Joseph Maakaron: New Evidence Challenges MMF Use in Matched-Donor HCT
Joseph Maakaron/ bmtga.com

Joseph Maakaron: New Evidence Challenges MMF Use in Matched-Donor HCT

Joseph Maakaron, BMT and Cellular Therapy Investigator at Blood & Marrow Transplant Group of Georgia, shared on X:

“Adding MMF to PTCy-CNI in matched-donor HCT (Saliba; n=2,771, registry)

  • MMF had no benefit on any endpoint (GRFS HR 1.03).
  • Trend toward harm with matched sibling donors (relapse HR 1.51) and more chronic GVHD overall (HR 1.34).
  • Supports dropping MMF for matched donors.

ReSPECT phase 3, weekly IV rezafungin vs azole + TMP/SMX prophylaxis (n=602) –

  • Met non-inferiority: day-90 fungal-free survival 60.7% vs 59.0%.
  • Less acute kidney injury: 17.1% vs 25.9%.
  • Fewer dose holds or discontinuations: 31% vs 48%.
  • Removes azole drug interactions from prophylaxis.”

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