Abatacept as salvage therapy in chronic graft-versus-host disease—a retrospective analysis - Annals of Hematology
- ️Wolff, Daniel
- ️Sat Jan 30 2021
Patient characteristics | Value |
---|---|
Patients | 15 |
Female, n (%) | 10 |
Male, n (%) | 5 |
Age, median (range)* | 49 (5–70) |
Diagnosis | |
AML, n (%) | 7 (47) |
ALL, n (%) | 2 (13) |
MPN (%) | 3 (15) |
Others, n (%) | 3 (15) |
Donor type | |
HLA-matched unrelated, n (%) | 7 (47) |
HLA-mismatched unrelated, n (%) | 1 (7) |
HLA-matched related, n (%) | 6 (40) |
HLA-mismatched related, n (%) | 0 |
Haploidentical related, n (%) | 1 (7) |
Sex mismatch: female to male | |
Yes, n (%) | 1 (7) |
No, n (%) | 14 (93) |
Stem cell source | |
Peripheral blood stem cells, n (%) | 14 (93) |
Bone marrow, n (%) | 1 (7) |
GvHD prophylaxis | |
ATG/CsA/MTX, n (%) | 3 (20) |
CsA/MTX, n (%) | 5 (33) |
CsA/MMF, n (%) | 1 (7) |
Other | 6 (40) |
History of aGvHD | |
Grades 0–I, n (%) | 4 (27) |
Grades II–IV, n (%) | 11 (73) |
Characteristics | Value |
Onset of cGvHD after allo-SCT, median days (range) | 256 (76–597) |
Time point of abatacept treatment after allo-SCT, median days, (range) | 1848 (432–7953) |
Time point of abatacept treatment after cGvHD onset, median days, (range) | 1592 (133–7864) |
Age at abatacept initiation, median (range) | 49 (5–70) |
Number of abatacept doses, median (range) | 7.1 (1–20) |
cGvHD, n (%) | |
Mild | 1 (7) |
Moderate | 0 |
Severe non-NIH defined (AIHA) | 13 (87) 1 (7) |
Steroid response of cGvHD | |
Steroid resistance | 5 (33) |
Steroid dependence | 10 (67) |
Number of organ involvement of cGvHD, n (%) | |
One | 1 (7) |
Two | 1 (7) |
Three | 5 (33) |
Four or more | 8 (53) |
Type of cGvHD organ involvement, n (%) | |
Skin | 11 (73) |
Oral | 10 (67) |
Eyes | 10 (67) |
Liver | 2 (13) |
Gut | 4 (27) |
Lung | 11 (73) |
Musculoskeletal | 7 (47) |
Genital | 2 (13) |
AIHA | 1 (7) |
ISM at the beginning of abatacept, n (%) | |
No ISM | 0 |
One ISM | 5 (33) |
Two ISM | 8 (53) |
Three or more ISM | 2 (13) |
Number of prior therapies before abatacept, n (%) | |
One | 2 (13) |
Two | 2 13) |
Three | 1 (7) |
Four or more prior therapies | 10 (67) |
New ISM within 3 months before abatacept, n (%) | |
Yes | 3 (20) |
No | 12 (80) |