Clinical characteristics of the study population
No. | 87 |
Median age, y (range) | 49 (22-69) |
Sex | 55 M, 32 F |
Diagnosis | |
Acute myeloid leukemia | 14 |
Acute lymphoid leukemia | 8 |
Myelodysplasia | 9 |
Chronic myeloid leukemia | 15 |
Chronic lymphocytic leukemia | 4 |
Non-Hodgkin lymphoma | 28 |
Myeloma | 3 |
Hodgkin disease | 1 |
Severe aplastic anemia | 1 |
Paroxysmal nocturnal hemoglobinuria | 1 |
Solid tumor | 3 |
Preparative regimen | |
Total body irradiation-based ablative | 11 |
Busulfan-based ablative | 25 |
BEAM | 10 |
Fludarabine-based nonmyeloablative | 16 |
Fludarabine-based reduced intensity | 25 |
CMV donor/recipient serostatus at SCT | |
Positive/positive | 38 |
Positive/negative | 41 |
Negative/positive | 8 |
HLA status | |
HLA-A*0201 + B*0702− | 59 |
HLA-A*0201 + B*0702+ | 18 |
HLA-A*0201 − B*0702+ | 10 |
Stem cell source | |
Bone marrow | 32 |
Peripheral blood stem cells | 53 |
Cord blood | 2 |
Acute GVHD, any | 44 |
At least grade II | 34 |
Chronic GVHD, any | 50 |
Limited | 16 |
Extensive | 34 |
CMV antigenemia, any | 58 |
Early only | 29 |
Early and late | 23 |
Late only | 6 |
None | 29 |
CMV-related events | 17 |
Interstitial pneumonia | 5 |
Upper respiratory tract infection | 5 |
Urinary tract infection | 3 |
Colitis | 1 |
Thrombotic thrombocytopenic purpura | 3 |
Steroid use | |
For treatment of acute GVHD | 39 |
At the time of sampling | 30 |
Median follow-up after transplantation, d (range) | 267 (91-1103) |
Subjects experiencing disease progression | 29 |
Median time to progression, d after SCT (range) | 129 (66-703) |
No. of deaths | 25 |
Median time to death, d after SCT (range) | 252 (91-626) |
Contributing factors to death | |
Graft failure | 1 |
Acute GVHD | 1 |
Chronic GVHD | 10 |
Recurrent malignancy | 12 |
Hepatic failure | 1 |
Thrombotic thrombocytopenic purpura | 2 |
Central nervous system hemorrhage | 1 |
Infection, no. of subjects | 17 |
Cytomegalovirus pneumonia | 3 |
Klebsiella pneumonia | 1 |
Candidapneumonia | 4 |
Mycobacterium pneumonia | 1 |
Pneumocystis carinii pneumonia | 1 |
Aspergillus, disseminated | 7 |
Mycobacterium meningitis | 1 |
Bacterial sepsis | 3 |
Pneumonia, unidentified organism | 2 |
Cellulitis, unidentified organism | 1 |
Parainfluenza infection | 1 |
Median white blood cell count, cells/L (range) | 4600 (1600-27 800) |
Median absolute lymphocyte count, cells/L (range) | 660 (70-4280) |
No. | 87 |
Median age, y (range) | 49 (22-69) |
Sex | 55 M, 32 F |
Diagnosis | |
Acute myeloid leukemia | 14 |
Acute lymphoid leukemia | 8 |
Myelodysplasia | 9 |
Chronic myeloid leukemia | 15 |
Chronic lymphocytic leukemia | 4 |
Non-Hodgkin lymphoma | 28 |
Myeloma | 3 |
Hodgkin disease | 1 |
Severe aplastic anemia | 1 |
Paroxysmal nocturnal hemoglobinuria | 1 |
Solid tumor | 3 |
Preparative regimen | |
Total body irradiation-based ablative | 11 |
Busulfan-based ablative | 25 |
BEAM | 10 |
Fludarabine-based nonmyeloablative | 16 |
Fludarabine-based reduced intensity | 25 |
CMV donor/recipient serostatus at SCT | |
Positive/positive | 38 |
Positive/negative | 41 |
Negative/positive | 8 |
HLA status | |
HLA-A*0201 + B*0702− | 59 |
HLA-A*0201 + B*0702+ | 18 |
HLA-A*0201 − B*0702+ | 10 |
Stem cell source | |
Bone marrow | 32 |
Peripheral blood stem cells | 53 |
Cord blood | 2 |
Acute GVHD, any | 44 |
At least grade II | 34 |
Chronic GVHD, any | 50 |
Limited | 16 |
Extensive | 34 |
CMV antigenemia, any | 58 |
Early only | 29 |
Early and late | 23 |
Late only | 6 |
None | 29 |
CMV-related events | 17 |
Interstitial pneumonia | 5 |
Upper respiratory tract infection | 5 |
Urinary tract infection | 3 |
Colitis | 1 |
Thrombotic thrombocytopenic purpura | 3 |
Steroid use | |
For treatment of acute GVHD | 39 |
At the time of sampling | 30 |
Median follow-up after transplantation, d (range) | 267 (91-1103) |
Subjects experiencing disease progression | 29 |
Median time to progression, d after SCT (range) | 129 (66-703) |
No. of deaths | 25 |
Median time to death, d after SCT (range) | 252 (91-626) |
Contributing factors to death | |
Graft failure | 1 |
Acute GVHD | 1 |
Chronic GVHD | 10 |
Recurrent malignancy | 12 |
Hepatic failure | 1 |
Thrombotic thrombocytopenic purpura | 2 |
Central nervous system hemorrhage | 1 |
Infection, no. of subjects | 17 |
Cytomegalovirus pneumonia | 3 |
Klebsiella pneumonia | 1 |
Candidapneumonia | 4 |
Mycobacterium pneumonia | 1 |
Pneumocystis carinii pneumonia | 1 |
Aspergillus, disseminated | 7 |
Mycobacterium meningitis | 1 |
Bacterial sepsis | 3 |
Pneumonia, unidentified organism | 2 |
Cellulitis, unidentified organism | 1 |
Parainfluenza infection | 1 |
Median white blood cell count, cells/L (range) | 4600 (1600-27 800) |
Median absolute lymphocyte count, cells/L (range) | 660 (70-4280) |
BEAM indicates BCNU, etoposide, cytarabine, and melphalan.