Review Article

Clinical Application of Mesenchymal Stem Cells in the Treatment and Prevention of Graft-versus-Host Disease

Table 2

MSC for treatment of pediatric GVHD.

RefPhaseNo. of ptsGVHD typeGVHD locationType of MSC (no of doses)MSC dose (×106 cells/kg, median (range))No. of doses/pt (no of pts)Time from Tplt (days, median (range))Time from GVHD sx/dx (days, median (range))Clinical responseTRMRelapsed/
progressive
primary disease
MorbiditySurvival (after transplant)

[25]Pilot2acute (2): III (1), IV (1)G (1). H/G (1).BM: haplo (3), MM (1)1.2 (0.7–2)2 (2)88.5 (73–170)52, 63aGVHD (2): CR (1), NR (1)NANAaGVHD: EBV PTLD (1)aGVHD: dead (2), 3 mo, 12 mo.

[26]Pilot/I5acute (2): II (1), III (1). Chronic (3): extensive (3).S/G (1), S/H/G (3), S/H/L/G (1).BM: MF (1), MUD (2), haplo (2).2.0 (0.4–3.0)1 (3), 2 (2).250 (80–768)NAaGVHD (2): CR (1), NR (1). cGVHD (3): MR (1), NR (2).NA1 from aGVHD group.cGVHD: EBV PTLD (1)aGVHD: alive (1), 4 yrs; dead (1), NA.
cGVHD: alive (1), 4 yrs; dead (2), 2.25–3 yrs,

[27]*II25acute (55): II (5), III (25), IV (25).*S (3), H (1), G (6). S/G (15, H/G (7), S/H (4). S/H/G (19).*BM: MF (5), haplo (18), MM (69).*1.4 (0.4–9)*1 (27), 2 (22), 3 (4), 4 (1),
5 (1).*
103 (27–533)*NAaGVHD (25): CR (17), PR (4), SD (2), PD (2).1-yr from MSC: CR 37% (95% CI: 19–55%), non-CR 72% (95% CI: 55–89%), P = 0.002.*3 from aGVHD group*EBV PTLD (1).*development of cGVHD: limited (2), extensive (4). De novo AML (1).Est. 2-yr survival: 45% (95% CI: 23–67%)

[34]Pilot/I12acute (12):
III (5), IV (7).
G (5), S/G (3), H/G (2), S/H/G (1).BM: MM (Prochymal)Two pts: 8.0.
Ten pts: 2.0.
2 (1), 3 (1),
7 (1), 8 (3),
9 (1), 12 (4),
21 (1).
98 (45–237)46 (18–157)aGVHD (12): CR (7), PR (2).NANAInfection (7), EBV PTLD (1).Est. 2-yr survival: 40% (95% CI: 20–82%).

Notes: *data from entire study including pediatric and adults.
GVHD locations: S: skin, H: hepatic, L: lung, G: gut. M: musculoskeletal.
Type of MSC: BM: bone marrow. Haplo: haploidentical donor. MF: HLA-identical family member. MUD: matched unrelated donor. MM: HLA-mismatched donor.
Clinical response: CR: complete response, PR: partial response, MR: minimal response, NR: no response. SD: stable disease. PD: progressive disease.