ATG and other serotherapy in conditioning regimens for autologous HSCT in autoimmune diseases: a survey on behalf of the EBMT Autoimmune Diseases Working Party (ADWP) - Summary - MDSpire

ATG and other serotherapy in conditioning regimens for autologous HSCT in autoimmune diseases: a survey on behalf of the EBMT Autoimmune Diseases Working Party (ADWP)

  • By

  • Azza Ismail

  • Rosamaria Nitti

  • Basil Sharrack

  • Manuela Badoglio

  • Pascale Ambron

  • Myriam Labopin

  • Tobias Alexander

  • John A. Snowden

  • Raffaella Greco

  • August 14, 2024

  • 0 min

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Objective:

To evaluate the current real-world clinical practice regarding the use of ATG and other serotherapy in conditioning regimens for autologous HSCT in various autoimmune diseases across EBMT centers.

Key Findings:
  • 46 EBMT centers (66%) from 18 countries participated in the survey.
  • All centers use ATG, with Cy-ATG being the most common regimen.
  • 12 centers (26.1%) use rituximab in addition to ATG.
  • Thymoglobulin is the most frequently used type of ATG (89.1%).
  • ATG administration varies in timing and dosage, with most centers using a test dose.
Interpretation:

The survey highlights significant variability in the use of serotherapy and conditioning regimens for HSCT in autoimmune diseases, suggesting a need for standardized practices to optimize treatment outcomes and reduce variability in patient care.

Limitations:
  • Survey-based study may not capture all clinical nuances, potentially leading to incomplete understanding of practices.
  • Responses may vary based on center-specific practices and experiences, which could affect the generalizability of the findings.
Conclusion:

Standardizing ATG administration and conditioning regimens could enhance the efficacy and safety of HSCT in treating autoimmune diseases, ultimately improving patient outcomes.

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