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@ARTICLE{Sanz:305584,
author = {J. Sanz and G. Bug$^*$ and F. Ciceri and C. Craddock and R.
Dillon and J. Esteve and M. G. D. Porta and M. Heuser and D.
C. de Leeuw and A. Nagler and F. Onida and G. J. Roboz and
A. Ruggeri and I. Sánchez-Ortega and M. Srour and I.
Yakoub-Agha and F. Buccisano},
title = {{M}easurable residual disease-guided interventions in
patients with acute myeloid leukaemia undergoing allogeneic
haematopoietic cell transplantation: best practice
recommendations from the {E}uropean {S}ociety for {B}lood
and {M}arrow {T}ransplantation {P}ractice {H}armonisation
and {G}uidelines {C}ommittee.},
journal = {The lancet / Oncology},
volume = {26},
number = {11},
issn = {1470-2045},
address = {London},
publisher = {The Lancet Publ. Group},
reportid = {DKFZ-2025-02243},
pages = {e586 - e596},
year = {2025},
abstract = {Measurable residual disease (MRD) is a key predictor of
relapse, the primary cause of treatment failure after
allogeneic haematopoietic cell transplantation (allo-HCT) in
acute myeloid leukaemia. This Policy Review, based on
guidance from the European Society for Blood and Marrow
Transplantation, provides practical recommendations for
incorporating MRD assessment into clinical decision making
during the transplantation process, the application of which
remains challenging in acute myeloid leukaemia due to
technical limitations and the limited availability of
standardised, evidence-based approaches. Available methods
include reverse transcription quantitative PCR, digital
droplet PCR, next-generation sequencing, and multiparametric
flow cytometry-chimerism-based approaches are under
investigation. This Policy Review highlights the importance
of MRD monitoring to enable timely, risk-adapted
interventions that encompass both pre-transplantation and
post-transplantation periods and can include tailoring
conditioning intensity, donor selection, immunosuppression
management, donor lymphocyte infusions, and pharmacological
therapies such as FLT3 or IDH inhibitors, hypomethylating
agents, venetoclax, or menin inhibitors. These
recommendations aim to harmonise MRD-driven clinical
practice and improve patient outcomes, while identifying key
areas for future research.},
subtyp = {Review Article},
keywords = {Humans / Neoplasm, Residual / Hematopoietic Stem Cell
Transplantation: standards / Hematopoietic Stem Cell
Transplantation: adverse effects / Leukemia, Myeloid, Acute:
therapy / Leukemia, Myeloid, Acute: pathology / Leukemia,
Myeloid, Acute: genetics / Transplantation, Homologous /
Europe / Transplantation Conditioning / Clinical
Decision-Making},
cin = {FM01},
ddc = {610},
cid = {I:(DE-He78)FM01-20160331},
pnm = {899 - ohne Topic (POF4-899)},
pid = {G:(DE-HGF)POF4-899},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:41167226},
doi = {10.1016/S1470-2045(25)00426-7},
url = {https://inrepo02.dkfz.de/record/305584},
}