History of severe asthma or absolute requirement for chronic inhaled corticosteroid medications. Hx of drug-related anaphylactic reactions, severe allergic reactions related to drug; active diagnosis of uncontrolled airway hyperactivity, uncontrolled asthma, or asthma requiring oral corticosteroids. Pulmonary disease (e.g. COPD, asthma, etc) that is not controlled (moderate to severe symptoms) with current medication Moderate or severe persistent asthma, or a history of asthma within the last 2 years, or currently has uncontrolled asthma of any classification Subject has known moderate or severe persistent asthma within the past 2 years or currently has uncontrolled asthma of any classification\r\n* Subjects who currently have controlled intermittent asthma or controlled mild persistent asthma are allowed in the study Patients must not have aspirin sensitive asthma Other significant or uncontrolled medical illness; patients with a remote history of asthma or active mild asthma may participate Known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume in 1 second [FEV1] < 50% of predicted normal), persistent asthma, or a history of poorly controlled asthma within the last 2 years (controlled intermittent asthma or controlled mild persistent asthma is allowed) History of severe asthma or absolute requirement for chronic inhaled corticosteroid medications (subjects with a history of mild asthma that are on or can be switched to noncorticosteroid bronchodilator regimens are eligible) Pulmonary disease (e.g. COPD, asthma, etc) that is not controlled (moderate to severe symptoms) with current medication Severe asthma. History of severe asthma and currently on chronic systemic medications (mild asthma requiring inhaled steroids only is eligible) Currently being treated with bronchodilators or corticosteroids or known to have active asthma. This will not include patients who suffered from asthma as a child and outgrew it. History of severe asthma and currently on chronic systemic medications (mild asthma requiring inhaled steroids only is eligible) History of severe asthma and currently on systemic chronic medications (mild asthma requiring inhaled steroids only is eligible) History of severe asthma, presently on chronic medications (a history of mild asthma requiring inhaled steroids only is eligible) Known moderate or severe persistent asthma within the past 2 years, or uncontrolled asthma of any classification. Note that subjects who currently have controlled intermittent asthma or controlled mild persistent asthma are allowed to participate in the study. History of asthma that is nonsteroidal anti-inflammatory drug (NSAID)-induced or with asthma that is classified as ‘mild-persistent’ or worse (based on symptoms occurring more than 2 days per week) History of severe asthma or presently on chronic inhaled corticosteroid medications (patients with a history of mild asthma not requiring corticosteroid therapy are eligible) Known severe hypersensitivity reactions to monoclonal antibodies (Grade ?3), any history of anaphylaxis, or uncontrolled asthma (ie, 3 or more features of partially controlled asthma Global Initiative for Asthma 2011) Patients with a history of asthma will be excluded Evidence of active autoimmune disease (e.g., systemic lupus erythematosis, rheumatoid arthritis, with the exception of vitiligo. Patients with a remote history of asthma or mild asthma are eligible. Known moderate or severe persistent asthma within the past 2 years, or uncontrolled asthma of any classification Criteria 6 Known moderate or severe persistent asthma within the past 2 years History of severe asthma and currently on chronic systemic medications (mild asthma requiring inhaled steroids only is eligible) Other significant or uncontrolled medical illness; patients with a remote history of asthma or active mild asthma may participate Subject has known moderate or severe persistent asthma within 2 years, or currently has uncontrolled asthma of any classification; (Note that subjects who currently have controlled intermittent asthma or controlled mild persistent asthma are allowed in the study) History of severe asthma and currently on systemic chronic medications (mild asthma requiring inhaled steroids only is eligible) Subject has known moderate or severe persistent asthma within the past 2 years, or currently has uncontrolled asthma of any classification. NOTE: subjects who currently have controlled intermittent asthma or controlled mild persistent asthma are allowed in the study History of severe asthma, as defined by prior or current use of systemic corticosteroids for disease control, with the exception of physiological replacement doses of cortisone acetate or equivalent, as defined by a dose of 10 mg or less; note: a history of mild asthma not requiring therapy is eligible History of severe asthma, presently on chronic medications (a history of mild asthma not requiring therapy is eligible) Known moderate or severe persistent asthma within the past 2 years or currently has uncontrolled asthma of any classification Participant has known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume in 1 second [FEV1] <50% of predicted normal), persistent asthma, or a history of asthma within the last 2 years (controlled intermittent asthma or controlled mild persistent asthma is allowed) Has moderate or severe persistent asthma within the past 2 years or uncontrolled asthma of any classification. Known chronic obstructive pulmonary disease, persistent asthma, or a history of asthma within 2 years Patients with a remote history of asthma or active mild asthma may participate. Participant has known chronic obstructive pulmonary disease (COPD) (defined as a forced expiratory volume in 1 second [FEV1] <50% of predicted normal), known moderate or severe persistent asthma within the last 2 years or currently has uncontrolled asthma of any classification (controlled intermittent asthma or controlled mild persistent asthma is allowed) Evidence of active autoimmune disease (e.g., systemic lupus erythematosis, rheumatoid arthritis, with the exception of vitiligo. Patients with a remote history of asthma or mild asthma are eligible. History of asthma Autoimmune disease (e.g., systemic lupus erythematosis (SLE), rheumatoid arthritis (RA), etc.). Patients with a remote history of asthma or mild active asthma are eligible. Autoimmune disease (e.g., systemic lupus erythematosis (SLE), rheumatoid arthritis (RA), etc.). Patients with a remote history of asthma or mild active asthma are eligible. History of severe asthma or presently on chronic inhaled corticosteroid medications (patients with a history of mild asthma controlled with inhaled bronchodilators are eligible) Moderate to end-stage kidney disease and a history of severe asthma or allergies History of severe asthma, presently on chronic medications (a history of mild asthma not requiring therapy is eligible) Participant has known chronic obstructive pulmonary disease (COPD) with a Forced Expiratory Volume in 1 second (FEV1) less than (<) 50% predicted normal. Note that FEV1 testing is required for participants suspected of having COPD and participants must be excluded if FEV1 <50% b) Participant has known moderate or severe persistent asthma within 2 years (see Attachment 4: NHLBI table of asthma severity), or currently has uncontrolled asthma of any classification. (Note that participants who currently have controlled intermittent asthma or controlled mild persistent asthma are allowed in the study) Autoimmune disease (e.g., systemic lupus erythematosis (SLE), rheumatoid arthritis (RA), etc.). Patients with a remote history of asthma or mild active asthma are eligible. Conditions requiring chronic systemic glucocorticoid use, such as autoimmune disease or severe asthma, excluding inhalation steroids for maintenance. Chronic ongoing oral steroid use at the time of registration for any condition (such as asthma, rheumatoid arthritis, etc) History of drug-related anaphylactic reactions or allergic reactions; subjects with an active diagnosis of uncontrolled airway hyperactivity, uncontrolled asthma, or asthma requiring oral corticosteroids will be excluded History of asthma No history of severe asthma, as defined by prior or current use of systemic corticosteroids for disease control, with the exception of physiological replacement doses of cortisone acetate or equivalent, as defined by a dose of 10 mg or less; NOTE: history of mild asthma not requiring daily therapy is eligible History of severe asthma, presently on chronic medications (a history of mild asthma not requiring therapy is eligible) Patients must not have uncontrolled asthma Asthma or other reactive airway disease History or current clinical evidence of moderate -to-severe obstructive pulmonary disease or reactive airway diseases (i.e.: asthma) requiring therapy No history of bronchial asthma or related bronchospastic conditions Prior history of (H/O) severe allergy or asthma requiring active treatment Participants with persistent asthma as defined by the National Heart, Lung, and Blood Institute. Participants with persistent asthma as defined by the National Heart, Lung, and Blood Institute History or current clinical evidence of moderate-to-severe obstructive pulmonary disease or reactive airway diseases (i.e. asthma) requiring therapy Adult asthma History of severe asthma and currently on chronic systemic medications (mild asthma requiring inhaled steroids only is eligible) Clinical diagnosis of asthma Adult asthma Participants with persistent asthma as defined by the National Heart, Lung, and Blood Institute Asthma, wheezing or breathing problems History of chronic asthma Patient must not have a history of allergy or bronchial asthma Uncontrolled asthma or asthma requiring oral corticosteroids. Active clinically serious infections or other serious uncontrolled medical conditions Uncontrolled infections Active or uncontrolled infections Active (acute or chronic) or uncontrolled severe infections Active or uncontrolled infections Have active (acute or chronic) or uncontrolled severe infections Uncontrolled active systemic infections Active or uncontrolled infections Uncontrolled infections. No uncontrolled infections; No uncontrolled infections; Active uncontrolled acute infections Active, clinically serious infections or other serious uncontrolled medical conditions Absence of uncontrolled intercurrent illnesses, including uncontrolled infections, cardiac conditions, or other organ dysfunctions. Uncontrolled infections Active or uncontrolled infections Active or uncontrolled infections No clinically significant uncontrolled infections as determined by investigator Not have active, uncontrolled infections Active, uncontrolled infections Absence of uncontrolled intercurrent illnesses, including uncontrolled infections, cardiac conditions, or other organ dysfunctions. Uncontrolled infections Absence of uncontrolled intercurrent illnesses, including uncontrolled infections, cardiac conditions, or other organ dysfunctions. Patients with active, uncontrolled infections Uncontrolled infections; principal investigator (PI) is the final arbiter of this criterion Active and uncontrolled infections Patients with untreated or uncontrolled infections No uncontrolled infections as determined by the investigator Patients with serious uncontrolled infections will not be eligible Patients with serious uncontrolled infections at the time of planned transplant will be excluded Active and uncontrolled systemic infections. DONOR: Current serious systemic illness including uncontrolled infections Current uncontrolled infections. Active clinically serious infections or other serious uncontrolled medical conditions Uncontrolled infections Active (acute or chronic) or uncontrolled severe infections. Active (acute or chronic) or uncontrolled severe infections Patients with serious uncontrolled infections at the time of transplant will be excluded Active or uncontrolled infections Other concurrent serious diseases that may interfere with planned treatment, including severe pulmonary conditions/illness, uncontrolled infections, uncontrolled diabetes Active uncontrolled infections Active (acute or chronic) or uncontrolled severe infections hepatitis Other concurrent serious diseases that may interfere with planned treatment, including severe pulmonary conditions/illness, uncontrolled infections, uncontrolled diabetes, or known infection with HIV Concurrent serious uncontrolled infections requiring treatment or known infection with HIV Absence of uncontrolled intercurrent illnesses, including uncontrolled infections, cardiac conditions, or other organ dysfunctions. Uncontrolled infections Uncontrolled systemic disease like active infections DONOR: Current serious systemic illness including uncontrolled infections Clinically significant uncontrolled illness or active infections Clinically significant medical conditions including active or uncontrolled infections, new or recurrent malignancy, serious cardiac, pulmonary, or renal disease, and uncontrolled diabetes. Active or uncontrolled infections Active and uncontrolled infections, including hepatitis B or C Active (acute or chronic) or uncontrolled severe infections Severe systemic diseases or active uncontrolled infections Participants who have active, uncontrolled infections. Uncontrolled (not being treated) infections at the time of cytoreduction Uncontrolled infections that are not responsive to antimicrobial therapy Active serious infections uncontrolled by antibiotics Active and uncontrolled infections Patients with uncontrolled infections Any serious uncontrolled intercurrent infections, or other serious uncontrolled concomitant disease. Patients with clinically significant history of any chronic liver disease. Known clinically significant liver disease Known clinically significant liver disease Subjects with chronic liver disease or dysfunction Participants with significant renal or liver disease Known clinically significant liver disease, Clinically significant history of liver disease Known history of chronic liver disease Participant has a history of liver disease Known clinically significant liver disease, inherited liver disease and active viral disease Chronic liver disease Known clinically significant liver disease Known clinically significant liver disease Any known active chronic liver disease No history of severe prior or ongoing chronic liver disease Any known active chronic liver disease Known history of significant liver disease Known liver disease No history of severe prior or ongoing chronic liver disease History of chronic liver disease. History of chronic liver disease. History of alcohol abuse or chronic liver disease (other than metastatic disease to the liver) Has evidence of significant liver disease Liver disease, except Gilbert's syndrome, liver involvement by CLL or MM, or stable chronic liver disease per investigator's assessment Liver disease. Known clinically significant liver disease Known clinically significant liver disease Subjects with known history, or clinical or laboratory evidence of liver disease History of clinically significant liver abnormalities other than liver metastasis Known active liver disease (cirrhosis, chronic viral hepatitis, autoimmune liver disease or other known clinically significant active liver disease) History of chronic liver disease. History of alcohol abuse or chronic liver disease (other than metastatic disease to the liver) Active chronic liver disease Known clinically significant liver disease History of serious liver disease History of chronic liver disease. Significant liver disease or metastatic disease to the liver Known clinically significant liver disease History of chronic liver disease. History of chronic liver disease Clinically significant history of liver disease Patients with known liver disease Underlying chronic liver disease with evidence of severe liver impairment. Known history of chronic liver disease (other than Gilbert’s syndrome) History of liver disease Chronic liver disease Chronic liver disease or in participants without known liver disease, alanine aminotransferase (ALT) >= 3 x normal History of hepatitis or liver disease History of, or current, active or chronic liver disease even if transaminases have normalized Individuals with history of liver disease in last 12 months History of liver disease within the last 12 months Severe organ dysfunction unrelated to underlying GVHD, including: Serum creatinine < 2 mg/dl; NOTE: the above stipulation for normal hepatic function does not apply if liver dysfunction is due to leukemia infiltration Have metastatic breast cancer with severe organ dysfunction as assessed by symptoms and signs, laboratory studies, and rapid progression of the disease. Major organ system dysfunction including (but not limited to): New York Heart Association class III or IV, pulmonary disease requiring the use of inhaled steroids or bronchodilators, renal, hepatic, gastrointestinal, neurologic, or psychiatric dysfunction which would impair patient’s ability to participate in the trial Any subject with a history of significant renal, hepatic, pulmonary dysfunction, or cardiac dysfunction or on treatment to support cardiac dysfunction Cardiopulmonary dysfunction Evidence of renal or liver dysfunction at screening Prior treatment with clofarabine within 6 months or history of clofarabine-induced liver dysfunction Have a history of cardiac dysfunction including: known pre-existing relevant cardiac , hepatic, renal, bone marrow dysfunction, ILD, keratitis Patients with organ dysfunction Presence of unequivocally severe organ dysfunction at the above mentioned evaluation points (hematological dysfunction, liver dysfunction, or both of them) as Liver dysfunction (or digestive involvement with protein loss) Presence of unequivocally severe organ dysfunction at the above mentioned evaluation points (hematological dysfunction, liver dysfunction, or both of them) as defined in Table XI (see Section 10.3.1). Patients with evidence of synthetic dysfunction or severe cirrhosis requiring deferral of conditioning as recommended by a gastroenterology specialist No major organ dysfunction precluding transplantation. Significant cardiopulmonary dysfunction Acute neurological dysfunction as a result of bone metastasis. Significant organ dysfunction, not meeting inclusion criteria Patients with any clinically significant unrelated systemic illness (serious infections or significant cardiac, pulmonary, hepatic or other organ dysfunction Subject has evidence of hepatic dysfunction defined as: Significant renal, hepatic, or bone marrow organ dysfunction. No major organ dysfunction precluding transplantation Subjects must not have evidence of cerebellar dysfunction at baseline or during prior cytarabine therapy No distinction should be made between liver dysfunction due to metastases and liver dysfunction due to other causes If organ dysfunction is thought to be related to the HLH process this must be clearly documented in the chart and the patients may be enrolled on study irrespective of creatinine and bilirubin levels Patients should have no evidence of immune dysfunction as listed below Significant organ dysfunction defined as: Patients with systemic infections and/or organ dysfunction mandating a reduced intensity conditioning regimen are also excluded Patients with renal dysfunction or veno-occlusive disease are eligible Preceding and/or ongoing organ dysfunction or other co-morbidity including but not limited to uncontrolled infection that would impair the patient’s ability to endure known side effects of cytokine release syndrome or neurological toxicity Hepatic, renal, or bone marrow dysfunction as detailed above Severe liver dysfunction or pulmonary insufficiency Severe liver dysfunction or pulmonary insufficiency Patients with significant renal (creatinine [Cr.] > 1.5 mg/dl or creatinine clearance < 40 cc/min) or hepatic (bilirubin > 2.5 u) dysfunction not due to tumor involvement will not be eligible to receive DA-EPOCH-R chemotherapy Patient has laboratory estimations indicating organ system dysfunction: Clinically significant GVHD or organ dysfunction where chemotherapy specified by protocol cannot be given Patients with all degrees of renal dysfunction are allowed including patients on hemodialysis; patients with mild to severe hepatic dysfunction are allowed as defined below: Patients with both hepatic and renal dysfunction will also be excluded Patients receiving medications for treatment of left ventricular systolic dysfunction Organ dysfunction or disease that would jeopardize survival after hematopoietic cell transplantation, including but not limited to the following: \r\n * Renal insufficiency as defined by an estimated glomerular filtration rate (GFR) < 60 mL/minute\r\n * Cardiac dysfunction as defined by symptomatic coronary artery disease, congestive heart failure, valvular heart disease, cardiomyopathy, uncontrolled arrhythmia(s), or left ventricular ejection fraction < 50%\r\n * Pulmonary dysfunction that poses a risk of mortality after transplant, defined as pulmonary disease-moderate, using pre-transplant pulmonary function testing per the Fred Hutchinson Cancer Research Center (FHCRC) Standard Practice Manual\r\n * Necroinflammatory or fibrotic liver disease with evidence of liver dysfunction, including but not limited to jaundice, hepatic encephalopathy, or portal hypertension\r\n * Marrow dysfunction that poses a risk of peri-transplant mortality, defined as an absolute neutrophil count or lymphocyte count below the lower limit of normal, or a platelet count below 50,000/mm^3\r\n * Poorly controlled hypertension despite appropriate therapy, defined as a diastolic blood pressure greater than 90 mm Hg while on therapy\r\n * Neurologic dysfunction that affects activities of daily living and medical care\r\n * Poorly controlled diabetes mellitus, defined as persistent hyperglycemia despite therapy or recurrent hypoglycemia while on therapy\r\n * Extreme protein-calorie malnutrition defined by body mass index < 18 kg/m^2 and unintentional weight loss (3 kg in the last month or 6 kg in the last 6 months) Renal dysfunction for which exposure to cisplatin would be unsafe or require cisplatin dose modification In the opinion of the investigator do not require rapid cytoreduction due to bulky disease (e.g. painful lymphadenopathy or organomegaly, or impending end-organ dysfunction Patients with normal, mild or moderate hepatic dysfunction are eligible With hepatic dysfunction as evidenced by total bilirubin > 2.0 x upper limit of normal or evidence of synthetic dysfunction or severe cirrhosis With hepatic dysfunction as evidenced by aspartate aminotransferase (AST) > 2.0 x upper limit of normal or evidence of synthetic dysfunction or severe cirrhosis Patients with significant hepatic dysfunction (not meeting liver function tests [LFT] eligibility criteria) Patients should have no evidence of immune dysfunction As patients with steroid refractory acute GvHD are quite ill with multiple abnormal labs and organ dysfunction, there are no explicit laboratory values or degree of organ dysfunction that specifically preclude enrollment on this study; baseline lab studies will be obtained and followed throughout this trial as the standard of care for patients with GvHD Subject has any other organ dysfunction (CTCAE version 4.03 Grade 4) that will interfere with the administration of the therapy according to this protocol. Any other clinically significant medical condition and/or organ dysfunction that will interfere with the administration of the therapy according to this protocol. Severe organ dysfunction unrelated to underlying GVHD, including: Cholestatic disorders or unresolved veno-occlusive disease of the liver (defined as persistent bilirubin abnormalities not attributable to GVHD and ongoing organ dysfunction). EXCLUSION FOR TREATMENT: Preceding and/or ongoing organ dysfunction or other co-morbidity including but not limited to uncontrolled infection that would impair the patient’s ability to endure known side effects of cytokine release syndrome or neurologic toxicity Any other concomitant serious illness or organ system dysfunction as per investigator assessment Use of erectile dysfunction drugs (e.g., Cialis, Viagra) within 14 days prior to treatment or during study Cardiovascular dysfunction or Respiratory Failure due to sepsis. Cardiac disease or dysfunction. No evidence of significant cardiac or pulmonary dysfunction Any serious ongoing condition, such as an untreated infection or organ dysfunction Subjects with severe (immediately life threatening) and recent (occurring within the last 3 months) cardiac dysfunction, pulmonary dysfunction, esophageal variceal bleeding, hemorrhagic strokes, or intracranial hemorrhage are not eligible for study participation Hepatic dysfunction as evidenced by elevated transaminases No evidence of significant cardiac or pulmonary dysfunction Cardiopulmonary dysfunction as defined by protocol Have a history of liver or renal dysfunction Significant co-morbidity indicated by major organ system dysfunction Patients with renal or liver dysfunction due to organ infiltration with CLL may be eligible after discussion with the study chairman Failure of 2 of the following drugs: interferon-beta1b, interferon beta 1a, and glatiramer acetate; failure is defined by new or progressive physical signs and symptoms that impair activities of daily living; such changes include cognitive decline, vision loss, swallowing dysfunction, limb weakness, limb plasticity, bowel or bladder dysfunction, and coordination or gait dysfunction; these clinical changes should be supported by new or expanding lesions on MRI scanning consistent with disease progression Creatinine < 2 mg %; patients with renal or liver dysfunction due to organ infiltration by lymphocytes may be eligible after discussion with the study chairman Bilirubin < 2 mg %; patients with renal or liver dysfunction due to organ infiltration by lymphocytes may be eligible after discussion with the study chairman Serious organ dysfunction Significant hepatic dysfunction, renal dysfunction, or metabolic derangement that precludes full-dose chemotherapy at the specified starting doses Patient with significant cardiac, renal or hematologic or pulmonary dysfunction Any organ dysfunction thought to be secondary to disease will be considered separately and the patient will be included at the investigators discretion History of symptomatic pulmonary dysfunction Significant cardiac dysfunction: Known systolic or diastolic dysfunction or heart failure No evidence of significant cardiac or pulmonary dysfunction Severe organ dysfunction manifested during screening period: Laboratory evidence of hepatic dysfunction indicated by any of the following: Significant organ dysfunction. Hepatic dysfunction defined as MELD Score > 12. History of serious cardiac dysfunction Significant organ dysfunction deemed to be inappropriate for autologous transplantation Subject has concurrent severe or uncontrolled medical disease or organ system dysfunction which, in the opinion of the Investigators, would limit life expectancy to < 3 months. Serious myocardial dysfunction defined as ultrasound-determined LVEF < 45% of predicted institutional normal value. Liver/renal dysfunction Any medications for treatment of left ventricular systolic dysfunction. History of significant cardiac dysfunction Diastolic dysfunction felt to contribute to any clinical sign or symptom. In hepatic dysfunction group, patients with hepatic dysfunction who have Gilbert's syndrome. Patients signs of encephalopathy (altered brain function). Evidence of at least 1 new onset organ dysfunction No specific organ function parameters are required; however, significant abnormalities should be discussed with the study PI (this is especially the case for significant renal dysfunction) Severe hepatic dysfunction accompanied by coagulopathy definition:\r\n* Known liver disease AND\r\n* International normalized ratio (INR) > 1.5 (except for patients on anticoagulants) AND\r\n* Platelet count < 100,000/uL without other obvious cause Hepatic function at screening and enrollment as defined by the NCI organ dysfunction working group (NCI-ODWG) criteria. History of nasal or sinus anomalies or dysfunction e.g. allergic or infectious rhinitis Hepatic dysfunction (elevated transaminases or bilirubin > 3 times normal), drawn within 28 days of consent Regarding non-hematologic organ function, no specific criteria for non-hematologic organ function are specified; however, if moderate-to-severe (major) organ function is present, such should be discussed with the PI, as various degrees of non-hematologic organ dysfunction may compromise either (or both) toxicity and response evaluations; also, if there is concern regarding potential reversibility of any specific organ dysfunction, this issue should also be addressed by consultation with an appropriate sub-specialist Renal dysfunction (creatinine [Cr] > 1.8) Individuals with co-morbid acute or untreated psychiatric symptoms (e.g., psychosis) or neurologic dysfunction will be excluded Patients unable to use audio media due to auditory dysfunction Presence of erectile dysfunction symptoms Patients with severe organ dysfunction\r\n* On dialysis\r\n* Requiring oxygen (O2) at more than 2 l/min\r\n* Uncontrolled arrhythmia or heart failure\r\n* Veno-occlusive disease (sinusoidal obstruction syndrome) Patients diagnosed with chronic disease/illness precluding their participation (i.e., diabetics receiving insulin, myocardial infarction or unstable angina within previous 6 months, chronic hepatitis, rheumatoid disease, renal or hepatic disease/dysfunction) History of known renal dysfunction Severe organ dysfunction. Suitable candidate for surgery (meets appropriate performance status, no significant cardiac/renal/hepatic dysfunction) Have renal dysfunction History of hepatitis or liver dysfunction Current or history of hepatic dysfunction Untreated or uncontrolled cardiovascular disease or other symptomatic cardiac dysfunction Patients must not have evidence of significant hematologic, renal, or hepatic dysfunction History of known renal dysfunction Renal dysfunction for which cisplatin dose would be considered unsafe Patients with history or evidence of cardiac dysfunction Sinus node dysfunction Have a history of liver or renal dysfunction History of cardiac dysfunction including any of the following: Any significant acute or chronic medical illness Other acute or chronic medical or psychiatric condition Acute or chronic liver or renal disease Acute or chronic medical or psychological illnesses that prevent endoscopy procedures Acute or chronic skin and/or microvascular disorders Stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections or major surgery within 28 days prior to study enrollment Documented malabsorptive syndromes including enteropathies, gastroenteritis (acute or chronic) or diarrhea (acute or chronic) Subjects with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Other severe acute or chronic medical condition Systemic rheumatic or autoimmune diseases or acute or chronic infections Acute VOC ending 7 days prior to first dosing Acute viral or active autoimmune, alcoholic, or other types of acute hepatitis Patients must not have received any prior systemic therapy for ALL, except for the acute management of hyperleukocytosis or acute symptoms (e.g., corticosteroids, cytarabine, etc.) Be undergoing treatment for acute or chronic hepatitis C. Acute or chronic pancreatic disease within the last year prior to enrollment Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Acute or chronic skin disorders that would interfere with subcutaneous injection of the vaccine or subsequent assessment of potential skin reactions Acute, severe infection (e.g., sepsis and opportunistic infections), or active, chronic or persistent infection that might worsen with immunosuppressive treatment (e.g., herpes zoster). Any acute or chronic psychiatric problems Stable medical condition, including the absence of acute exacerbations of chronic illnesses, serious infections or major surgery within 28 days prior to study enrollment Subjects with any acute infection or severe or uncontrolled that requires systematic antibiotic therapy; acute therapy must have been completed at least seven days prior to study enrollment Patients with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Acute or sub-acute intestinal obstruction Evidence of active acute or chronic infection Ongoing acute or chronic inflammatory skin disease. Chronic immunosuppression Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Be undergoing treatment for acute or chronic hepatitis C. Prostate abscess, chronic or acute prostatitis, or neurogenic bladder Patients with acute myelofibrosis are excluded Significant acute or chronic infections Have malabsorptive syndromes, enteropathies, gastroenteritis (acute or chronic), or diarrhea (acute or chronic). Acute or chronic liver, pancreatic or severe renal disease Ongoing acute or chronic inflammatory skin disease. Acute or chronic pancreatic disease Acute or chronic liver or severe renal disease Active (acute or chronic) or uncontrolled severe infections (not responding to antibiotics), including acute pelvic inflammatory disease Subjects with acute or chronic skin disorders that will interfere with injection into the skin of the extremities or subsequent assessment of potential skin reactions will be excluded Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Active (acute or chronic) or uncontrolled severe infection Acute or chronic liver or pancreatic disease. Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer Acute or chronic pancreatic disease Acute or chronic liver disease or severe renal disease considered unrelated to the cancer No evidence of acute infection Significant acute or chronic infections, including: Acute or chronic medical or psychological illnesses that prevent endoscopy procedures Patients with acute or chronic infection Ongoing acute or chronic inflammatory skin disease. Procedures that occur during acute hospitalization. Acute nephritis Has an Acute Physiology and Chronic Health Evaluation (APACHE) II score < 10 Skin toxicity including but not limited to erythema, rash, ulceration, and open wound that is still clinically present and considered as acute or chronic. Acute or chronic skin disorders that will interfere with subcutaneous injection of the vaccine or subsequent assessment of potential skin reactions Have a chronic underlying infection Significant acute or chronic medical illness. History of functionally limiting chronic or acute cardiac, pulmonary, or neuromuscular disease Sepsis and/or acute, chronic, or ongoing infections that are currently being treated with systemic antimicrobials Patients with acute chronic obstructive disease exacerbation as the primary etiology for respiratory failure Acute suicidal behavior. Acute medical conditions, such as acute flare-up of joint condition or infection Acute abdomen Known chronic aspiration Chronic immunosuppression Acute or chronic respiratory disease Other known causes of significant liver disease including chronic or acute hepatitis B, acute hepatitis A, hemochromatosis, or homozygote alpha-1 antitrypsin deficiency acute respiratory failure, acute myocarditis or acute systemic infection and Acute prostatitis within the last 6 months Patients suffering from active acute or chronic prostatitis Have an acute or a chronic hematoma and/or acute ecchymosis of the thyroid; Symptomatic acute prostatitis AND with one or more of the following highly prevalent ambulatory-sensitive chronic conditions (diabetes, hypertension, chronic lung disease, chronic kidney disease, depression, or heart disease). Not in acute crisis Cirrhosis secondary to any cause will be excluded History or evidence of cirrhosis Patients must not have a history of chronic liver disease (or cirrhosis) Patients who have cirrhosis at a level of Child-Pugh B (or worse) or cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis History of chronic liver disease or evidence of hepatic cirrhosis Cirrhosis at a level of Child-Pugh B (or worse) or cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis (i.e. ascites from cirrhosis requiring diuretics or paracentesis) Cirrhosis Patients with documented liver cirrhosis Has a history of liver disease (including but not limited to cirrhosis). Liver cirrhosis; History of cirrhosis Cirrhosis. Known cirrhosis or chronic hepatic failure Liver cirrhosis High risk for post-embolization hepatic failure:\r\n* Child's C cirrhosis\r\n* > 80% liver involvement by tumor Liver cirrhosis with greater than grade 1 stage 1 inflammation/fibrosis Known history of drug-induced liver injury, alcoholic liver disease, primary biliary cirrhosis, ongoing extra-hepatic obstruction caused by stones, cirrhosis of the liver or portal hypertension Known cirrhosis Not have a reported history of liver disease (e.g. cirrhosis) Individuals with a reported history of liver disease (e.g. cirrhosis) The patient does not have cirrhosis at a level of Child-Pugh B (or worse) or cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis; clinically meaningful ascites is defined as ascites from cirrhosis requiring diuretics or paracentesis The patient does not have: \r\n* Cirrhosis at a level of Child-Pugh B (or worse) or\r\n* Cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis; clinically meaningful ascites is defined as ascites from cirrhosis requiring diuretics or paracentesis Liver cirrhosis Known (and biopsy-confirmed) liver cirrhosis; or, a reported history of liver cirrhosis with a model for end-stage liver disease (MELD) score > 20 Have Child B/C cirrhosis Liver dysfunction and/ or cirrhosis Other serious medical conditions that may be expected to limit life expectancy to less than 2 years (e.g., liver cirrhosis). Patients have known chronic liver disease (i.e., cirrhosis) Liver cirrhosis Cirrhosis at a level of Child-Pugh B (or worse) or cirrhosis (any degree) with a history of hepatic encephalopathy or clinical meaningful ascites resulting from cirrhosis; clinically meaningful ascites is defined as ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis Clinical or pathological diagnosis of cirrhosis, hemochromatosis, or hepatic fibrosis HCV genotype 3 treatment experienced with cirrhosis Clinical or laboratory evidence of cirrhosis Patients having:\r\n* Cirrhosis at a level of Child-Pugh B (or worse) or\r\n* Cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis; clinically meaningful ascites is defined as ascites from cirrhosis requiring diuretics or paracentesis cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis Cirrhosis or portal hypertension biliary cirrhosis cirrhosis (any degree) and a history of hepatic encephalopathy or clinically meaningful ascites resulting from cirrhosis. Clinically meaningful ascites is defined as ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis. Chronic liver disease (e.g., cirrhosis) Patients have known chronic liver disease (i.e., cirrhosis) Known cirrhosis Have any evidence of hepatic cirrhosis or clinical or radiographic ascites Other serious medical conditions that may be expected to limit life expectancy to less than 1 year (e.g., liver cirrhosis). Subjects with liver cirrhosis (as determined by the investigator) A history of cirrhosis or other chronic liver disease Other serious medical conditions that may be expected to limit life expectancy to less than 2 years (e.g., liver cirrhosis). Have any evidence of hepatic cirrhosis or clinical or radiographic ascites Cirrhosis of the liver Patients with liver cirrhosis or any other impaired hepatic function as determined by serum enzymes Hepatocellular disease (eg, cirrhosis) Diagnosis of liver cirrhosis Decompensated cirrhosis Clinical evidence of cirrhosis Have any evidence of hepatic cirrhosis or clinical or radiographic ascites Patients with known cirrhosis Patients with known cirrhosis Known hepatic cirrhosis Patients with known cirrhosis. History of cirrhosis Have any evidence of hepatic cirrhosis or clinical or radiographic ascites cirrhosis (any degree) and a history of hepatic encephalopathy or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis Has cirrhosis at a level of Child-Pugh B (or worse), or cirrhosis and a history of hepatic encephalopathy, or ascites resulting from cirrhosis and requiring ongoing treatment with diuretics and/or paracentesis Liver cirrhosis with greater than grade 1 stage 1 inflammation/fibrosis Patients with liver cirrhosis Known cirrhosis Patients with liver cirrhosis (as determined by the investigator) Diagnosis of cirrhosis based on one or more of the following: histology, US, computed tomography (CT) or MRI showing cirrhosis, +/- lesions seen on CE-MRI Participants with a clinical diagnosis of cirrhosis based on the investigator's evaluation, confirmed by any one of following methods to define cirrhosis:\r\n* Established cirrhosis on liver biopsy (Meta-analysis of Histological Data in Viral Hepatitis [METAVIR] F4);\r\n* Computed tomography (CT) or magnetic resonance imaging (MRI) findings consistent with cirrhosis; nodular appearing liver with or without evidence of portal hypertension\r\n* Transient elastography (FibroScan) with a result > 12.5 kPa\r\n* FibroScan score > 0.75 and aspartate aminotransferase (AST) to platelet ratio index (APRI) > 2\r\n* Etiology of cirrhosis will not be considered in determining inclusion in the study Chronic renal diseases and hepatic cirrhosis Diagnosis of cirrhosis Subjects with known hepatic insufficiency or cirrhosis Subjects with known hepatic insufficiency or cirrhosis Participants with known hepatic insufficiency or cirrhosis Clinically or radiographically suspected liver damage, hepatic steatosis, hepatitis, hepatic fibrosis or cirrhosis Subjects with known hepatic insufficiency or cirrhosis Documented cirrhosis Undiagnosed cirrhosis