Defining lines of therapy in haematological malignancies: a proposed systematic and comprehensive framework from the EBMT Practice Harmonisation and Guidelines Committee - Scorecard - MDSpire

Defining lines of therapy in haematological malignancies: a proposed systematic and comprehensive framework from the EBMT Practice Harmonisation and Guidelines Committee

  • By

  • Alessandro Criscimanna

  • Jacques-Emanuel Galimard

  • Isabel Sánchez-Ortega

  • Patrick J. Hayden

  • Laurent Garderet

  • Anna Sureda

  • Fabio Ciceri

  • Donal P. McLornan

  • Krzysztof Kałwak

  • Antonio M. Risitano

  • Francesco Onida

  • Ibrahim Yakoub-Agha

  • Ali Bazarbachi

  • Annalisa Ruggeri

  • June 3, 2026

  • 0 min

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Clinical Scorecard: Establishing a Comprehensive Framework for Therapy Lines in Hematological Malignancies: Recommendations from the EBMT Practice Harmonisation and Guidelines Committee

At a Glance

CategoryDetail
Condition
Key MechanismsTargeted therapies, immunotherapy, and cellular therapies (source needed)
Target PopulationPatients with acute leukemias, lymphomas, and multiple myeloma (source needed)
Care Setting

Key Highlights

  • Standardized framework for defining lines of therapy (LoT) developed by EBMT (source needed)
  • LoT defined as a coherent therapeutic episode aimed at disease control (source needed)
  • New LoT assigned at documented progression, relapse, or introduction of a new agent (source needed)
  • Bridging therapies prior to cellular therapy considered part of the same LoT (source needed)
  • Aim to enhance methodological rigor and improve treatment reporting (source needed)

Guideline-Based Recommendations

Diagnosis

  • Standardized definitions of LoT to improve clarity in treatment reporting (source needed)

Management

  • Utilization of consensus-based criteria for LoT determination (source needed)

Monitoring & Follow-up

  • Harmonization of data collection across studies and registries (source needed)

Risks

  • Potential misclassification due to variability in LoT definitions (source needed)

Patient & Prescribing Data

Patients with hematological malignancies undergoing therapy

Incorporation of complex combinations and novel modalities in treatment strategies

Clinical Best Practices

  • Adhere to standardized definitions for LoT to enhance clinical care (source needed)
  • Implement uniformity in LoT classification to support evidence-based decision-making (source needed)
  • Engage in continuous education on emerging therapies and their integration into practice (source needed)

Related Resources & Content

Original Source(s)

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