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ASH 2025 | The COSI trial: addition of thiotepa to improve outcomes in patients with AML undergoing alloSCT

Charles Craddock, CBE, FRCP(UK), FRCPath, DPhil, FMedSci, University of Birmingham, Birmingham, UK, discusses the COSI trial (ERN_17-1572), which investigated the addition of thiotepa to improve outcomes in adults with acute myeloid leukemia (AML) and high-risk myelodysplasia undergoing allogeneic stem cell transplantation (alloSCT). Prof. Craddock notes that while the trial did not show a beneficial impact on disease-free survival or overall survival, it did reveal a significant reduction in relapse risk in specific patients. This interview took place at the 67th ASH Annual Meeting and Exposition, held in Orlando, FL.

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