ArticleCureus2025
Safety of Post-transplant Cyclophosphamide as a Single Agent for Graft-Versus-Host Disease Prophylaxis After Human Leukocyte Antigen (HLA)-Matched Transplantation With the Japanese Population: A Single-Center Phase Ⅰ/Ⅱ Study.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Background Graft-versus-host disease (GVHD) is a severe complication after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Although calcineurin inhibitor (CNI)-containing GVHD prophylaxis is currently standard, it has the disadvantages of nephrotoxicity, a risk for thrombotic microangiopathy, drug interaction, and a requirement for monitoring blood concentration. Therefore, we conducted a prospective trial with the Japanese population undergoing allo-HSCT from an HLA-matched donor to investigate the safety and preliminary efficacy of single-agent post-transplant cyclophosphamide (PTCy) for GVHD prophylaxis. Methods This single-center phase I/II trial was a prospective study registered in the UMIN Clinical Trials Registry (UMINID: UMIN000028779) on November 1, 2017, and enrolled patients aged 16-60 years old with hematological malignancies in remission but without a history of previous allo-HSCT. Myeloablative conditioning (fludarabine 120 mg/m
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