Publications by authors named "L Castagna"

Article Synopsis
  • Acute myeloid leukemia (AML) relapse is a major cause of mortality following allogeneic stem cell transplants, but using Sorafenib for maintenance post-transplant has shown to lower relapse and death rates in FLT3+ AML patients.
  • In a study with 29 adult FLT3m AML patients who received allo-SCT, Sorafenib was administered as maintenance therapy after their initial treatment with midostaurin and chemotherapy.
  • Results indicated that 62% of patients received Sorafenib; those who did had significantly improved 2-year overall survival (94%) and lower relapse rates (11%) compared to the whole population (76% OS, 28% CIR).
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Background: Access to allogeneic haematopoietic stem-cell transplantation (HSCT) remains challenging for older patients (aged >60 years) with acute myeloid leukaemia. We aimed to evaluate the efficacy of venetoclax plus decitabine as first-line therapy and bridge to transplantation in this patient population.

Methods: This multicentre, single-arm, phase 2 trial was conducted in 20 Gruppo Italiano Trapianto Midollo Osseo (GITMO) centres in Italy.

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Donor-specific anti-HLA antibodies (DSA) are an important cause of engraftment failure and may negatively impact survival outcomes of patients receiving allogeneic hematopoietic stem cell transplantation (HSCT) using an HLA-mismatched allograft. The incidence of DSA varies across studies, depending on individual factors, detection or identification methods and thresholds considered clinically relevant. Although DSA testing by multiplex bead arrays remains semiquantitative, it has been widely adopted as a standard test in most transplant centers.

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We report the long-term results of a randomized trial (GITMO, AML-R2), comparing 1:1 the combination of busulfan and cyclophosphamide (BuCy2, n = 125) and the combination of busulfan and fludarabine (BuFlu, n = 127) as conditioning regimen in acute myeloid leukemia patients (median age 51 years, range 40-65) undergoing allogeneic hematopoietic stem cell transplantation. With a median follow-up of 6 years, significantly better non-relapse mortality (NRM) was confirmed in BuFlu recipients, which is sustained up to 4 years after transplant (10% vs. 20%, p = 0.

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