Variables | MRD-HSCT (n = 108) | IST + EPAG (n = 104) | P |
---|---|---|---|
Median age, yr (range) | 29 (6–56) | 34.5 (4–69) | 0.024 |
Age, no. (%) | < 0.001 | ||
< 20 yr | 17 (15.7) | 24 (23.1) | |
20–40 yr | 67 (62.0) | 32 (30.8) | |
≥ 40 yr | 24 (22.2) | 48 (46.2) | |
Sex, no. (%) | 0.767 | ||
Male | 57 (52.8) | 57 (54.8) | |
Female | 51 (47.2) | 47 (45.2) | |
Disease status, no. (%) | 0.831 | ||
SAA | 68 (66.7) | 64 (61.5) | |
vSAA | 40 (33.3) | 40 (38.5) | |
With PNH clone, no. (%) | 26 (24.1) | 19 (10.2) | 0.301 |
ECOG score, median (range) | 1 (0–2) | 1 (0–2) | 0.537 |
Median time from diagnosis to treatment, mth (range) | 3 (1.0–200) | 2 (0.5–240) | 0.011 |
Median time to an ANC ≥ 1.0 × 109/L, d (range) | 15 (11–35) | 30 (4–58) | 0.002 |
Median time to transfusion independence for RBCs, d (range) | 22 (13–32) | 63 (6–302) | < 0.001 |
Median time to transfusion independence for platelets, d (range) | 12 (8–52) | 52 (11–287) | < 0.001 |
Normal blood routine at 6-mth, no. (%) | 83 (86.5) | 23 (23.7) | < 0.001 |
Early death, no (%) | 7 (6.5) | 2 (1.9) | 0.192 |
Secondary clonal disease, no (%) | 1 (0.9) | 2 (2.9) | 0.587 |
Relapsed, no (%) | 0 (0.0) | 1 (0.9) | – |
Alternative donor transplantation, no (%) | 0 (0.0) | 10 (9.6) | – |
TRM, no (%) | 17 (15.7) | 10 (9.6) | 0.181 |
Secondary GF, no (% of TRM) | 1 (5.9) | – | |
aGVHD, no (% of TRM) | 1 (5.9) | – | |
cGVHD, no (% of TRM) | 1 (5.9) | – | |
TMA, no (% of TRM) | 2 (11.8) | – | |
Poor graft function, no (% of TRM) | 1 (5.9) | – | |
Infection, no (% of TRM) | 9 (52.8) | 5 (50.0) | |
Intracranial hemorrhage, no (% of TRM) | 1 (5.9) | 2 (20.0) | |
Heart failure, no (% of TRM) | – | 1 (10.0) | |
Other, no (% of TRM) | 1 (5.9) | 2 (20.0) | |
Median follow-up time among living patients, mth (range) | 31.5 (13.0–69.0) | 30.5 (14.0–66.0) | 0.589 |
Conditioning regimen | Flu + CY + ATG | rATG (pALG) + CsA + EPAG | |
Donor median age, yr (range) | 30 (10–55) | – | |
Donor sex, no. (%) | – | ||
Male | 54 (50.0) | – | |
Female | 54 (50.0) | – | |
Blood types of donor to recipient, no. (%) | |||
Matched | 65 (60.2) | – | |
Major mismatched | 15 (13.9) | – | |
Minor mismatched | 19 (17.6) | – | |
Major and minor mismatched | 9 (8.3) | – | |
Source of graft, no. (%) | |||
BM | 4 (3.7) | – | |
PB | 30 (27.8) | – | |
BM + PB | 74 (68.5) | – | |
Median MNC, × 108/kg (range) | 11.6 (3.2–24.4) | – | |
Median CD34+ cells, × 106/kg (range) | 3.7 (1.1–8.6) | – | |
Median time to ANC > 0.5 × 109/L, d (range) | 11 (7–21) | – | |
Median time to PLT > 20.0 × 109/L, d (range) | 12 (8–52) | – | |
Primary GF, no. (%) | 0 (0.0) | – | |
Secondary GF, no. (%) | 2 (1.9) | – | |
GF of platelet, no. (%) | 3 (2.9) | – | |
Delayed platelet recovery, no. (%) | 4 (3.8) | – | |
Poor graft function, no. (%) | 1 (0.9) | – | |
Adverse events of attributed to EPAG, no. (%) | |||
Skin (maculopapular and/or rash pruritus) | – | 3 (2.9) | |
Abdominal pain | – | 2 (1.9) | |
Joint pain | – | 2 (1.9) | |
Liver test abnormality | |||
Increased aminotransferase level | – | 42 (40.4) | |
Increased blood bilirubin level | – | 19 (18.3) |