Results of preemptive and salvage DLI, respectively, for patients with myelofibrosis
Patient no. . | Sex . | Age, y . | Donor . | Reason for DLI . | No. of DLIs . | GVHD . | Other complications . | Best response . | Further treatment . | Actual status . | DLI dose, per kg BW . |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | m | 51 | MUD | Relapse | 2 | none | none | mCR | none | mCRat 18 mo+ | 1-6 × 106 CD3+ |
2 | m | 32 | MUD | Relapse | 3 | none | none | mCR | none | mCR 3 mo | 5 × 105-1 × 107 CD3+ |
3 | f | 51 | MUD | Relapse | 4 | acute (grade III), chronic (extensive) | aplasia | CR* | none | CR 29 mo+ | 1 × 106-1.3 × 108 CD3+ |
4 | m | 55 | MUD | MRD | 1 | none | none | mCR | none | mCR 31 mo+ | 1 × 106 CD3+ |
5 | m | 49 | MUD | Relapse | 4 | none | none | SD | 2nd SCT | mCR 34 mo+ | 1 × 106-4 × 107 CD3+ |
6 | m | 59 | MUD | Relapse | 2 | none | none | SD | 2nd SCT | died (relapse) 18 mo after 2nd SCT | 1 × 106 CD3+ |
7 | f | 34 | MUD | MRD | 1 | none | none | mCR | none | mCR 6 mo+ | 1 × 106 CD4+ |
8 | f | 63 | MUD | Relapse | 1 | none | none | SD | 2nd SCT | CR† 19 mo after 2nd SCT | 1 × 106 CD3+ |
9a (9b) | m | 54 | REL | MRD | 1 (3) | chronic (limited) | none | mCR | none | mCR‡ 8 mo+ | 1 × 106 CD3+;1 × 106-5 × 106 CD3+ |
10 | m | 54 | MUD | Relapse | 3 | none | none | PD | 2nd SCT | mCR 4 mo+ after 2nd SCT | 1 × 106-9 × 106 CD3+ |
11 | f | 44 | REL | MRD | 1 | none | none | mCR | none | mCR 10 mo+ | 5 × 106 CD3+ |
12 | m | 47 | MUD | MRD | 1 | none | none | mCR | none | mCR 5 mo+ | 5 × 105 CD3+ |
13 | f | 48 | REL | Relapse | 3 | none | none | Ci | 2nd SCT | mCR 3 mo+ | 1 × 106-1 × 108 CD3+ |
14 | f | 53 | MUD | MRD | 2 | none | none | mCR | none | mCR 18 mo+ | 1 × 106 CD3+ |
15 | f | 60 | REL | Relapse | 1 | acute (III) | aplasia | mCR | none | mCR 6 mo+ | 5 × 106 CD4+ |
16 | m | 50 | REL | MRD | 1 | none | none | mCR | none | mCR 2 mo+ | 3 × 106 CD3+ |
17 | m | 63 | MUD | MRD | 1 | acute (grade I), chronic | none | mCR | none | mCR 7 mo+ | 5 × 105 CD3+ |
Patient no. . | Sex . | Age, y . | Donor . | Reason for DLI . | No. of DLIs . | GVHD . | Other complications . | Best response . | Further treatment . | Actual status . | DLI dose, per kg BW . |
---|---|---|---|---|---|---|---|---|---|---|---|
1 | m | 51 | MUD | Relapse | 2 | none | none | mCR | none | mCRat 18 mo+ | 1-6 × 106 CD3+ |
2 | m | 32 | MUD | Relapse | 3 | none | none | mCR | none | mCR 3 mo | 5 × 105-1 × 107 CD3+ |
3 | f | 51 | MUD | Relapse | 4 | acute (grade III), chronic (extensive) | aplasia | CR* | none | CR 29 mo+ | 1 × 106-1.3 × 108 CD3+ |
4 | m | 55 | MUD | MRD | 1 | none | none | mCR | none | mCR 31 mo+ | 1 × 106 CD3+ |
5 | m | 49 | MUD | Relapse | 4 | none | none | SD | 2nd SCT | mCR 34 mo+ | 1 × 106-4 × 107 CD3+ |
6 | m | 59 | MUD | Relapse | 2 | none | none | SD | 2nd SCT | died (relapse) 18 mo after 2nd SCT | 1 × 106 CD3+ |
7 | f | 34 | MUD | MRD | 1 | none | none | mCR | none | mCR 6 mo+ | 1 × 106 CD4+ |
8 | f | 63 | MUD | Relapse | 1 | none | none | SD | 2nd SCT | CR† 19 mo after 2nd SCT | 1 × 106 CD3+ |
9a (9b) | m | 54 | REL | MRD | 1 (3) | chronic (limited) | none | mCR | none | mCR‡ 8 mo+ | 1 × 106 CD3+;1 × 106-5 × 106 CD3+ |
10 | m | 54 | MUD | Relapse | 3 | none | none | PD | 2nd SCT | mCR 4 mo+ after 2nd SCT | 1 × 106-9 × 106 CD3+ |
11 | f | 44 | REL | MRD | 1 | none | none | mCR | none | mCR 10 mo+ | 5 × 106 CD3+ |
12 | m | 47 | MUD | MRD | 1 | none | none | mCR | none | mCR 5 mo+ | 5 × 105 CD3+ |
13 | f | 48 | REL | Relapse | 3 | none | none | Ci | 2nd SCT | mCR 3 mo+ | 1 × 106-1 × 108 CD3+ |
14 | f | 53 | MUD | MRD | 2 | none | none | mCR | none | mCR 18 mo+ | 1 × 106 CD3+ |
15 | f | 60 | REL | Relapse | 1 | acute (III) | aplasia | mCR | none | mCR 6 mo+ | 5 × 106 CD4+ |
16 | m | 50 | REL | MRD | 1 | none | none | mCR | none | mCR 2 mo+ | 3 × 106 CD3+ |
17 | m | 63 | MUD | MRD | 1 | acute (grade I), chronic | none | mCR | none | mCR 7 mo+ | 5 × 105 CD3+ |
CR indicates complete remission; mCR, molecular complete remission; Ci, clinical improvement; SD, stable disease; PD, progressive disease; REL, relative donor; MUD, matched unrelated donor; DLI, donor-lymphocyte infusion; GVHD, graft-versus-host disease; SCT, stem cell transplantation; and MRD, molecular residual disease.
No molecular marker; complete remission according to IWG consensus creiteria and 100% donor chimerism with quantitative PCR.
Clinical CR on molecular basis, residual disease.
After first DLI.