Table 2 Patients with Fanconi anaemia and AML treated by Allo-SCT

From: Minimal antileukaemic treatment followed by reduced-intensity conditioning in three consecutive children with Fanconi anaemia and AML

Patient

Pre-HSCT applied chemotherapy

Age at HSCT (years)

Remission at HSCT

Donor

HLA status, HLA typing

Graft and cell dose, CD34 in 10e6/kg MNC in 10e8/kg

Conditioning

GVHD prophylaxis

Engraftment

Outcome

1

Low dose therapy: thioguanine 40 mg/m2/day, (8 days) cytarabine 40 mg/m2/day (7 days), single dose VCR 1.5 mg/m2/day

8.8

0% Blasts in BM, Aplasia

Haplo

Haplo (father)

PBSC CD34: 30.10 (T-cell depleted)

Fludarabine 150 mg/m2, CY 20 mg/kg, ATG 80 mg/kg

OKT3, HD methylprednisolone

Yes

Alive (BO) (FU 174 months)

2

None

14.11

32% Blasts in BM

MUD

Matched, 10/10

BM MNC 2.13

BU 1.6 mg/kg, fludarabine 180 mg/m2, ATG 60 mg/kg

CsA, OKT3, HD prednisolone

Yes

Alive (BO) (FU 75 months)

3

Low dose therapy: thioguanine 40 mg/m2/day(24 d) followed by 20 mg/m2/day (30 days), at the beginning cytarabine 40 mg/m2/day (4 days)

10.9

0% Blasts in BM, Aplasia

MUD

Matched, 10/10

BM MNC 3.43

BU 1.6 mg/kg, fludarabine 180 mg/m2, CY 40 mg/kg, Alemtuzumab 35 mg/m2

MMF, rapamycin

Yes

Alive (FU 14 months)

  1. Abbreviations: ATG=antithymocyte globulin; BO=bronchiolitis obliterans; FU=follow up; Haplo=haploidentical donor; HD=high dose; MMF=mycophenolate mofetil; MNC=mononuclear cells; MUD=matched unrelated donor; OKT3=muromonab-CD3.
  2. Pretreatment details, HSCT details and outcome data are presented.