Letermovir vs. high-dose valacyclovir for cytomegalovirus prophylaxis following haploidentical or mismatched unrelated donor allogeneic hematopoietic cell transplantation receiving post-transplant cyclophosphamide.


Journal

Leukemia & lymphoma
ISSN: 1029-2403
Titre abrégé: Leuk Lymphoma
Pays: United States
ID NLM: 9007422

Informations de publication

Date de publication:
08 2022
Historique:
pubmed: 22 2 2022
medline: 19 8 2022
entrez: 21 2 2022
Statut: ppublish

Résumé

Patients undergoing haploidentical or mismatched unrelated donor (haplo/MMUD) allogeneic hematopoietic cell transplantation (alloHCT) receiving post-transplant cyclophosphamide (PTCy) are at high risk of cytomegalovirus (CMV) infection. Experience with letermovir (LET) in this population is limited. This single center retrospective cohort study compared CMV and transplant outcomes between LET and a historical control with high-dose valacyclovir (HDV) prophylaxis in adults undergoing haplo/MMUD alloHCT. Thirty-eight CMV seropositive patients were included, 19 in each arm. LET reduced the incidence of CMV infection (5% vs. 53%, RR 0.01, 95% CI 0.014-0.71,

Identifiants

pubmed: 35188052
doi: 10.1080/10428194.2022.2042686
doi:

Substances chimiques

Acetates 0
Quinazolines 0
letermovir 1H09Y5WO1F
Cyclophosphamide 8N3DW7272P
Valacyclovir MZ1IW7Q79D

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

1925-1933

Auteurs

Craig W Freyer (CW)

Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Alison Carulli (A)

Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Shannon Gier (S)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Alex Ganetsky (A)

Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Colleen Timlin (C)

Pharmacy, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Mindy Schuster (M)

Infectious Diseases Division, Hospital of the University of Pennsylvania, Philadelphia, PA, USA.

Daria Babushok (D)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Noelle V Frey (NV)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Saar I Gill (SI)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Elizabeth O Hexner (EO)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Selina M Luger (SM)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

James K Mangan (JK)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Mary Ellen Martin (ME)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Shannon R McCurdy (SR)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Alexander E Perl (AE)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

David L Porter (DL)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Keith Pratz (K)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Jacqueline Smith (J)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Edward A Stadtmauer (EA)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

Alison W Loren (AW)

Blood and Marrow Transplantation Program, Hospital of the University of Pennsylvania, Abramson Cancer Center and the Division of Hematology and Oncology, Philadelphia, PA, USA.

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Classifications MeSH