Table 1 Patient characteristics and outcome.

From: Ibrutinib for steroid refractory chronic graft-versus-host disease: therapeutic efficiency can be limited by increased risk of fungal infection

Serial/ Gender

Diagnosis

Age (years)

Conditioning regimen/GVHD prophylaxis

Treatment lines before Ibrutinib

Involved organs

Ibrutinib Dose

AE WHO ≥ 3

Response

Steroid dose

Current status

Skin

Eye

Mouth

Lung

GI

Liver

MSK

Initial dose

Last dose

P(1)/F

CP1-CML

30

MAC/CSP, MTX

2 lines

x

 

x

  

x

 

140

280

Lung p-IFI

Liver toxicity

CR

Off steroid

Alive, in CR off IST

P(2)/M

AML

23

MAC/CSP, MTX

2 lines

x

 

x

x

   

280

420

Lung P-IFI

skin abscess

CR

Off steroid

Alive, in CR off IST

P(3)/F

AML

54

MAC/CSP, MTX

1 line

x

 

x

x

   

280

420

CNS p-IFI

Bleeding

PR

75% dose reduction

Died due to CNS fungal infection

P(4)/M

CP2-CML

62

RIC/CSP, MMF

2 lines

x

 

x

x

   

280

420

CNS p-IFI

Lung p-IFI

PR

35% dose reduction

Died due to CNS fungal infection

P(5)/M

CP2-CML

40

NMA-Haplo/PTCy, Tacrolimus, MMF

2 lines

x

x

x

x

x

 

x

280

420

Cytopenia

Pneumonia

Molecular relapse

NR

No reduction

Died due to primary disease relapse

P(6)/F

AML

54

MAC/CSP, MTX

1 line

x

 

x

x

   

280

420

Bleeding

CNS p-IFI

VGPR

75% dose reduction

Died due to CNS fungal infection

P(7)/M

NHL

22

MAC/CSP, MTX

3 lines

x

x

   

x

 

280

140

No AE

VGPR

Off steroid

Alive on low dose Ibrutinib

P(8)/M

AML

46

MAC/CSP, MTX

2 lines

x

 

x

x

 

x

 

280

280

No AE

VGPR

75% dose reduction

Alive on Ibrutinib and low dose steroid

P(9)/M

AML

29

MAC/CSP, MTX

1 line

x

x

x

  

x

 

280

420

No AE

PR

50% dose reduction

Alive on Ibrutinib and steroids

P(10)/F

ALL

18

MAC/CSP, MTX

2 lines

x

 

x

  

x

x

280

420

No AE

NR

No reduction

Alive, currently on 4th line treatment for SR-cGvHD

P(11)/M

HL

17

RIC/CSP, MMF

3 lines

x

x

  

x

x

 

280

140

no AE

PR

35% dose reduction

Died due to primary disease progression

  1. CR complete remission, VGPR very good partial remission, PR partial remission, NR no response, P patient, M male, F female, AML acute myeloid leukemia, ALL acute lymphoblastic leukemia, CP1-CML chronic myeloid leukemia in 1st chronic phase, CP2-CML chronic myeloid leukemia in 2nd chronic phase, NHL Non Hodgkin’s lymphoma, HL Hodgkin’s Lymphoma, MAC myeloablative conditioning, RIC reduced intensity conditioning, NMA non-myeloablative conditioning regimen, Haplo haploidentical donor, GVHD graft vs host disease, CSP cyclosporine, MTX methotrexate, MMF mycophenolate mofetil, AE adverse events, p-IFI possible invasive fungal infection, IST immunosuppressive treatment.