Table 1 Patient and treatment characteristics and outcomes (N=89)

From: Sclerodermatous chronic GVHD in patients receiving tyrosine kinase inhibitors after allogeneic hematopoietic cell transplantation

Variable

All patients (N=89)

TKI exposure (n=55)

TKI non-exposure (n=34)

Patient gender (female/male)

36 (40%)/53 (60%)

22 (40%)/33 (60%)

14 (41%)/20 (59%)

Age (years) at HCT: median (range)

44 (18–62)

45 (18–62)

41 (20–59)

Time (months) from diagnosis to HCT median (range)

8.4 (1.8–125.9)

5.5 (1.8–125.9)

18 (3–123.1)

Diagnosis

 ALL Ph+

48 (54%)

36 (65%)

12 (35%)

 CML

41 (46%)

19 (35%)

22 (65%)

Donor type

 Matched sibling

48 (54%)

33 (60%)

15 (44%)

 Mismatched sibling

1 (1%)

0 (0%)

1 (3%)

 Matched unrelated donor

12 (14%)

6 (11%)

6 (18%)

 Mismatched unrelated donor

28 (31%)

16 (29%)

12 (35%)

Conditioning regimen

 Reduced intensity

15 (17%)

11 (20%)

4 (12%)

 Myeloablative

74 (83%)

44 (80%)

30 (88%)

 Radiation-based

59 (66%)

40 (73%)

19 (56%)

 Non-radiation-based

30 (34%)

15 (27%)

15 (44%)

GVHD prophylaxis

 Sirolimus/tacrolimus-based

73 (82%)

46 (85%)

27 (79%)

 Tacrolimus/methotrexate-based

14 (16%)

7 (11%)

7 (21%)

 Cyclosporine/MMF

2 (2%)

2 (4%)

0 (0%)

Time (months) to TKI start: median (range)

1.9 (0.7–17.9)

1.9 (0.7–17.9)

N/A

Duration (months) of TKI exposurea: median (range)

9.1 (0.1–89.4)

9.1 (0.1–89.4)

N/A

Acute GVHD

 None

36 (40%)

24 (43%)

12 (35%)

 Grade I

11 (12%)

7 (13%)

4 (12%)

 Grade II

27 (30%)

16 (29%)

11 (32%)

 Grade III

12 (14%)

7 (13%)

5 (15%)

 Grade IV

3 (4%)

1 (2%)

2 (6%)

Chronic GVHD

 None

13 (14%)

9 (16%)

4 (12%)

 Limited

6 (7%)

5 (9%)

1 (3%)

 Extensive

64 (72%)

39 (71%)

25 (73%)

 Died prior to day +100

6 (7%)

2 (4%)

4 (12%)

Sclerodermatous GVHD

15 (17%)

8 (15%)

7 (21%)

 Time of onset median (months)

16.8 (6.7–53.7)

13.8 (10.3–33.1)

17.1 (6.7–53.7)

2-year OS

72.5% (95% CI 61.8–80.7)

73.8% (59.8–83.6)

70.4% (51.9–82.8)

2-year PFS

65.9% (95% CI 54.9–74.8)

65.1% (50.9–76.2)

67.3% (48.7–80.4)

2-Year relapse/progression (cumulative incidence)

14.8% (95% CI 8.9–24.3)

22.0% (13.3–36.2)

3.1% (0.4–21.1)

  1. Abbreviations: HCT=hematopoietic cell transplantation; MMF=mycophenolate mofetil; scGVHD=sclerodermatous GVHD; TKI=tyrosine kinase inhibitor.
  2. aDuration of exposure defined as start of TKI until discontinuation, last follow-up, or development of scGVHD, whichever occurred first.