Blood Research

Summary of the treatments.

First HSCT CART Second HSCT
1 Pretreatment HSCT/CART 1. Modified GMALL induction 3. Nilotinib (400 mg) twice daily 4. FLAG-Ida
1. Modified GMALL induction
2.Hyper-CVAD A/B+imatinib (600 mg) daily
4. FLAG-Ida
5.Vincristine+dexamethasone+ ponatinib (30 mg) daily
2 Disease status before transplantation Molecular MRD-negative NA Molecular MRD-negative
3 Stem cell source G-CSF-primed PBSCs NA G-CSF-primed PBSCs
4 ABO matching Major mismatched
A+ to O+
Matched
A+ to A+
Matched
A+ to A+
5 CD34 cell/T cell dose 3.0×106/kg 8.5×106 chimeric T cells 5.06×106/kg
6 CMV IgG status Both positive Both positive Both positive
7 Conditioning regimen TBI-Cy Flu-Cy Flu-Bu (2)
8 GVHD prophylaxis CSA/MMF NA CSA/MMF
9 Maintenance TKI/duration Imatinib (600 mg) daily/
2 years
Nilotinib (400 mg) BD/7 months Ponatinib (30 mg) daily/ 6 months (ongoing)
10 Timeline from the initial diagnosis 5 months 3 years 4 years and 2 months
11 Complications No GVHD No CRS Skin GVHD grade I and catheter-related infection
12 Relapse Yes
2 years and 6 months later
Yes
8 months later
Yes
9 months later
13 Site of relapse Bone marrow Bone marrow CNS

Abbreviations: Bu, busulfan; CART, chimeric receptor antigen T cells; CMV, cytomegalovirus; CNS, central nervous system; CRS, cytokine release syndrome; CSA, cyclosporine A; Cy, cyclophosphamide; Flu, fludarabine; G-CSF, granulocyte-colony stimulating factor; GVHD, graft-versus-host disease; HSCT, hematopoietic stem cell transplantation; MMF, mycophenolate mofetil; MRD, measurable residual disease; NA, not applicable; PBSC, peripheral blood stem cell; TBI, total body irradiation; TKI, tyrosine kinase inhibitor.

Blood Res 2022;57:158~161 https://doi.org/10.5045/br.2022.2020305
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