Key result
Ideal body weight-normalized PTCy dose linked to chronic GVHD in overweight or obese patients.
Why the study?
Although standard post-transplantation cyclophosphamide dosing is 100 mg/kg over 2 days for GVHD prophylaxis in haploidentical hematopoietic stem cell transplantation, reduced-dose schedules have been explored.
Does ideal body weight-normalized post-transplantation cyclophosphamide dose affect chronic GVHD in patients with overweight/obesity?
Does ideal body weight-normalized post-transplantation cyclophosphamide dose affect chronic GVHD in patients with overweight/obesity?
The study explores the association of ideal body weight-normalized post-transplantation cyclophosphamide dose with chronic GVHD in overweight or obese patients.
May inform IBW-based PTCy dosing in overweight transplant recipients; hypothesis-generating and requires prospective validation.
Post-transplantation cyclophosphamide (PTCy) is widely used for graft-versus-host disease (GVHD) prophylaxis in haploidentical hematopoietic stem cell transplantation. Although the standard dose is 100 mg/kg over 2 days, reduced-dose schedules with preserved GVHD control have been explored [ 1 , 2 , 3 , 4 , 5 ].
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Nagano et al. (2026) studied this question. Ideal body weight-normalized post-transplantation cyclophosphamide dose is associated with chronic graft-versus-host disease in patients with overweight or obesity.
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