Our June issue is live now!
Cover art by
@samfalc
inspired by the lon-term data of the REACH trial: optimising hydroxyurea dose for children with
#sicklecell
anaemia in sub-Saharan Africa (
#freeaccess
)
Explore the content at
"The existence of two acute myeloid leukaemia classification systems...is concerning... and threatens the ability to... deliver appropriate... management strategies"
NEW Viewpoint—Standardising acute myeloid leukaemia classification systems
#leusm
“As a society committed to recognising and transforming gender inequalities, it is time to remove sex-based thresholds for one of the most common global human afflictions”
#anaemia
ICYMI Comment by
@acweyand
@PTMcGann
@sholzberg
. Free w/reg until Jan 31
"The needle would move forward more efficiently when academic medicine equally recognises... clinicians... who dedicate their careers to honing their skills and... impart their wisdom onto the next generation of physicians"
Art of Medicine by
@THilalMD
"The existence of two acute myeloid leukaemia classification systems...is concerning... and threatens the ability to... deliver appropriate... management strategies"
ICYMI Viewpoint—Standardising acute myeloid leukaemia classification systems
#leusm
NEW: Prophylaxis and management of graft-versus-host disease after stem-cell transplantation for haematological malignancies: updated consensus recommendations of
@TheEBMT
#bmtsm
#GVHD
In today’s late breaking abstract session at
@EHA_Hematology
Virtual, Courtney DiNardo presents results of the phase 3 RCT testing venetoclax plus azacitidine vs azacitidine in patients with AML ineligible for intensive therapy (VIALE-A)
#EHA2020
NEW: Jenneke Leentjens and colleagues give their views on what we have learned and what remains to be learned about coagulopathy and antithrombotic agents in COVID-19 after 1 year.
#COVID19
NEW: Defibrotide did not show a benefit in the prophylaxis of sinusoidal obstruction syndrome compared with best standard of care alone in the HARMONY phase 3 trial
#bmtsm
In the issue now: the chemotherapy-free combination of ponatinib and blinatumomab resulted in high rates of complete molecular response in newly diagnosed and r/r Ph-positive ALL
@MDAndersonNews
NEW Review—Understanding moderate to severe drug–drug interactions between novel targeted
#hemonc
therapies and triazole antifungal agents, which are essential for prophylaxis & long-term treatment of fungal infections
#leusm
#lymsm
#mpnsm
NEW: with over 5 years of follow-up, sorafenib maintenance is associated with improved outcomes compared w/ non-maintenance in patients w/ FLT3-ITD AML undergoing allogeneic HSCT in a multicentre, randomised, ph 3 trial
#leusm
#bmtsm
NEW: 10-day decitabine vs 3+7 chemotherapy followed by allografting in older patients with acute myeloid leukaemia: an open-label, randomised, controlled, phase 3 trial
#bmtsm
#leusm
Germline predisposition traits in allogeneic transplantation for myelodysplastic syndromes: a survey-based study and position paper on behalf of the Chronic Malignancies Working Party of
@TheEBMT
#bmtsm
#leusm
#mdssm
Our first issue of 2022 is live! 🎉
Featuring trials in
#sicklecell
&
#GVHD
, a study on
#QoL
in
#mpnsm
, a review on drug-drug interactions between
#hemonc
targeted therapies & antifungals,
#VITT
and more!
NEW research—Findings from a cross-sectional study suggest endotheliopathy is present in
#COVID
-19 and is likely to be associated with critical illness and death
#COVID19
In the issue now: brentuximab vedotin plus nivolumab was highly active post-autologous HSCT consolidation for patients w/ high-risk r/r Hodgkin lymphoma
#lymsm
Our July issue is live! Featuring highlights from
#EHA2021
, trials in
#hemophilia
and AML, meta-analysis in
#anemia
, Review on long-term toxicity in AML, Viewpoint on
#COVID19
coagulopathy, and pieces on
#SickleCell
and including women in research.
#leusm
Now OF: In a single-arm, multicentre, ph 2 study of venetoclax plus 3+7 daunorubicin and cytarabine in adults with AML, the composite complete remission rate after one cycle was 91% (95% CI 76–98; 30 of 33 patients)
#leusm
HTLV-1 infects 10–20 million people globally and is associated with lifelong infection and immune suppression, resulting in adult T-cell
#leukaemia
or
#lymphoma
in 5% of cases. There are no preventive or curative treatments
#leusm
#lymsm
NEW Review
Guillermo García-Manero discusses recent advances in AML and MDS therapy and treatment algorithms used at MD Anderson. Determining the genetic background is key.
#EBMT20Virtual
"The pathophysiology of malignancy-associated HLH is not well understood, and distinguishing pathological immune activation from... abnormalities seen in cancer and cancer treatment is challenging"
NEW Review on the emerging
diagnostic tools
#hemonc
“Assessing venous thromboembolism and bleeding risks regularly is essential... we found that patients with COVID-19 with a high risk of venous thromboembolism had poorer outcomes”
NEW—comment by Wang and colleagues from China
#COVID19
#VTE
#anticoag
NEW research—Catheter-directed
#thrombolysis
does not
change the risk of post-thrombotic syndrome 1 year after acute iliofemoral
#DVT
compared with
standard therapy alone: results from the CAVA trial
#VTE
"The presence of vacuoles is a key feature of VEXAS syndrome, however, its mere observation is not specific"
In this Viewpoint, authors describe several clues to support the diagnosis of VEXAS syndrome in the presence of vacuolated bone marrow progenitors
Today is
#WorldSickleCellDay
. To help raise awareness of this public health problem we look at several aspects of the disease (thread; free w/reg until July 6). First, the intersection of
#sicklecell
disease & global health priorities⬇️
Updated consensus guidelines on allogeneic HSCT for
#myelofibrosis
by
@TheEBMT
& the European LeukemiaNet
#bmtsm
#mpnsm
💡As evidence-based guidance is scarce, these recommendations might help clinicians and patients in shared decision making
"Recommendations regarding management of essential thrombocythaemia rely on studies done before the discovery of the CALR mutation"
NEW: The European LeukemiaNet presents the first consensus recommendations to manage patients with CALR-mutated ET
#mpnsm
➡️
"On the basis of this management, we saw no
SARS-CoV-2 infection in children with haematological
malignancies"
NEW comment—Strategic plan for management of
#COVID19
in
#paediatric
#haematology
and
#oncology
departments by Yulei He and colleagues
NEW: In a multicentre, open-label, randomised, controlled, phase 2 trial, the combination of all-trans retinoic acid and high-dose dexamethasone was safe and active in newly diagnosed patients with primary immune thrombocytopenia.
#BleedingDisorders
13 international guidelines provide recommendations on pulmonary embolism...
#VTE
#PE
#thrombosis
This Review compares guidelines on each facet of the diagnosis of pulmonary embolism and provides a synthesis on the most common recommendations
NOW OF: In a single-centre, single-arm, ph 2 trial, 33 (87%) of 38 patients with ND and 11 (79%) of 13 with R/R Ph-positive ALL and 2 (33%) of 6 patients with blast-phase CML had a complete molecular response with ponatinib and blinatumomab.
#leusm
NEW—the final analysis of GRIFFIN showed that the addition of daratumumab to lenalidomide, bortezomib, and dexamethasone in transplantation-eligible pts w/ newly diagnosed multiple myeloma improved depth of response and PFS, but not OS
#mmsm
NEW: In a 5-year update of the HD18 phase 3 trial of PET-guided eBEACOPP in Hodgkin lymphoma, PFS was >90% with 6 cycles of eBEACOPP after positive PET-2, and 4 cycles was non-inferior in terms of PFS to 8 or 6 cycles in PET-2-negative disease
#lymsm
NEW online: results from the ph2 MASTER trial suggest that minimal residual disease response-adapted therapy with Dara-KRd consolidation provides a pathway for treatment cessation in most patients with newly diagnosed multiple myeloma
#mmsm
"There is still much to be learned about this coagulopathy, but the fast and ongoing collaboration worldwide makes for a hopeful outcome"
Our new Editorial discusses the rapidly evolving story of
#COVID19
-associated
#coagulopathy
NEW: results from a randomised, ph3 trial show that extending letermovir prophylaxis to 200 days following HSCT is efficacious and safe in reducing the incidence of late clinically significant cytomegalovirus infection in patients at risk
#bmtsm
Therapy for
#lymphoma
has made many advances through the years, but there is still so much to be done, including making sure that we capture the full effect of treatment on patients.
#WorldCancerDay
#adverseevents
Our The Arts piece discusses perhaps one of the earliest medical illustrations of an aggressive extranodal natural killer T-cell lymphoma, nasal type in a 19th century Qing Dynasty painting
#lymsm
Join our webinar in which the authors of our new joint Series with
@TheLancetHIV
discuss work on haematological cancers providing insights into a potential cure for HIV. All you have to do is register here: and join us on Thurs, Aug 13 at 4:00pm BST.
Current methods of reporting
#adverseevents
for
#bloodcancers
often fail to identify important delayed, chronic, or cumulative side-effects that can affect patients substantially, graphical displays could be more accurate - new
#lancethaemcommission
#EHA23
#SOHO2022
Fadi Haddad presents updates from a ph 2 study of blinatumomab + ponatinib in Ph-positive
#ALL
. CMR rate was 85% for newly diagnosed and 79% for R/R disease, and ORR was 96% and 92%.
NEW research—Nelarabine, intensive L-asparaginase, and protracted intrathecal therapy for children and young adults w/ newly diagnosed T-cell ALL: results of the nationwide, phase 2, ALL-T11 trial 🇯🇵
#leusm
NEW: a cohort study on CCUS suggests high-risk mutations and their number are predictive of survival warranting clinical surveillance & advises mutation analysis in patients with available bone marrow samples
#cytopenias
NEW: intensive chemo with or without gemtuzumab ozogamicin in patients with NPM1-mutated AML (AMLSG 09–09, phase 3 trial): while the primary endpoints of the trial (EFS & OS) were not met, an anti-leukaemic activity was shown by lower relapse
#leusm
NEW research—A retrospective study from Italy in 536 pts with haematological malignancies &
#COVID19
adds to the evidence that these patients have worse outcomes & highlights the need for infection prevention strategies
#hemonc
#leusm
#lymsm
#mmsm
Results from the Highlow RCT presented by
@MiddeldorpS
at
#ISTH2022
comparing intermediate vs low dose LMWH in pregnant women who have had previous VTE. Antenatal no difference between dose for VTE, postpartum intermediate dose may be more protective.
The Lancet Haematology Commission on
#SickleCellDisease
has now been published—aiming to achieve greater political commitment, investment, and partnerships to improve the lives of patients with sickle cell disease globally in the next decades.
“As a society committed to recognising and transforming gender inequalities, it is time to remove sex-based thresholds for one of the most common global human afflictions”
#anaemia
#WomensHealth
NEW comment by
@acweyand
@PTMcGann
@sholzberg
“Available evidence suggests that the coagulopathy associated with COVID-19 is a combination of low-grade DIC and localised pulmonary thrombotic microangiopathy”
New comment by
@MarcelLevi
, Jecko Thachil, Toshiaki Iba,
@JerroldLevy
NEW: Inotuzumab ozogamicin with or without blinatumomab added to low-intensity chemotherapy showed promising activity in terms of PFS in older patients with B-cell ALL: results of a phase 2 trial
@MDAndersonNews
#leusm
NEW research—Azacitidine with venetoclax is safe & shows encouraging activity in patients with high-risk MDS or CMML: phase 1 results of a single-centre, dose-escalation, dose-expansion, phase 1–2 study
#MDSsm
Despite continued improvement in outcomes, infectious complications remain a clinically significant cause of mortality in patients with multiple myeloma
NEW Consensus paper provides a
template from which an individualised patient plan can be derived
#mmsm
NEW: results from the phase 3, GENUINE trial show the addition of ublituximab to ibrutinib improves overall response without affecting the safety profile of ibrutinib monotherapy in patients w/ r/r high-risk chronic lymphocytic leukaemia
#CLL
#leusm
NEW research—A
@CIBMTR
study in 318 patients HSCT recipients diagnosed with
#COVID19
adds to the evidence these patients have poor overall survival & identifies risk factors associated with death from COVID-19
#bmtsm
In today’s plenary session, Ayalew Tefferi discusses prognostication and management of essential thrombocythemia, including the genetic mutations seen in ET and the potential need to examine the bone marrow when diagnosing the condition
#SOHO2020
Today is
#WorldSickleCellDay
#WSCD23
#SickleCellDisease
has been a priority for this Journal in the past years and the result is a Commission that will be officially launched on July 12, 9.30 – 11am East Africa Time at a hybrid event ⬇️
Register at
ICYMI: Final results from the phase 3 HOVON/SAKK trial suggests DA-EPOCH-R might be a less toxicity alternative to R-CODOX-M/R-IVAC in patients with newly diagnosed Burkitt lymphoma
#lymsm
Our March issue is out! Featuring articles on
#COVID19
outcomes in
#bmt
recipients, the low-PV trial, excess risk of infection with
#CARTcell
therapy, and more!
#mpnsm
#bmtsm
➡️
Is auto-transplant standard of care for eligible patients with multiple myeloma?
#mmsm
#EBMT20Virtual
Francesca Gay argues auto-transplant is still standard.
@Mohty_EBMT
adds that delaying transplant might mean 30% of patients missing the chance of improved outcomes
“[CAR-T ARI-0001 distribution] would be a boost to the development of CAR T-cell therapies in other academic institutions, a fundamental aspect to promote innovation in advanced therapies in Europe”
Profile on Álvaro Urbano-Ispizua
@hospitalclinic
#celltx
13 international guidelines provide recommendations on pulmonary embolism...
#VTE
#PE
#thrombosis
In the Issue, a Review compares guidelines on each facet of the diagnosis of pulmonary embolism and provides a synthesis on the most common recommendations
A series of papers discussing responses to SARS-CoV-2 vaccination in people with haematological malignancies are now available OF.
#COVID19
#COVID19Vaccine
There are many outstanding questions with transplantation in patients with newly diagnosed multiple myeloma, but Prof María-Victoria Mateos delivers a comprehensive overview of the topic and future directions at the opening keynote lecture at
#EBMT20Virtual
NEW: Findings from a post-hoc analysis of pooled data from five clinical trials support the use of anti-CD19 CAR T-cell therapies for patients with CNS relapsed or refractory B-cell acute lymphocytic leukaemia.
#leusm
#CARTcell
NEW research: venetoclax plus intensive chemotherapy with cladribine, idarubicin, and cytarabine in patients with newly diagnosed AML or high-risk MDS: a cohort from a phase 2 trial
@MDAndersonNews
#leusm
#mdssm
Profile on Vania Hungria—treating myeloma with restricted resources
@dra_v_hungria
#mmsm
“I had the enormous privilege of meeting Vania Hungria almost 20 years ago... She had already started her fight for fair access to drugs in Latin America” says
@mvmateos
NEW: results of the phase 2, dose optimisation study CULMINATE on cusatuzumab (anti-CD70 antibody) plus azacitidine in newly diagnosed acute myeloid leukaemia ineligible for intensive chemotherapy
#leusm
Edmund K Waller—Treatment landscape in DLBCL: New developments, and when to take the
#CARTcell
instead? Comprehensive overview of current management
#lymsm
#EBMT20Virtual
NEW research—A systematic review and meta-analysis of 35 trials and 953 patients with acute lymphocytic leukaemia treated with anti-CD19
#CART
-cell therapy
#leusm
Although CAR T-cell therapy shows a lot of promise for patients with haematological malignancies, there are still a lot of questions to be answered as raised by Prof Gauthier
#IACH19
ICYMI: with over 5 years of follow-up, sorafenib maintenance is associated with improved outcomes compared w/ non-maintenance in patients w/ FLT3-ITD AML undergoing allogeneic HSCT in a multicentre, randomised, ph 3 trial
#leusm
#bmtsm
High-quality evidence showing the effectiveness of treatments for
#COVID19
is scarce, but over 400 studies are now registered testing a range of therapies.
Our May Editorial discusses the resurgence of covalescent
#PlasmaTherapy
Our November issue is now live! Featuring Articles on therapies for multiple myeloma, fetal and neonatal alloimmune thrombocytopenia, and allogeneic CAR T cells in B-ALL, a Viewpoint on the impact of drug prices in CML, and much more.
#mmsm
#leusm
#EBMT21
Leo Luznik on the results of the BMT CTN 1301 trial comparing calcineurin inhibitor-free GVHD prophylaxis in HCT recipients who received myeloablative conditioning & had HLA-matched donors
#bmtsm
(1/2)
ICYMI: “Assessing venous thromboembolism and bleeding risks regularly is essential... we found that patients with COVID-19 with a high risk of venous thromboembolism had poorer outcomes”
NEW—comment from China by Wang & colleagues
#COVID19
#VTE
#anticoag
Our first issue of 2024 is out!
Featuring trials on MDS &
#thrombosis
, outcomes in CCUS, our Editorial on CRISPR/Cas9
#genetherapy
, and more!
🎨Cover art by Sam Falconer inspired by the Review on bone marrow transplantation in
#myelofibrosis
#bmtsm
It's
#RareDiseaseDay
! Over 300 million people live with one of 6000 rare diseases globally and less than 5% have an approved therapy. To support the rarediseaseday campaign by
@eurordis
we have assembled a collection of comments & research on haematological rare diseases. Thread
NEW research—A retrospective study in 949 patients suggest hypomethylating agents are the preferred first-line therapy for patients with high-risk or myeloproliferative CMML
#leusm
Clinical Quiz
A man with HIV presents with haemolytic anaemia. Direct Coombs testing is negative. Peripheral blood smear shows neutrophil-erythrocyte rosettes. Medications include ART and prophylactic trimethoprim-sulfamethoxazole. What is the likely diagnosis and best next step?