Patient characteristics
No. treated | 30 |
Median age, y (range) | 43 (20-63) |
Sex, M/F | 15/15 |
Diagnosis, no. | |
Acute leukemia/myelodysplastic syndrome | 15 |
CML/chronic myeloproliferative disorder | 4 |
Chronic lymphocytic leukemia | 6 |
Non-Hodgkin lymphoma | 3 |
Hodgkin lymphoma | 1 |
Plasma cell leukemia | 1 |
Donor, no. | |
Matched related | 2 |
Matched unrelated | 26 |
Antigen mismatched related | 1 |
Antigen mismatched unrelated | 1 |
Stem cell source, no. | |
Marrow | 6 |
PBSCs | 24 |
Conditioning, no. | |
Cy/TBI | 17 |
Bu/Cy | 2 |
Fly/Bu (nonmyeloablative) | 11 |
GVHD prophylaxis, no. | |
FK506/MTX | 10 |
FK506/mini-MTX/CD8+ T-cell depletion | 8 |
FK506/mini-MTX/sirolimus | 3 |
FK506/prednisone | 1 |
CyA/prednisone | 3 |
CyA/prednisone/MMF | 5 |
Prior GVHD therapy (within 3 wk of enrollment), no. | |
Tacrolimus | 23 |
Cyclosporine | 7 |
Sirolimus | 8 |
MMF | 16 |
Daclizumab | 12 |
Infliximab | 3 |
Extracorporeal photopheresis | 1 |
Median no. of prior immunosuppressive agents (range) | 3 (2-6) |
Acute GVHD grade at enrollment, no. | |
II | 11 |
III | 13 |
IV | 6 |
Denileukin diftitox dose level | |
9 μg/kg d 1, 15 | 7 |
9 μg/kg d 1, 3, 5, 15, 17, 19 | 18* |
9 μg/kg d 1-5, 16-19 | 5 |
No. treated | 30 |
Median age, y (range) | 43 (20-63) |
Sex, M/F | 15/15 |
Diagnosis, no. | |
Acute leukemia/myelodysplastic syndrome | 15 |
CML/chronic myeloproliferative disorder | 4 |
Chronic lymphocytic leukemia | 6 |
Non-Hodgkin lymphoma | 3 |
Hodgkin lymphoma | 1 |
Plasma cell leukemia | 1 |
Donor, no. | |
Matched related | 2 |
Matched unrelated | 26 |
Antigen mismatched related | 1 |
Antigen mismatched unrelated | 1 |
Stem cell source, no. | |
Marrow | 6 |
PBSCs | 24 |
Conditioning, no. | |
Cy/TBI | 17 |
Bu/Cy | 2 |
Fly/Bu (nonmyeloablative) | 11 |
GVHD prophylaxis, no. | |
FK506/MTX | 10 |
FK506/mini-MTX/CD8+ T-cell depletion | 8 |
FK506/mini-MTX/sirolimus | 3 |
FK506/prednisone | 1 |
CyA/prednisone | 3 |
CyA/prednisone/MMF | 5 |
Prior GVHD therapy (within 3 wk of enrollment), no. | |
Tacrolimus | 23 |
Cyclosporine | 7 |
Sirolimus | 8 |
MMF | 16 |
Daclizumab | 12 |
Infliximab | 3 |
Extracorporeal photopheresis | 1 |
Median no. of prior immunosuppressive agents (range) | 3 (2-6) |
Acute GVHD grade at enrollment, no. | |
II | 11 |
III | 13 |
IV | 6 |
Denileukin diftitox dose level | |
9 μg/kg d 1, 15 | 7 |
9 μg/kg d 1, 3, 5, 15, 17, 19 | 18* |
9 μg/kg d 1-5, 16-19 | 5 |
CML. indicates chronic myelogenous leukemia; PBSCs, peripheral blood stem cells; Cy/TBI, cyclophosphamide/total body irradiation; Bu/Cy, busulfan/cyclophosphamide; Flu/Bu, fludarabine/busulfex; FK506/MTX, tacrolimus/methotrexate; pred, prednisolone; CyA, cyclosporine A; MMF, mycophenolate mofetil.
Eight patients treated in dose-escalation phase, 10 on MTD expansion phase of trial.