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ASH 2022 | ASH 2022 LBA: post-transplant cyclophosphamide, tacrolimus & MMF for GvHD prophylaxis in RIC

Shernan Holtan, MD, University of Minnesota, Minneapolis, MN, discusses the late-breaking abstract she presented at the 2022 ASH Annual Meeting on post-transplant cyclophosphamide, tacrolimus, and mycophenolate mofetil (MMF) as the new standard for graft-versus-host disease (GvHD) prophylaxis in reduced intensity conditioning (RIC). This interview took place at the 64th ASH Annual Meeting and Exposition congress in New Orleans, LA.

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Transcript (edited for clarity)

I’m excited to be able to present our late-breaking abstract on behalf of BMT CTN 1703 study team. This is a graft-versus-host disease prophylaxis study. A randomized phase three study that randomized participants to the control arm, which was tacrolimus-methotrexate, which has essentially been the standard in our field for several decades, versus the experimental arm, post-transplant cyclophosphamide, tacrolimus and MMF...

I’m excited to be able to present our late-breaking abstract on behalf of BMT CTN 1703 study team. This is a graft-versus-host disease prophylaxis study. A randomized phase three study that randomized participants to the control arm, which was tacrolimus-methotrexate, which has essentially been the standard in our field for several decades, versus the experimental arm, post-transplant cyclophosphamide, tacrolimus and MMF.

Participants were randomized one-to-one to either of these GvHD prophylaxis regimens. The primary endpoint of the study was a bit novel for our field. It was graft-versus-host disease-free relapse-free survival. So we wanted to see could we improve the outcomes of graft-versus-host disease without worsening other outcomes such as relapse, progression or death. And I think you’ve seen from the abstract, that indeed the experimental arm did have a better graft-versus-host disease-free relapse-free survival. And we’re so excited about this. We think that this will revolutionize our field. It’s amazing to be able to see some significant improvements in acute and chronic graft versus host disease without the expense of increased risk of relapse or death. So we do think this will be a game changer for our field.

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Disclosures

Incyte: Research Funding; Vitrac Therapeutics: Research Funding; CSL Behring: Other: Clinical trial adjudication.