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Cancers (Basel). 2021 Feb 04;13(4). doi: 10.3390/cancers13040613.

Effect of Early Post-Transplantation Tacrolimus Concentration on the Risk of Acute Graft-Versus-Host Disease in Allogenic Stem Cell Transplantation.

Cancers

Nidhi Sharma, Qiuhong Zhao, Bin Ni, Patrick Elder, Marcin Puto, Don M Benson, Ashley Rosko, Maria Chaudhry, Srinivas Devarakonda, Naresh Bumma, Abdullah Khan, Sumithira Vasu, Samantha Jaglowski, Basem M William, Alice Mims, Hannah Choe, Karilyn Larkin, Jonathan Brammer, Sarah Wall, Nicole Grieselhuber, Ayman Saad, Sam Penza, Yvonne Efebera

Affiliations

  1. Comprehensive Cancer Center Columbus, Division of Hematology, Department of Internal Medicine, The Ohio State University, Columbus, OH 43210, USA.
  2. Department of Pharmacy, The Ohio State University, Columbus, OH 43210, USA.

PMID: 33557088 PMCID: PMC7913846 DOI: 10.3390/cancers13040613

Abstract

Acute graft versus host disease (aGVHD) remains a leading cause of morbidity and mortality in allogeneic hematopoietic stem cell transplant (allo-HSCT). Tacrolimus (TAC), a calcineurin inhibitor that prevents T-cell activation, is commonly used as a GVHD prophylaxis. However, there is variability in the serum concentrations of TAC, and little is known on the impact of early TAC levels on aGVHD. We retrospectively analyzed 673 consecutive patients undergoing allo-HSCT at the Ohio State University between 2002 and 2016. Week 1 TAC was associated with a lower risk of aGVHD II-IV at TAC level ≥10.15 ng/mL (

Keywords: allogeneic stem cell transplantation; graft versus host disease; relapse; tacrolimus

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