Clinical Study

Autologous Graft versus Host Disease: An Emerging Complication in Patients with Multiple Myeloma

Table 2

Clinical summaries of MM patients who developed autoGVHD (1–8) and who did not (9–24).

PatientAgeSexRacePrior therapyTime from MM diagnosis to collection (months)MobilizationTime from txp to autoGVHD diagnosis (days)Disease course

166MCAB, A, and D2BDTPACE + G33autoGVHD between ttxp, WR, died of sepsis 1 month after 2nd txp

262FCANone5DTPACE + G35autoGVHD after ttxp and WR, died of pneumonia 6 months later

356MHT, D, XRT, and B9DTPACE + pegG/DA28txp, WR, and autoGVHD after 2nd txp 5 years later, near remission, died in home state 3 months later

463FCANone3MBDTPACE + G32autoGVHD after ttxp and CR

566MCAB, A, and D12MBDTPACE + G45autoGVHD after ttxp and CR, died of PCP pneumonia 5 months later

660MCAB, A, D, XRT, and L4BDTPACE + G15autoGVHD after 4 of 5 txp and WR, died in home state the following year

751FCANone2BDTPACE + G14autoGVHD after ttxp and WR, died in home state 11 months later

856MCAB, D1MBDTPACE + G31autoGVHD after ttxp and CR

961FCAZ40MBDTPACE + GNAtxp and WR, died of pneumonia 1 month later

1056FCAD, T, B, M, P, A, C, E, L, CAR, CT, M, HBO, and txp42BDTPACE + PL + GNAWR, died of progressive disease

1164FCAD, T, M, 2 txp, L, B, A, C, E, G, PL, P, and Z62BDTPACE + PL + GNAtxp and WR

1263MCANone2MBDTPACE + GNAttxp and WR, died of multiorgan failure 25 months later

1366FCAB and A27BDTPACE + GNAtxp and WR, died of RSV pneumonia the same month

1454FCAB, C, D, G, M, and
2 txp
13BDTPACE + PL + GNACR and relapse, died of sepsis

1568MCANone1MBDTPACE + GNAttxp and CR

1659MCAB, A, D, M, 2 txp, T, and L108MBDTPACE + GNAtxp and WR, died of sepsis 45 months later

1742FCAB and D2GNAttxp, status not known

1866FCAXRT2BDTPACE + GNAttxp and WR, died of pneumonia 1 month later

1952FAAD2MBDTPACE + GNAttxp and CR

2066MCANone2BDTPACE + GNAttxp and CR

2166FCAB, A, D, C, E, P, PL, T, and PA28BDTPACE + GNAtxp and WR

2271MCANone2BDTPACE + GNAtxp and CR

2369FCANone1DTPACE + GNAttxp and WR, died of pneumonia 1 month later

2470MCA B and D12GNAWR

A: adriamycin; AA: African American; B: bortezomib; C: cyclophosphamide; CA: Caucasian; CAR: carmustine; CR: complete remission; CT: cytarabine; D: dexamethasone; DA: darbepoetin alfa; E: etoposide; G: granulocyte-colony stimulating factor; H: Hispanic; HBO: hyperbaric oxygen; L: lenalidomide; M: melphalan; NA: not applicable; P: cisplatin; PA: pamidronate; PL: plerixafor; T: thalidomide; txp: single autologous stem cell transplant; ttxp: tandem autologous stem cell transplants (within 12 months); WR: without remission; XRT: local radiation therapy; Z: zoledronic acid.