Clinical characteristics of recipients (n = 6) and outcomes after transplantation
. | Patient . | |||||
---|---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | 6 . | |
Age, y | 65 | 56 | 38 | 51 | 57 | 62 |
Sex | F | F | M | M | M | M |
Disease | Myeloma | Myeloma | NHL | Myeloma | Myeloma | Myeloma |
Renal disease | Myeloma | Myeloma | Unknown | Myeloma | Myeloma | Myeloma |
RRT | Yes | Yes | Yes | Yes | Yes | Yes |
Prior ASCT | Yes | Yes | No | Yes | No | Yes |
Disease status | CR | VGPR | CR | CR | VGPR | CR |
Time since diagnosis, mo | 27 | 24 | 44 | 55 | 12 | 30 |
Conditioning | ATG/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI |
Donor | Son | Sister | Mother | Brother | Son | Sister |
HLA match | 3/6 | 3/6 | 3/6 | 3/6 | 3/6 | 3/6 |
HSC source | Marrow | Marrow | Marrow | Marrow | PBSCs | Marrow |
CD34 per kg | 2.62 × 106 | 2.06 × 106 | 4.58 × 106 | 1.67 × 106 | 3.01 × 106 | 0.94 × 106 |
Engraftment, d | ||||||
Neutrophils | 15 | 17 | 26 | 22 | 20 | 28 |
Platelets | 48 | 31 | — | 41 | 32 | 39 |
Return to RRT | No | No* | Yes | No | No | No |
d-30 chimerism, %† | ||||||
All cell | <10 | >97 | >98 | 100 | 100 | 96 |
CD3+ | <2 | NA‡ | >96 | 100 | 100 | NA‡ |
d-100 chimerism, %† | ||||||
All cell | 0 | 100 | >97 | 100 | NA‡ | NA‡ |
CD3+ | 0 | 100 | NA‡ | 100 | NA‡ | NA‡ |
1-y chimerism, %† | ||||||
All cell | 0 | 100 | — | NA‡ | 100 | 100 |
CD3+ | 0 | 100 | — | NA‡ | 100 | 100 |
Acute GVHD | No | Grade 1 | No | No | Grade 1 | No |
Chronic GVHD | No | No | — | Moderate | Moderate | No |
1-y OS | Alive | Alive | Died (d 142) | Alive | Alive | Alive |
1-y disease status | CR | CR | — | CR | CR | CR |
IST | Yes | No | — | No | Yes | No |
1-y serum Cr, mg/dL | 0.87 | 0.92 | — | 1.04 | 1.12 | 1.45 |
Follow-up, mo | 73 | 48 (died) | — | 46 | 34 | 12 |
Most recent serum Cr, mg/dL | 0.78 | — | — | 1.04 | 1.00 | 1.45 |
. | Patient . | |||||
---|---|---|---|---|---|---|
1 . | 2 . | 3 . | 4 . | 5 . | 6 . | |
Age, y | 65 | 56 | 38 | 51 | 57 | 62 |
Sex | F | F | M | M | M | M |
Disease | Myeloma | Myeloma | NHL | Myeloma | Myeloma | Myeloma |
Renal disease | Myeloma | Myeloma | Unknown | Myeloma | Myeloma | Myeloma |
RRT | Yes | Yes | Yes | Yes | Yes | Yes |
Prior ASCT | Yes | Yes | No | Yes | No | Yes |
Disease status | CR | VGPR | CR | CR | VGPR | CR |
Time since diagnosis, mo | 27 | 24 | 44 | 55 | 12 | 30 |
Conditioning | ATG/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI | Flu/Cy/TBI |
Donor | Son | Sister | Mother | Brother | Son | Sister |
HLA match | 3/6 | 3/6 | 3/6 | 3/6 | 3/6 | 3/6 |
HSC source | Marrow | Marrow | Marrow | Marrow | PBSCs | Marrow |
CD34 per kg | 2.62 × 106 | 2.06 × 106 | 4.58 × 106 | 1.67 × 106 | 3.01 × 106 | 0.94 × 106 |
Engraftment, d | ||||||
Neutrophils | 15 | 17 | 26 | 22 | 20 | 28 |
Platelets | 48 | 31 | — | 41 | 32 | 39 |
Return to RRT | No | No* | Yes | No | No | No |
d-30 chimerism, %† | ||||||
All cell | <10 | >97 | >98 | 100 | 100 | 96 |
CD3+ | <2 | NA‡ | >96 | 100 | 100 | NA‡ |
d-100 chimerism, %† | ||||||
All cell | 0 | 100 | >97 | 100 | NA‡ | NA‡ |
CD3+ | 0 | 100 | NA‡ | 100 | NA‡ | NA‡ |
1-y chimerism, %† | ||||||
All cell | 0 | 100 | — | NA‡ | 100 | 100 |
CD3+ | 0 | 100 | — | NA‡ | 100 | 100 |
Acute GVHD | No | Grade 1 | No | No | Grade 1 | No |
Chronic GVHD | No | No | — | Moderate | Moderate | No |
1-y OS | Alive | Alive | Died (d 142) | Alive | Alive | Alive |
1-y disease status | CR | CR | — | CR | CR | CR |
IST | Yes | No | — | No | Yes | No |
1-y serum Cr, mg/dL | 0.87 | 0.92 | — | 1.04 | 1.12 | 1.45 |
Follow-up, mo | 73 | 48 (died) | — | 46 | 34 | 12 |
Most recent serum Cr, mg/dL | 0.78 | — | — | 1.04 | 1.00 | 1.45 |
Abbreviations: ASCT, autologous stem cell transplantation; CR, complete remission; Cr, creatinine; Cy, cyclophosphamide; Flu, fludarabine; HSC, hematopoietic stem cell; IST, immunosuppressive therapy; NA, not applicable; NHL, non-Hodgkin lymphoma; OS, overall survival; PBSC, peripheral blood stem cell; RRT, renal replacement therapy; TBI, total-body irradiation; VGPR, very good partial response.
Required RRT after 3 y because of relapse of multiple myeloma.
Chimerism is expressed as percentage of cells that are of donor origin.
NA refers to time points where purity of cell population was inadequate to perform assay or it was not performed.