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May 29, 2026Journal of Clinical Oncology

Differentiating donor age on AML patient outcomes in the post-transplant cyclophosphamide contemporary era.

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Authors

JBJohn BehmanMAMuhammad Bilal Abid

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Overview

Randomized trial shows that younger donor age improves outcomes in AML patients, indicating better donor selection is needed.

Key Points

  • To evaluate the impact of donor age on outcomes for AML patients undergoing alloHCT with PTCy-based GVHD prophylaxis.
  • Analyzed data from CIBMTR dataset for AML patients receiving alloHCT between 2017-2021 with PTCy prophylaxis.
  • Excluded patients with primary induction failure or relapsed disease at transplant.
  • Conducted univariate and multivariate analyses on 5,702 identified patients.
  • CI of relapse at 24 months was 36.4% for donors aged ≥45 years vs 30.1%-32.9% for younger donors, p=0.003.
  • Overall survival at 24 months was 45.9% for older donors vs 55.4%-58.5% for younger donors, p<0.001.
  • Multivariable analysis showed significantly reduced relapse and improved survival rates for donors aged 20-44 years compared to those ≥45 years.

Cite This Study

Behman et al. (2026) studied this question.

synapsesocial.com/papers/6a192f07fab5b468c44185cahttps://doi.org/10.1200/jco.2026.44.16_suppl.6564
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