Graft Versus Host Disease (GVHD)

Reduced Cumulative Post-Transplant Cyclophosphamide Exposure Is Associated with Increased Acute and Chronic Graft-versus-Host Disease After Allogeneic Hematopoietic Cell Transplantation

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Highlights Reduced cumulative post-transplant cyclophosphamide (<100 mg/kg) was associated with increased acute GVHD. Lower PTCy exposure independently increased moderate-to-severe chronic GVHD and second-line GVHD treatment. Reduced PTCy exposure did not significantly affect…

TA-TMA and GVHD are distinct consequences of endothelial injury: a MIDAS consortium study

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Key Points Posttransplant cyclophosphamide significantly reduced GVHD incidence but not TA-TMA incidence, which predated acute GVHD in ∼50% of cases. TA-TMA biomarker soluble C5b-9 was not significant in adults; pre-HCT serum creatinine, placental growth factor, and day +28 ST2…

Patient and Caregiver Involvement With Prior Authorization and Care Delivery and Delays

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Introduction Payers employ health care utilization–management strategies, including prior authorization (PA), to limit costs and promote evidence-based, guideline-concordant care. However, PA may be inconsistently applied and associated with patient confusion and frustration.1-3…

Impact of Prior Chimeric Antigen Receptor T-Cell Treatment on Graft-Versus-Host Disease and Nonrelapse Mortality After Allogeneic Transplantation

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Highlights •There are no differences in NRM in patients receiving prior CAR T versus no CAR T. •There are no differences in GVHD in patients receiving prior CAR T versus no CAR T. •HCT within 3 months of CAR T had less grades III to IV acute GVHD. ABSTRACT It remains unclear…

BCL2 overexpression in donor lymphocytes reduces the risk of graft-versus-host disease

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Key Points BCL2 overexpression in T cells is related to a lower risk of GVHD. BCL2 inhibitors should be used with caution after allogeneic hematopoietic stem cell transplantation. Abstract Graft-versus-host disease (GVHD) is a leading cause of morbidity and mortality after…

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