{"classes":[{"categories":[{"measurements":[{"groupId":"OG000","lowerLimit":"13","upperLimit":"37","value":"25"},{"groupId":"OG001","lowerLimit":"23","upperLimit":"50","value":"36"}]}],"title":"any chronic GVHD"},{"categories":[{"measurements":[{"groupId":"OG000","lowerLimit":"10","upperLimit":"33","value":"20"},{"groupId":"OG001","lowerLimit":"12","upperLimit":"36","value":"23"}]}],"title":"moderate-severe chronic GVHD"}],"denoms":[{"counts":[{"groupId":"OG000","value":"49"},{"groupId":"OG001","value":"47"}],"units":"Participants"}],"description":"Chronic GVHD will be graded as mild, moderate, or severe based on the National Institutes of Health Consensus Development Project. The type and duration of immunosuppressive treatment given for cGVHD will be recorded. Mild grades are associated with a better participant outcome and severe corresponds to a worse participant outcome. Grading is as follows:\n\nMild: 1 or 2 organs involved with no more than score 1 plus Lung score 0\n\nModerate: 3 or more organs involved with no more than score 1 OR At least 1 organ (not lung) with a score of 2 OR Lung score 1\n\nSevere: At least 1 organ with a score of 3 OR Lung score of 2 or 3\n\nOrgan scores can range from 0 to 3, with 0 being no symptoms on the target organ and a better participant outcome while a score of 3 correlates to severe symptoms on the target organ and worse participant outcomes.\n\nPotential target organs include: skin, mouth, eyes, GI tract, liver, lungs, joint /fascia, and genital tract","dispersionType":"95% Confidence Interval","groups":[{"description":"Participants receive tacrolimus IV over 24 hours beginning on day -1 (or tacrolimus orally beginning on day -3) and then PO BID after engraftment with a taper from day 100 to day 180 (in the absence of GVHD). Patients also receive methotrexate IV on days 1, 3, 6, and 11.\n\ntacrolimus: Tacrolimus 0.03 mg/kg/day beginning day -1 or tacrolimus 0.03mg/kg/dose BID orally beginning on day -3. If Tac is administered intravenously, it will be given over 24 hours and will be converted to oral administration 2 times a day when the patient has engrafted and/or can tolerate oral medication. Levels of Tac will be obtained to maintain a recommended target serum level of 5-12 ng/mL\n\nmethotrexate: MTX 15mg/m2 IV on day +1, followed by 10mg/m2 on day +3, +6, +11. If patient \\< 10 kg then MTX will be given at 0.5 mg/kg IV on day +1. Then MTX will be given at 0.33 mg/kg on days +3, +6 and +11.","id":"OG000","title":"Group A (Tacrolimus, Methotrexate)"},{"description":"Patients receive tacrolimus as in group A and methotrexate (low dose) IV on days 1, 3, and 6. Patients also receive oral mycophenolate mofetil BID beginning on day 1, with a taper from day 45 to day 100 (in the absence of GVHD).\n\ntacrolimus: Tacrolimus 0.03 mg/kg/day beginning day -1 or tacrolimus 0.03mg/kg/dose BID orally beginning on day -3. If Tac is administered intravenously, it will be given over 24 hours and will be converted to oral administration 2 times a day when the patient has engrafted and/or can tolerate oral medication. Levels of Tac will be obtained to maintain a recommended target serum level of 5-12 ng/mL\n\nMycophenolate mofetil: Patients will receive Mycophenolate beginning on day +1. Patients \\>40 kg will receive Mycophenolate 1000 mg twice a day. Mycophenolate should be given orally twice a day. IV formulation may be used if the patient cannot tolerate oral route. Patients \\< 40 kg will receive MMF 45 mg/kg/day (15 mg/kg three times a day). MMF may be given orally or intravenously as per institutional protocol\n\nMethotrexate (low dose): MTX 5mg/m2 IV on day +1, +3, +6. If patient\\<10 kg MTX will be given at 0.17 mg/kg on day +1, +3, and +6.","id":"OG001","title":"Group B (Tacrolimus, Methotrexate, Mycophenolate Mofetil)"}],"paramType":"NUMBER","populationDescription":"participants who completed the study","reportingStatus":"POSTED","timeFrame":"at 12 months","title":"Incidence of Chronic GVHD","type":"SECONDARY","unitOfMeasure":"percentage of participants"}