More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?

ABSTRACTHaploidentical hematopoietic can be conducted on an outpatient basis but the two main reasons to accept into the hospital a patient in this setting are complications of the hematological toxicity and/or the cytokine-release syndrome. With the aim of reducing the post-transplant cyclophospham...

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Main Authors: Moisés Manuel Gallardo-Pérez, César Homero Gutiérrez-Aguirre, Juan Carlos Olivares-Gazca, Guillermo José Ruiz-Argüelles
Format: Article
Language:English
Published: Taylor & Francis Group 2024-12-01
Series:Hematology
Subjects:
Online Access:https://www.tandfonline.com/doi/10.1080/16078454.2024.2313357
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author Moisés Manuel Gallardo-Pérez
César Homero Gutiérrez-Aguirre
Juan Carlos Olivares-Gazca
Guillermo José Ruiz-Argüelles
author_facet Moisés Manuel Gallardo-Pérez
César Homero Gutiérrez-Aguirre
Juan Carlos Olivares-Gazca
Guillermo José Ruiz-Argüelles
author_sort Moisés Manuel Gallardo-Pérez
collection DOAJ
description ABSTRACTHaploidentical hematopoietic can be conducted on an outpatient basis but the two main reasons to accept into the hospital a patient in this setting are complications of the hematological toxicity and/or the cytokine-release syndrome. With the aim of reducing the post-transplant cyclophosphamide-dependent toxicity without compromising its effectivity, attempts to reduce the dose of post-transplant cyclophosphamide have been made: Decreases from the conventional total dose of post-transplant cyclophosphamide (100 mg/Kg) have been explored worldwide, showing that decreasing the total dose to even 50 mg/Kg significantly decreases the toxicity of the procedure without compromising its efficacy, safety and results. We present here the salient data of the attempts to diminish the doses of post-transplant cyclophosphamide which have been done and published worldwide, information that suggests that the conventional doses of post-transplant cyclophosphamide can be significantly reduced thus decreasing the toxicity, without compromising the effectiveness of the procedure, mainly the development of graft versus host disease.
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spelling doaj.art-d7ab91357a1948cc9ac543b4f56bc62f2024-02-09T07:59:17ZengTaylor & Francis GroupHematology1607-84542024-12-0129110.1080/16078454.2024.2313357More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?Moisés Manuel Gallardo-Pérez0César Homero Gutiérrez-Aguirre1Juan Carlos Olivares-Gazca2Guillermo José Ruiz-Argüelles3Centro de Hematología y Medicina Interna, Clínica Ruiz, Puebla, MéxicoHospital Universitario “Dr. José Eleuterio González” de la Universidad Autónoma de Nuevo León, Monterrey, MéxicoCentro de Hematología y Medicina Interna, Clínica Ruiz, Puebla, MéxicoCentro de Hematología y Medicina Interna, Clínica Ruiz, Puebla, MéxicoABSTRACTHaploidentical hematopoietic can be conducted on an outpatient basis but the two main reasons to accept into the hospital a patient in this setting are complications of the hematological toxicity and/or the cytokine-release syndrome. With the aim of reducing the post-transplant cyclophosphamide-dependent toxicity without compromising its effectivity, attempts to reduce the dose of post-transplant cyclophosphamide have been made: Decreases from the conventional total dose of post-transplant cyclophosphamide (100 mg/Kg) have been explored worldwide, showing that decreasing the total dose to even 50 mg/Kg significantly decreases the toxicity of the procedure without compromising its efficacy, safety and results. We present here the salient data of the attempts to diminish the doses of post-transplant cyclophosphamide which have been done and published worldwide, information that suggests that the conventional doses of post-transplant cyclophosphamide can be significantly reduced thus decreasing the toxicity, without compromising the effectiveness of the procedure, mainly the development of graft versus host disease.https://www.tandfonline.com/doi/10.1080/16078454.2024.2313357Allogeneic hematopoietic stem cell transplantationpost-transplantation cyclophosphamidegraft-versus-host diseaseoutpatientcytokine release syndromeallograft
spellingShingle Moisés Manuel Gallardo-Pérez
César Homero Gutiérrez-Aguirre
Juan Carlos Olivares-Gazca
Guillermo José Ruiz-Argüelles
More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
Hematology
Allogeneic hematopoietic stem cell transplantation
post-transplantation cyclophosphamide
graft-versus-host disease
outpatient
cytokine release syndrome
allograft
title More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
title_full More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
title_fullStr More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
title_full_unstemmed More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
title_short More about post-transplant cyclophosphamide in haploidentical grafts: full or reduced doses?
title_sort more about post transplant cyclophosphamide in haploidentical grafts full or reduced doses
topic Allogeneic hematopoietic stem cell transplantation
post-transplantation cyclophosphamide
graft-versus-host disease
outpatient
cytokine release syndrome
allograft
url https://www.tandfonline.com/doi/10.1080/16078454.2024.2313357
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