Patient | Type of BMT (nucleated cells/kg) | Age at BMT | Conditioning | Engraftment | Complications |
1 | Parental (1) | 2.3 years | Bu 16 Cy 200 | No | Graft rejection |
CyA AZX | |||||
MUD (2) | Yes | Alive and well at 5 years | |||
(5.0 × 108/kg) | |||||
4 | HLA identical MSD | 15.6 years | Bu 16 Cy 200 | Yes | CMV/adenovirus pneumonitis |
(3.9 × 108/kg) | CyA AZX | Cryptosporidium | |||
(died D +93) | |||||
7 | HLA identical paternal uncle | 7 months | Campath 1G (D −10 to −6) | No | Acute renal failure (Foscarnet) |
(4.0 × 108/kg) | Bu 20 Cy 200 | Toxic epidermal necrolysis | |||
CyA | Disseminated CMV | ||||
(died D +17) | |||||
8 | HLA identical great uncle (1) | 1 month | Bu 16 Cy 200 | Yes transient (D +21) | Transplant associated pneumonitis |
(11.5 × 108/kg) | ATG (D −4 to −1) | Transplant rejection | |||
DQ mismatched paternal uncle (2) | CyA, MTX×3 | ||||
(T cell depleted) | 5 months | Bu 20 Cy 200 | Yes (D +14) | Transplant associated pneumonitis | |
(5.5 × 108/kg) | anti-LFA-1/CD2 | Rotavirus enteritis | |||
(D −3 to +10) | (died D +87) | ||||
9 | HLA identical sister | 6 months | Bu 20 Cy 200 | No | Parainfluenza III pneumonitis |
(7.8 × 108/kg) | CyA MTX×2 | (died D +19) | |||
10 | HLA identical father | 6 years | Flu, Mel | Yes | Severe gastroenteritis |
(whole marrow) | Cryptosporidium, adeno CMV viraemia | ||||
(8.4 × 108/kg) | (asymptomatic) | ||||
(alive 5 months post-BMT) | |||||
Bu 20, busulphan total dose 20 mg/kg given as 4 divided doses (5 mg/kg) over 4 days; Cy 200, cyclophosphamide total dose 200 mg/kg given as 4 divided doses (50 mg/kg) over 4 days; AZX, azathioprine; MTX, methotrexate; Flu, fludarabine 30 mg/m2; Mel, melphalan 140 mg/m2.