The #EBMT26 coverage seems spotty. Can #leusm and #bmtsm communities make sure @hemedoc.bsky.social attends all conferences please? Do I need to cover his clinic or what?
@hemedoc.bsky.social, your Impact Factor is >9000 at this point
We're thrilled to be an official media partner for #EBMT26, and we can't wait to be on-site once again, filming our expert video interviews! 🎥🩸
Interested in joining us there or attending virtually?
Click here to register now:
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#BMTsm #HemOnc #ImmunoOnc @theebmt.bsky.social
Want to find out about the latest updates and advances in transplantation and cellular therapy?🩸
Then you won't want to miss the 52nd Annual Meeting of the EBMT taking place 22–25 March in Madrid, Spain, & online.🇪🇸💻
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#EBMT26 #HemOnc #BMTsm @theebmt.bsky.social
#tandem26 #bmtsm Rafati: in triple neg MF, TET2mut assoc with incr relapse and inferior OS, whereas TET2mut doesn’t affect outcomes with MF with canonical driver mutation.
#tandem26 #bmtsm Rafati: triple neg MF have inferior alloHCT outcomes. Overall conventional high risk gene must not assoc w survival, but TP53m assoc w inferior outcome with any driver mutation.
#tandem26 #bmtsm Rafati: driver mut found in 81.7%. 18% were triple neg. 94% found to have at least one somatic mut, 1/3 with ASXL1.
#tandem26 #bmtsm Rafati: @cibmtr.bsky.social analysis of genetic predictors of alloHCT outcomes in myelofibrosis. Known high risk assoc w ASXL1+nonCALR/MPL muts. N=930 evaluated here w 95 gene assay.
#tandem26 #bmtsm Popat: age and IPSS not correl w outcomes. TP53 mut status was assoc w 3yr PFS/OS 64% with TP53wt vs 50% with TP53m. Relapse >3x higher in TP53m. Impressive outcomes, but the high NRM is problematic, esp for TP53wt — ie at 12mos, only 6% relapse but OS 69% due to the high toxicity.
#tandem26 #bmtsm Popat: N=50 w HR-MDS underwent CLADILLAC allo. Median age 63, 84% matched donors, 94% PBSC. 28% with TP53 abnormalities. 3yr PFS/OS both 60%, relapse 10%, NRM 30%.
#tandem26 #bmtsm Popat: updated outcomes on CLADILLAC conditioning for MAC allo in HR-MDS. ~1/3 cured with current standard approaches. Age 18-70 eligible for this trial. N=50.
#tandem26 #bmtsm Gyurkocza: low precond BTNL3 expression was associated with poor outcomes in those who recd TBI.
#tandem26 #bmtsm Gyurkocza: several genes associated with outcomes when expressed highly precond, especially CCDC144A. At day 0, CD34 and CACNA1 expression assoc with PFS/OS.
#tandem26 #bmtsm Gyurkocza: FluTreo with TBI N=17 vs 14 wo TBI. Bulk marrow RNAseq used with ML assisted analyses.
#tandem26 #bmtsm Gyurkocza: differential gene expression during conditioning correlate with outcomes in AML/MDS. Marrow collected pre cond and at day 0 after FluTreo +/- TBI200. N=30 evaluable.
#tandem26 #bmtsm Duarte: MDS/MPN N=94 vs MDS N=476. Median older age in MDS/MPN and lower KPS. OS and RFS lower in MDS/MPN, with slightly higher (not significant) NRM.
#tandem26 #bmtsm Duarte: allo outcomes in MDS/MPN syndromes (CMML et al) vs other MDS, a Brazilian analysis. N=570 across 33 centers.
#tandem26 #bmtsm Kongtim: although better survival outcomes with FM regimens, they were associated with higher early TRM.
#tandem26 #bmtsm Kongtim: FM regimens (100/140) outperform other Flu based conditioning wrt DFS/CIR/OS.
#tandem26 #bmtsm Kongtim: @cibmtr.bsky.social analysis of Flu/Mel vs other RIC in pts age 50+ with AML/MDS relapse, total N=11,731 from 183 centers. ~94% PBSC
#tandem26 #bmtsm Reshef: AlloHeme also outperformed standard bone marrow analyses for MRD, meaning this approach can decrease dependence on marrows since AlloHeme is performed on PB.
#tandem26 #bmtsm Reshef: AlloHeme has good test performance characteristics, including 95% NPV and ROC AUC 0.89. Lead time between AlloHeme+ and clinical relapse was median 41days (not diff between AML and MDS, interestingly). AlloHeme outperforms standard chimerism.
#tandem26 #bmtsm Reshef: AlloHeme evaluable were N=198. At 2, 3, and 6mos post-also AlloHeme positivity highly associated with relapse.
#tandem26 #bmtsm Reshef: AlloHeme, a PB test to predict post-transplant AML/MDS relapse, does not require prior leukemia marker ID. N=285 in ACROBAT study to evaluate this test.
#tandem26 #bmtsm Dvorak: higher exposure to ATG decr GVHD risk but may abrogate GVL and expose to incr infections. Really should incorporate absolute T cell count and timing of administration into ATG dosing to personalize.
#tandem26 #bmtsm Dvorak: ATG effect influenced by number T cells present in the host (and that ratio is not generally manipulated other than TCD).
#tandem26 #bmtsm Dvorak: increased exposure to TBI, Busulfan, and Melphalan all associated with incr GVHD risk.
#tandem26 #bmtsm Dvorak: conditioning regimen toxicity known to have strong correlation with development of GVHD
#tandem26 #bmtsm Dvorak: optimal HSPC dose unknown, but infused CD3 dose does not affect GVHD outcomes with a/b TCD, but CD34 dose does influence GVHD risk (surrogate for more APC transfer?).