Journal of Hematology, ISSN 1927-1212 print, 1927-1220 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Hematol and Elmer Press Inc
Journal website https://www.thejh.org

Letter to the Editor

Volume 10, Number 1, February 2021, pages 35-39


Similar Outcomes in Early-Failure Steroid-Dependent Compared to Upfront Steroid Refractory Acute Graft-Versus-Host Disease Following Allogeneic Hematopoietic Cell Transplant

Figures

Figure 1.
Figure 1. Kaplan-Meier plot (time-dependent Cox regression univariate analysis) comparing overall survival across USR, EF-SD, and LF-SD. USR: upfront steroid refractory; EF-SD: early-failure steroid-dependent; LF-SD: late-failure steroid-dependent.
Figure 2.
Figure 2. Cumulative incidence of non-relapse mortality with relapse as a competing risk across USR, EF-SD, and LF-SD. USR: upfront steroid refractory; EF-SD: early-failure steroid-dependent; LF-SD: late-failure steroid-dependent.

Table

Table 1. Baseline Demographics Stratified by Acute GvHD Subtype
 
USR (n = 41)SD all (n = 60)EF-SD (n = 24)LF-SD (n = 36)
F: female; M: male; GvHD: graft-versus-host disease; USR: upfront steroid refractory; SD: steroid dependent; EF-SD: early-failure steroid-dependent; LF-SD: late-failure steroid-dependent; IQR: interquartile range; CMV: cytomegalovirus.
Age at transplant, median (IQR)52 (42 - 59)44 (32 - 53)41 (30 - 48)46 (35 - 54)
Recipient sex
  F37% (15)57% (34)58% (14)56% (20)
  M63% (26)43% (26)42% (10)44% (16)
Donor type
  Related46% (19)33% (20)29% (7)36% (13)
  Unrelated54% (22)67% (40)71% (17)64% (23)
Graft type
  Bone marrow20% (8)17% (10)25% (6)11% (4)
  Umbilical cord7% (3)10% (6)8% (2)11% (4)
  Peripheral blood73% (30)73% (44)67% (16)78% (28)
Sex mismatch (D/R)
  F/F16% (6)23% (13)13% (3)30% (10)
  F/M24% (9)18% (10)22% (5)15% (5)
  M/F21% (8)36% (20)44% (10)30% (10)
  M/M40% (15)23% (13)22% (5)24% (8)
  Missing0% (0)0% (0)0% (0)0% (0)
CMV serostatus (D/R)
  N/N13% (5)16% (9)17% (4)15% (5)
  N/P13% (5)12% (7)13% (3)12% (4)
  P/N40% (15)34% (19)30% (7)36% (12)
  P/P26% (10)36% (20)35% (8)36% (12)
  Missing8% (3)2% (1)4% (1)0% (0)
ABO match
  Match47% (18)48% (27)35% (8)58% (19)
  Mismatch47% (18)50% (28)61% (14)42% (14)
  Missing5% (2)2% (1)4% (1)0% (0)
Diagnosis
  Acute leukemia44% (18)54% (33)50% (12)58% (21)
  Lymphoid20% (8)24% (14)25% (6)22% (8)
  Myeloid27% (11)19% (11)17% (4)19% (7)
  Other10% (4)4% (2)8% (2)0% (0)
Regimen intensity
  Myeloablative49% (20)77% (46)75% (18)78% (28)
  Non-myeloablative or reduced intensity51% (21)23% (14)25% (6)22% (8)