Indications for Autologous and Allogeneic Hematopoietic Cell Transplantation: Guidelines from the American Society for Blood and Marrow Transplantation

Navneet S. Majhail, Stephanie H. Farnia, Paul A. Carpenter, Richard E. Champlin, Stephen Crawford, David I. Marks, James L. Omel, Paul J. Orchard, Jeanne Palmer, Wael Saber, Bipin N. Savani, Paul A. Veys, Christopher N. Bredeson, Sergio A. Giralt, Charles F. LeMaistre

Research output: Contribution to journalArticle

141 Scopus citations

Abstract

Approximately 20,000 hematopoietic cell transplantation (HCT) procedures are performed in the United States annually. With advances in transplantation technology and supportive care practices, HCT has become safer, and patient survival continues to improve over time. Indications for HCT continue to evolve as research refines the role for HCT in established indications and identifies emerging indications where HCT may be beneficial. The American Society for Blood and Marrow Transplantation (ASBMT) established a multiple-stakeholder task force consisting of transplant experts, payer representatives, and a patient advocate to provide guidance on "routine" indications for HCT. This white paper presents the recommendations from the task force. Indications for HCT were categorized as follows: (1) Standard of care, where indication for HCT is well defined and supported by evidence; (2) Standard of care, clinical evidence available, where large clinical trials and observational studies are not available but HCT has been shown to be effective therapy; (3) Standard of care, rare indication, for rare diseases where HCT has demonstrated effectiveness but large clinical trials and observational studies are not feasible; (4) Developmental, for diseases where preclinical and/or early phase clinical studies show HCT to be a promising treatment option; and (5) Not generally recommended, where available evidence does not support the routine use of HCT. The ASBMT will periodically review these guidelines and will update them as new evidence becomes available.

Original languageEnglish (US)
Pages (from-to)1863-1869
Number of pages7
JournalBiology of Blood and Marrow Transplantation
Volume21
Issue number11
DOIs
StatePublished - Jan 1 2015

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Keywords

  • Allogeneic transplantation
  • Autologous transplantation
  • Clinical trials
  • Hematopoietic cell transplantation
  • Indications
  • Routine care
  • Standard of care

ASJC Scopus subject areas

  • Hematology
  • Transplantation

Cite this

Majhail, N. S., Farnia, S. H., Carpenter, P. A., Champlin, R. E., Crawford, S., Marks, D. I., Omel, J. L., Orchard, P. J., Palmer, J., Saber, W., Savani, B. N., Veys, P. A., Bredeson, C. N., Giralt, S. A., & LeMaistre, C. F. (2015). Indications for Autologous and Allogeneic Hematopoietic Cell Transplantation: Guidelines from the American Society for Blood and Marrow Transplantation. Biology of Blood and Marrow Transplantation, 21(11), 1863-1869. https://doi.org/10.1016/j.bbmt.2015.07.032