The 2024 EBMT activity report: crossing one million HCTs and 20,000 CAR-T. A landmark in cellular therapy - Report - MDSpire

The 2024 EBMT activity report: crossing one million HCTs and 20,000 CAR-T. A landmark in cellular therapy

  • By

  • Raffaella Greco

  • Isabel Sánchez-Ortega

  • Antonio M. Risitano

  • Krzysztof Kalwak

  • Annalisa Ruggeri

  • Iliana Kleovoulou

  • Marina Atlija

  • Tobias Alexander

  • Emanuele Angelucci

  • Dina Averbuch

  • Ali Bazarbachi

  • Maria Ester Bernardo

  • Charles Crawley

  • Mette D. Hazenberg

  • Olaf Penack

  • Helen Baldomero

  • Jakob R. Passweg

  • Ibrahim Yakoub-Agha

  • Donal P. McLornan

  • Fabio Ciceri

  • Anna Sureda

  • May 27, 2026

  • 0 min

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Clinical Report: EBMT 2024 Activity Report on HCT and CAR-T Therapies

Overview

The EBMT 2024 report marks a significant milestone with over one million hematopoietic cell transplants (HCTs) recorded since 1990. In 2024, HCT activity showed a slight overall decline, while CAR-T therapies increased by 24.5%, highlighting evolving trends in cellular treatments.

Background

Hematopoietic cell transplantation (HCT) is a critical therapeutic option for various hematological and immunological disorders. The EBMT activity survey has been instrumental in tracking HCT trends and advancements in cellular therapies across Europe. Understanding these trends is essential for optimizing treatment strategies and ensuring equitable access to emerging therapies.

Data Highlights

YearTotal HCTsAllogeneic HCTsAutologous HCTsCAR-T Therapies
202447,20421,02326,1816,082

Key Findings

  • Over one million HCTs have been reported since 1990.
  • In 2024, 47,204 HCTs were performed, a slight decrease of 1.1% from 2023.
  • Allogeneic HCTs increased by 2.6%, reaching the highest annual activity to date.
  • CAR-T therapy utilization rose by 24.5%, with 6,082 patients treated in 2024.
  • Major indications for allo-HCT included myeloid malignancies (62%) and lymphoid malignancies (~24%).
  • From 2025, separate reporting for adult and pediatric HCT activity will be implemented.

Clinical Implications

The increase in CAR-T therapies suggests a shift in treatment paradigms for hematological malignancies, emphasizing the need for clinicians to stay updated on evolving indications and guidelines. The slight decline in overall HCT activity may prompt further investigation into barriers to access and treatment optimization.

Conclusion

The EBMT 2024 report underscores the resilience and adaptability of HCT and CAR-T therapies in clinical practice, reflecting ongoing advancements in cellular treatments. Continued monitoring and adaptation of practices will be essential as the landscape of hematological therapies evolves.

Related Resources & Content

  1. EBMT, Annual Report 2024 -- EBMT 2024 Activity Report
  2. Greco et al., Bone Marrow Transplantation, 2025 -- Indications for HCT and CAR-T
  3. Bone Marrow Transplantation, 2023 -- EBMT Overview on HCT and CAR-T Trends
  4. Bone Marrow Transplantation, 2022 -- Trends in HCT and Cellular Therapies
  5. Bone Marrow Transplantation — Thirty Years of Activity Trends in Hematopoietic Cell Transplantation and Cellular Therapy: Insights from the EBMT Survey
  6. Bone Marrow Transplantation — Hematopoietic Stem Cell Transplantation and Cellular Therapies in Europe: Insights from the 2021 EBMT Activity Survey During the Second Year of the COVID-19 Pandemic
  7. EBMT Annual Report 2024
  8. Indications for HCT and CAR-T
  9. Cilta-cel in lenalidomide-refractory multiple myeloma (CARTITUDE-4): an updated analysis including overall survival from an open-label, multicentre, randomised, phase 3 trial - PubMed

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