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血液病、实体瘤和免疫性疾病中造血细胞移植与 CAR-T 的适应证:2025 EBMT 实践推荐

英文原题:Indications for haematopoietic cell transplantation and CAR-T for haematological diseases, solid tumours and immune disorders: 2025 EBMT practice recommendations.

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Indications for haematopoietic cell transplantation and CAR-T for haematological diseases, solid tumours and immune disorders: 2025 EBMT practice recommendations.

PubMed 2025/09/09(内容时间) Bone Marrow Transplant Q1 · IF 5.1(JCR 2025)

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中文摘要

二十多年来,欧洲血液和骨髓移植学会(EBMT)根据临床和科学进展不断更新造血细胞移植(HCT)适应证建议。这是EBMT针对血液系统疾病、实体瘤和免疫性疾病HCT适应证发布的第九份特别报告。我们的目标是根据EBMT国家和中心的现行临床实践,提供HCT适应证指导。为辅助患者决策,需将这些建议与疾病风险、HCT操作风险及非移植策略一并考虑,包括不断发展的细胞疗法及其当地可及性。HCT技术持续发展,我们不提出具体技术建议,但鼓励在可能情况下统一实践,以便通过登记数据有效整合不同适应证的经验。我们还建议按JACIE认证标准开展工作,以维持临床和实验室实践质量,包括对生存结局进行基准评估[1–3]。自上一版以来,创新性细胞和基因疗法已应用于多个适应证,影响临床决策。随着监管机构批准的细胞疗法数量和类型增加,我们制定了最佳实践及患者照护质量建议,以支持临床医生,并将定期更新。

展开英文摘要原文

For over two decades, the EBMT has updated recommendations on indications for haematopoietic cell transplantation (HCT) practice based on clinical and scientific developments in the field. This is the ninth special EBMT report on indications for HCT for haematological diseases, solid tumours and immune disorders.

Our aim is to provide guidance on HCT indications according to prevailing clinical practice in EBMT countries and centres. In order to inform patient decisions, these recommendations must be considered with the risk of the disease, risk of HCT procedure and non-HCT strategies, including evolving cellular therapies, and their availability on site.

HCT techniques are constantly evolving and we make no specific recommendations, but encourage harmonisation of practice, where possible, to ensure experience across indications can be meaningfully aggregated via registry outputs.

We also recommend working according to JACIE certification standards to maintain quality in clinical and laboratory practice, including benchmarking of survival outcomes [1-3]. Since the last edition, innovative cellular and gene therapies have entered in activity across indications affecting clinical decision making. As the number and type of regulatory authority-approved cellular therapies grow, recommendations for best practice and quality of patient care were developed to support clinicians and will be regularly updated.

论文信息

作者
Greco R、Ruggeri A、McLornan DP、Snowden JA、Alexander T、Angelucci E、Averbuch D、Bazarbachi A
第一作者单位
Unit of Hematology and Bone Marrow Transplantation, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. greco.raffaella@hsr.it.Italy
通讯作者单位
Unit of Hematology and Bone Marrow Transplantation, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy. Ruggeri.Annalisa@hsr.it.Italy
文献类型
临床实践指南
期刊
Bone marrow transplantation2025 Nov
原文标识
PubMed 40926035 · DOI 10.1038/s41409-025-02701-3