In this roundtable discussion, Olatoyosi Odenike, MD, University of Chicago, Chicago, IL, Alain Mina, MD, Yale School of Medicine, New Haven, CT, Mohamed Kharfan-Dabaja, MD, MBA, Mayo Clinic, Jacksonville, FL, Amy DeZern, MD, MHS, Johns Hopkins University School of Medicine, Baltimore, MD, and Talha Badar, MD, Mayo Clinic, Rochester, MN, discuss the role of allogeneic stem cell transplantation (allo-SCT) in myelodysplastic syndromes (MDS). Dr Mina and Dr Badar debate transplantation in TP53-mutated MDS, while Dr DeZern discusses patient selection, including lower-risk MDS, and graft-versus-host disease prophylaxis with post-transplant cyclophosphamide (PTCy). Dr Kharfan-Dabaja highlights post-transplant maintenance strategies and the challenges of developing CAR T-cell therapies for myeloid malignancies. This roundtable discussion took place at the 4th International Workshop on Myelodysplastic Syndromes & Myeloproliferative Neoplasms (iwMDS/iwMPN) 2026, held in Washington, D.C.
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