2 505 | 24% | 953 | 27% | 96 | 27% | 89 | 35% | 165 | 27% | 93 | 27% |
55.1-65 | 3 100 | 29% | 1 006 | 28% | 115 | 32% | 62 | 24% | 165 | 27% | 94 | 28% |
>65 | 2 214 | 21% | 677 | 19% | 39 | 11% | 31 | 12% | 76 | 12% | 40 | 12% |
Disease | ||||||||||||
AML | 6 057 | 57% | 2 033 | 57% | 201 | 56% | 136 | 53% | 372 | 60% | 199 | 59% |
ALL | 2 052 | 19% | 750 | 21% | 77 | 22% | 66 | 26% | 137 | 22% | 74 | 22% |
MDS | 2 451 | 23% | 804 | 22% | 79 | 22% | 55 | 21% | 109 | 18% | 67 | 20% |
Stage | ||||||||||||
Early-intermediate | 6 991 | 66% | 2 366 | 66% | 230 | 64% | 168 | 65% | 408 | 66% | 239 | 70% |
Advanced | 3 569 | 34% | 1 221 | 34% | 127 | 36% | 89 | 35% | 210 | 34% | 101 | 30% |
Graft source | ||||||||||||
BM | 2 061 | 20% | 664 | 19% | 76 | 21% | 54 | 21% | 148 | 24% | 71 | 21% |
PB | 8 499 | 80% | 2 923 | 81% | 281 | 79% | 203 | 79% | 470 | 76% | 269 | 79% |
Conditioning | ||||||||||||
MAC | 6 310 | 60% | 2 263 | 63% | 221 | 62% | 177 | 69% | 410 | 66% | 208 | 61% |
NMA/RIC | 4 250 | 40% | 1 324 | 37% | 136 | 38% | 80 | 31% | 208 | 34% | 132 | 39% |
GVHD prophylaxis | ||||||||||||
Tac based | 8 892 | 84% | 2 954 | 82% | 280 | 78% | 193 | 75% | 457 | 74% | 269 | 79% |
CsA based | 1 668 | 16% | 633 | 18% | 77 | 22% | 64 | 25% | 161 | 26% | 71 | 21% |
In vivo TCD | ||||||||||||
No | 6 612 | 63% | 2 245 | 63% | 166 | 46% | 142 | 55% | 269 | 44% | 171 | 50% |
Yes | 3 948 | 37% | 1 342 | 37% | 191 | 54% | 115 | 45% | 349 | 56% | 169 | 50% |
Sex mismatch | ||||||||||||
F-to-M | 1 272 | 12% | 599 | 17% | 80 | 22% | 56 | 22% | 109 | 18% | 67 | 20% |
Others | 9 288 | 88% | 2 988 | 83% | 277 | 78% | 201 | 78% | 509 | 82% | 273 | 80% |
KPS | ||||||||||||
<90 | 4 327 | 41% | 1 441 | 40% | 129 | 36% | 105 | 41% | 219 | 35% | 132 | 39% |
90-100 | 6 233 | 59% | 2 146 | 60% | 228 | 64% | 152 | 59% | 399 | 65% | 208 | 61% |
HCT-CI | ||||||||||||
0-1 | 3 964 | 38% | 1 467 | 41% | 154 | 43% | 112 | 44% | 275 | 45% | 148 | 44% |
≥2 | 6 596 | 62% | 2 120 | 59% | 203 | 57% | 145 | 56% | 343 | 55% | 192 | 56% |
D/R CMV status | ||||||||||||
+/+ | 2 762 | 26% | 1 159 | 32% | 110 | 31% | 83 | 32% | 185 | 30% | 102 | 30% |
+/− | 985 | 9% | 419 | 12% | 32 | 9% | 30 | 12% | 79 | 13% | 45 | 13% |
−/+ | 3 847 | 36% | 1 187 | 33% | 122 | 34% | 81 | 32% | 214 | 35% | 118 | 35% |
−/− | 2 966 | 28% | 822 | 23% | 93 | 26% | 63 | 25% | 140 | 23% | 75 | 22% |
HLA-DPB1 mismatch | ||||||||||||
GVH nonpermissive mismatch | 1 461 | 18% | 510 | 19% | 46 | 19% | 39 | 22% | 99 | 23% | 57 | 23% |
No GVH nonpermissive mismatch | 6 634 | 82% | 2 178 | 81% | 200 | 81% | 139 | 78% | 341 | 78% | 196 | 77% |
Time to HCT, mo | ||||||||||||
<6 | 6 007 | 57% | 1 949 | 54% | 165 | 46% | 112 | 44% | 287 | 46% | 157 | 46% |
6-12 | 2 058 | 19% | 785 | 22% | 79 | 22% | 52 | 20% | 134 | 22% | 74 | 22% |
12-24 | 1 283 | 12% | 418 | 12% | 58 | 16% | 44 | 17% | 108 | 17% | 62 | 18% |
>24 | 11% | 434 | 12% | 55 | 15% | 48 | 19% | 89 | 14% | 47 | 14% | |
Year of HCT | ||||||||||||
≤2014 | 5 258 | 50% | 2 122 | 59% | 236 | 66% | 185 | 72% | 374 | 61% | 239 | 70% |
>2014 | 5 302 | 50% | 1 465 | 41% | 121 | 34% | 72 | 28% | 244 | 39% | 101 | 30% |
Follow-up in mo, median (IQR) | 48.0 (25.29-71.6) | 52.9 (31.4-73.7) | 59.6 (36.1-89.6) | 60.7 (34.6-92.7) | 49.9 (32.0-72.2) | 60.5 (36.2-89.7) |
ALL, acute lymphoblastic leukemia; AML, acute myeloid leukemia; BM, bone marrow; CsA, cyclosporine; D/R CMV, donor/recipient cytomegalovirus; F-to-M, female donor to male recipient; HCT-CI, HCT-specific comorbidity index; HLA, human leukocyte antigen; IQR, interquartile range; KPS, Karnofsky performance status; MAC, myeloablative conditioning; MDS, myelodysplastic neoplasms; NMA nonmyeloablative conditioning; PB, peripheral blood; RIC, reduced intensity conditioning; Tac, tacrolimus; TCD, T-cell depletion.