Clinical summary of patients undergoing allo-BMT
Patient No./Age (y)/Sex | Preconditioning Regimen | MTX | HLA Match | Neurotoxicity (days) | Survival after Neurotoxicity (days) | CSP or FK-506 Level (μg/L) | Presenting Symptoms | Imaging Time (hrs)* | Blood pressure (mm Hg) | BMT-TM Grade | LDH Level (u/L) | ||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | Toxic | ||||||||||||
1/25/F | Cy 4D, TBI 4D | 6/6 | 17 | A | CSP 1367 | Seizure | 3 | 130/81 | 160/144 | 2 | 426 | ||
2/36/F | Cy 2D, TBI 4D | 6/6 | 14 | 18 | CSP 174 | Confusion | 28 | 115/85 | 167/104 | 3→4† | 432→1980 | ||
3/42/F | Cy 4D, TBI 4D | 6/6 | 78 | 112 | CSP 439 | Confused, agitated, hallucinations | 8 | 105/80 | 150/100 | 3† | 875 | ||
4/43/F | Cy 4D, TBI 4D | 6/6 | 23 | 8 | CSP 260 | Seizure | 16 | 92/52 | 210/130 | 3† | 1055 | ||
5/20/M | Cy 4D, TBI 4D | 5/6 | 151 | 112 | CSP 333 | Seizure | 3 | 114/86 | 130/100 | 4→3† | 2880→546 | ||
6/30/M | Cy 4D, TBI 4D | 4/6 | 55 | 12 | CSP 556 | Seizure | 3 | 124/88 | 120/84 | 4† | 890 | ||
7/49/M | Cy 4D, TBI 4D | 6/6 | 17 | A | CSP 324 | Seizure | 4 | 124/86 | 150/95 | 2 | 237 | ||
8/30/M | Cy 4D, TBI 4D | 6/6 | 480 | 50 | CSP 138 | HA | 20 | 140/82 | 164/106 | 3† | 900 | ||
9/19/M | Cy 2D, TBI 4D | Y | 6/6 | 23 | 173 | CSP 508 | Seizure | 5 | 112/70 | 182/130 | 3† | 415 | |
10/40/F | Cy 2D, TBI 4D | Y | 5/6 | 151 | 0 | FK NP | Seizure | 3 | 140/90 | 159/110 | 4† | 2214 | |
11/46/F | Cy 2D, busulfan 4D | 6/6 | 8 | 15 | CSP 209 | Seizure | 3 | 110/70 | 152/96 | 3→4† | 240→2680 | ||
12/25/F | Cy 2D, busulfan 4D | 6/6 | 75 | 102 | CSP 296 | Seizure | 11 | 124/72 | 150/100 | NP | 285 | ||
13/28/M | Cy 2D, busulfan 4D | 6/6 | 27 | 373 | CSP 1124 | Seizure | 1.5 | 126/84 | 115/85 | 4 | 1515 | ||
14/43/M | Cy 2D, busulfan 4D | 6/6 | 176 | 23 | CSP 144 | Seizure | 3 | 160/90 | 170/110 | 3→4† | 718 | ||
15/41/M | Cy 2D, busulfan 4D | 6/6 | 5 | A | CSP 377 | Seizure | 4 | 120/70 | 168/98 | NP | 143 | ||
16/42/F | Cy 2D, TBI 4D, thiotepa 1D | Y | 6/6 | 27 | A | CSP 1128 | Seizure | 5 | 132/88 | 140/95 | 3 | 204 | |
17/26/F | Cy 2D, TBI 4D, thiotepa 1D | Y | 6/6 | 26 | 64 | CSP 301 | Seizure | 3 | 138/100 | 140/100 | NP | 283 | |
18/38/F | Cy 2D, thiotopa 3D, busulfan 3D | Y | 6/6 | 16 | 4 | CSP 302 | Vision loss, HA | 2 | 150/88 | 180/100 | 3 | 222 | |
19/25/M | Cy 2D, TBI 4D, thiotepa 1D | 4/6 | 23 | 33 | FK 5.7 | Vision loss then seizure | 1 | 125/70 | 165/100 | 3 | 1125 | ||
20/17/F | Cy 2D, TBI 4D | Y | 6/6 | 17 | 392 | CSP 330 | Seizure | 18 | 110/60 | 120/80 | 1→3 | 1179 | |
21/40/F | BEAM | Y | 6/6 | 27 | 115 | FK 2.7 | Seizure | 6 | 108/60 | 114/64 | 2 | 2495 |
Note.—MTX indicates methotrexate; CSP, cyclosporine; LDH, lactate dehydrogenase; D, number of days of regimen; HA, ?; Y, yes; NP, not performed; A, alive survivor.
* Time after patient presentation with symptoms that imaging study was performed.
† Patient undergoing apheresis for BMT-TM.