Harmonizing definitions for hematopoietic recovery, graft rejection, graft failure, poor graft function, and donor chimerism in allogeneic hematopoietic cell transplantation: a report on behalf of the EBMT, ASTCT, CIBMTR, and APBMT

Research output: Contribution to journalResearch articleContributedpeer-review

Contributors

  • Anna Sureda - , University of Barcelona (Author)
  • Paul A. Carpenter - , Fred Hutchinson Cancer Research Center (Author)
  • Andrea Bacigalupo - , A. Gemelli University Hospital Foundation IRCCS (Author)
  • Vijaya Raj Bhatt - , University of Nebraska Medical Center (Author)
  • Josu de la Fuente - , Imperial College London (Author)
  • Aloysius Ho - , National Cancer Centre (Author)
  • Leslie Kean - , Harvard University, Dana-Farber Cancer Institute (Author)
  • Jong Wook Lee - , Catholic University of Korea (Author)
  • Isabel Sánchez-Ortega - , European Society for Blood and Marrow Transplantation (Author)
  • Bipin N. Savani - , Vanderbilt University Medical Center (Author)
  • Johannes Schetelig - , Department of Internal Medicine I, University Hospital Carl Gustav Carus Dresden (Author)
  • Edward A. Stadtmauer - , University of Pennsylvania (Author)
  • Yoshiyuki Takahashi - , Nagoya University (Author)
  • Yoshiko Atsuta - , The Japanese Data Center for Hematopoietic Cell Transplantation, Aichi Medical University (Author)
  • John Koreth - , Dana-Farber Cancer Institute (Author)
  • Nicolaus Kröger - , University of Hamburg (Author)
  • Per Ljungman - , Karolinska Institutet (Author)
  • Shinichiro Okamoto - , Keio University (Author)
  • Uday Popat - , University of Texas MD Anderson Cancer Center (Author)
  • Robert Soiffer - , Dana-Farber Cancer Institute (Author)
  • Heather E. Stefanski - , National Marrow Donor Program (Author)
  • Mohamed A. Kharfan-Dabaja - , Mayo Clinic Jacksonville, FL (Author)

Abstract

Despite emergence of novel therapies to treat hematologic malignancies, allogeneic hematopoietic cell transplantation (allo-HCT) remains an essential treatment modality capable of curing these diseases. Allo-HCT has been also shown to be curative in benign hematologic disorders such as aplastic anemia, sickle cell disease, and thalassemia, among others. Recently, the American Society for Transplantation and Cellular Therapy (ASTCT) published standardized definitions for hematopoietic recovery, graft rejection, graft failure, poor graft function, and donor chimerism. To attempt broader international consensus, a panel of adult and pediatric physician transplant experts was assembled from European Society for Blood and Marrow Transplantation (EBMT), ASTCT, the Center for International Blood and Marrow Transplant Research (CIBMTR), and Asia-Pacific Blood and Marrow Transplantation (APBMT). Consensus was defined as ≥70% of voting members strongly agreeing or somewhat agreeing with a definition. With few exceptions, there was a consensus to endorse the prior ASTCT definitions. Importantly, we revised existing EBMT and CIBMTR data collection forms to align with these harmonized definitions that will facilitate research and international collaboration among transplant researchers and across transplant registries.

Details

Original languageEnglish
Pages (from-to)832-837
Number of pages6
JournalBone marrow transplantation
Volume59
Issue number6
Publication statusPublished - Jun 2024
Peer-reviewedYes

External IDs

PubMedCentral PMC11161398
Scopus 85186548693

Keywords

Keywords

  • Humans, Hematopoietic Stem Cell Transplantation/methods, Graft Rejection, Allografts, Male, Female, Adult, Transplantation Chimera, Transplantation, Homologous/methods