Outcomes following intolerance to calcineurin inhibitor‐based graft‐versus‐host disease prophylaxis in children after allogeneic hematopoietic cell transplantation

Author:

Wu Diana1,Li Ying2,Bi Yu3ORCID,Lannom Trevor M.1,Ward Deborah A.1,Qudeimat Amr24,Madden Renee M.2,Sharma Akshay2ORCID,Epperly Rebecca24ORCID,Mamcarz Ewelina24,Talleur Aimee24,Naik Swati24,Selukar Subodh3ORCID,Triplett Brandon24ORCID,Srinivasan Ashok24ORCID

Affiliation:

1. Department of Pharmacy and Pharmaceutical Sciences St. Jude Children's Research Hospital Memphis Tennessee USA

2. Department of Bone Marrow Transplantation and Cellular Therapy St. Jude Children's Research Hospital Memphis Tennessee USA

3. Department of Biostatistics St. Jude Children's Research Hospital Memphis Tennessee USA

4. Department of Pediatrics University of Tennessee Health Science Center Memphis Tennessee USA

Abstract

AbstractCalcineurin inhibitors (CNI), cyclosporine and tacrolimus, are commonly used for pharmacologic prophylaxis of graft‐versus‐host disease after allogeneic hematopoietic cell transplantation (HCT). Unfortunately, their use is associated with significant toxicities. While intolerance to CNI is well defined, there is very little information on how they impact outcomes after HCT in children. Our retrospective study in a cohort of 82 children shows a high intolerance rate of 39% in this population associated with lower event‐free survival and a higher transplant‐related mortality.

Publisher

Wiley

Subject

Oncology,Hematology,Pediatrics, Perinatology and Child Health

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