Table 4.

Conditioning regimens used for allogeneic transplantation for solid tumors


Authors

Nonmyeloablative conditioning regimens

Chimerism results
Childs et al43   Fludarabine 25 mg/m2 × 5 d, cyclophosphamide 60 mg/kg × 2 d   8 of 19 patients needed DLI for T-cell chimerism, disease control or both  
Rini et al45   Fludarabine 30 mg/m2 × 5 d, cyclophosphamide 2 g/m2 × 2 d   5 of 12 patients had achieved 100% donor chimerism on d 100  
Pedrazzoli et al46   Fludarabine 30 mg/m2 × 4 d, cyclophosphamide 30 mg/kg × 2 d   13 of 17 patients had achieved 100% donor chimerism on d 90  
McDermott et al48   Fludarabine 25 mg/m2 × 5 d, cyclophosphamide 60 mg/kg × 2 d   6 of 7 patients had achieved > 95% T-cell chimerism on median d 75  
Sandmaier et al49   Fludarabine 30 mg/m2 × 3 d, total body irradiation 2 Gy × 1 d   1 of 5 patients had graft rejection; 4 of 5 patients had a median T-cell chimerism rate of 73% on d 84  
Hentschke et al50   Fludarabine 30 mg/m2 × 3 d (related donor) or 30 mg/m2 × 5 d (unrelated donor), total body irradiation 2 Gy × 1 d, ATG 2 mg/kg × 2 d (unrelated donor)   12 of 18 patients had complete donor chimerism, 2 had graft failure, 1 had marrow aplasia, and 3 had mixed chimerism  
Bregni et al47   Fludarabine 30 mg/m2 × 2 d, cyclophosphamide 30 mg/kg × 2 d, thiotepa 10 mg/kg × 1 d (for BC) or 5 mg/kg × 1 d (for RCC)   12 of 13 patients had > 80% donor chimerism on d 60  
Hori et al52   Fludarabine 30 mg/m2 × 6 d, busulfan 4 mg/kg × 2 d, ATG 2.5 mg/kg × 2 d   All 8 patients had 100% complete donor chimerism  
Makimoto et al51   Fludarabine 30 mg/m2 (cladribine 0.11 mg/kg for the first 3 patients) × 6 d, busulfan 4 mg/kg × 2 d, ATG 2.5 mg/kg × 2 d   13 of 14 patients had complete donor chimerism  
Blaise et al53   Fludarabine 180 mg/m2 (total dose), busulfan 8 mg/kg (total dose), ATG 2.5-10 mg/kg   80% of evaluable patients had full donor chimerism  
Ueno et al (current study)
 
Fludarabine 30 mg/m2 × 5 d (for BC) or 25 mg/m2 × 5 d (for RCC), melphalan 70 mg/m2 × 2 d
 
1 of 23 patients had early death; 22 of 23 patients had 100% donor chimerism on d 30 and d 100
 

Authors

Nonmyeloablative conditioning regimens

Chimerism results
Childs et al43   Fludarabine 25 mg/m2 × 5 d, cyclophosphamide 60 mg/kg × 2 d   8 of 19 patients needed DLI for T-cell chimerism, disease control or both  
Rini et al45   Fludarabine 30 mg/m2 × 5 d, cyclophosphamide 2 g/m2 × 2 d   5 of 12 patients had achieved 100% donor chimerism on d 100  
Pedrazzoli et al46   Fludarabine 30 mg/m2 × 4 d, cyclophosphamide 30 mg/kg × 2 d   13 of 17 patients had achieved 100% donor chimerism on d 90  
McDermott et al48   Fludarabine 25 mg/m2 × 5 d, cyclophosphamide 60 mg/kg × 2 d   6 of 7 patients had achieved > 95% T-cell chimerism on median d 75  
Sandmaier et al49   Fludarabine 30 mg/m2 × 3 d, total body irradiation 2 Gy × 1 d   1 of 5 patients had graft rejection; 4 of 5 patients had a median T-cell chimerism rate of 73% on d 84  
Hentschke et al50   Fludarabine 30 mg/m2 × 3 d (related donor) or 30 mg/m2 × 5 d (unrelated donor), total body irradiation 2 Gy × 1 d, ATG 2 mg/kg × 2 d (unrelated donor)   12 of 18 patients had complete donor chimerism, 2 had graft failure, 1 had marrow aplasia, and 3 had mixed chimerism  
Bregni et al47   Fludarabine 30 mg/m2 × 2 d, cyclophosphamide 30 mg/kg × 2 d, thiotepa 10 mg/kg × 1 d (for BC) or 5 mg/kg × 1 d (for RCC)   12 of 13 patients had > 80% donor chimerism on d 60  
Hori et al52   Fludarabine 30 mg/m2 × 6 d, busulfan 4 mg/kg × 2 d, ATG 2.5 mg/kg × 2 d   All 8 patients had 100% complete donor chimerism  
Makimoto et al51   Fludarabine 30 mg/m2 (cladribine 0.11 mg/kg for the first 3 patients) × 6 d, busulfan 4 mg/kg × 2 d, ATG 2.5 mg/kg × 2 d   13 of 14 patients had complete donor chimerism  
Blaise et al53   Fludarabine 180 mg/m2 (total dose), busulfan 8 mg/kg (total dose), ATG 2.5-10 mg/kg   80% of evaluable patients had full donor chimerism  
Ueno et al (current study)
 
Fludarabine 30 mg/m2 × 5 d (for BC) or 25 mg/m2 × 5 d (for RCC), melphalan 70 mg/m2 × 2 d
 
1 of 23 patients had early death; 22 of 23 patients had 100% donor chimerism on d 30 and d 100
 

ATG indicates antithymocyte globulin.

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