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Omidubicel for Hematopoietic Cell Transplants: Considerations for Patients and Treatment Outcomes
For patients with hematologic malignancies requiring allogeneic stem cell transplantation, alternative donor sources are needed when lacking access to a matched related or unrelated donor. Umbilical cord blood (UCB) has been an important alternative allograft donor source for these patients; however...
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Published in: | Patient preference and adherence 2024-01, Vol.18, p.2217-2223 |
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description | For patients with hematologic malignancies requiring allogeneic stem cell transplantation, alternative donor sources are needed when lacking access to a matched related or unrelated donor. Umbilical cord blood (UCB) has been an important alternative allograft donor source for these patients; however, several limitations exist. Omidubicel is a nicotinamide modified allogeneic hematopoietic progenitor cell therapy derived from UCB. Omidubicel was approved in May 2023 by the United States Food and Drug Administration based on the results of a Phase III trial comparing it to UCB transplantation in patients with high-risk hematologic malignancies. Median time to neutrophil engraftment was faster with omidubicel compared to UCB transplantation (12 days vs 22 days; p |
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Umbilical cord blood (UCB) has been an important alternative allograft donor source for these patients; however, several limitations exist. Omidubicel is a nicotinamide modified allogeneic hematopoietic progenitor cell therapy derived from UCB. Omidubicel was approved in May 2023 by the United States Food and Drug Administration based on the results of a Phase III trial comparing it to UCB transplantation in patients with high-risk hematologic malignancies. Median time to neutrophil engraftment was faster with omidubicel compared to UCB transplantation (12 days vs 22 days; p<0.001). There was also a lower incidence of grade 2/3 bacterial or invasive fungal infections with omidubicel compared to UCB transplantation (37% vs 57%; p=0.027). From a safety perspective, omidubicel has a boxed warning due to the risk of life-threatening infusion reactions, graft-versus-host disease, graft failure, and engraftment syndrome. Omidubicel represents an important advancement in developing novel alternative allograft donor sources. This also has important implications in ensuring access to alternative donor sources for ethnic and minority populations.</description><identifier>ISSN: 1177-889X</identifier><identifier>EISSN: 1177-889X</identifier><identifier>DOI: 10.2147/PPA.S419253</identifier><identifier>PMID: 39525609</identifier><language>eng</language><publisher>New Zealand: Dove Medical Press Limited</publisher><subject>Antithymocyte globulin ; cellular therapy ; Drug approval ; hematology ; hematopoietic cell transplant ; Hematopoietic stem cells ; Niacinamide ; omidubicel ; Review ; Stem cells ; Transplantation ; Transplantation of organs, tissues, etc</subject><ispartof>Patient preference and adherence, 2024-01, Vol.18, p.2217-2223</ispartof><rights>2024 Morse et al.</rights><rights>COPYRIGHT 2024 Dove Medical Press Limited</rights><rights>2024 Morse et al. 2024 Morse et al.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c364t-f959030fb69c67b0ad8775912f2db81d1f8c38ae68bf6e0d49f591c5c74063cf3</cites><orcidid>0000-0001-5629-9505</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549910/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC11549910/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,37013,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/39525609$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Morse, Allison L</creatorcontrib><creatorcontrib>Kurz, Hana</creatorcontrib><creatorcontrib>Moore, Donald C</creatorcontrib><title>Omidubicel for Hematopoietic Cell Transplants: Considerations for Patients and Treatment Outcomes</title><title>Patient preference and adherence</title><addtitle>Patient Prefer Adherence</addtitle><description>For patients with hematologic malignancies requiring allogeneic stem cell transplantation, alternative donor sources are needed when lacking access to a matched related or unrelated donor. Umbilical cord blood (UCB) has been an important alternative allograft donor source for these patients; however, several limitations exist. Omidubicel is a nicotinamide modified allogeneic hematopoietic progenitor cell therapy derived from UCB. Omidubicel was approved in May 2023 by the United States Food and Drug Administration based on the results of a Phase III trial comparing it to UCB transplantation in patients with high-risk hematologic malignancies. Median time to neutrophil engraftment was faster with omidubicel compared to UCB transplantation (12 days vs 22 days; p<0.001). There was also a lower incidence of grade 2/3 bacterial or invasive fungal infections with omidubicel compared to UCB transplantation (37% vs 57%; p=0.027). From a safety perspective, omidubicel has a boxed warning due to the risk of life-threatening infusion reactions, graft-versus-host disease, graft failure, and engraftment syndrome. Omidubicel represents an important advancement in developing novel alternative allograft donor sources. This also has important implications in ensuring access to alternative donor sources for ethnic and minority populations.</description><subject>Antithymocyte globulin</subject><subject>cellular therapy</subject><subject>Drug approval</subject><subject>hematology</subject><subject>hematopoietic cell transplant</subject><subject>Hematopoietic stem cells</subject><subject>Niacinamide</subject><subject>omidubicel</subject><subject>Review</subject><subject>Stem cells</subject><subject>Transplantation</subject><subject>Transplantation of organs, tissues, etc</subject><issn>1177-889X</issn><issn>1177-889X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkttrFDEUxoMotlaffJcBX4SyNZfJzZeyLNUWCrtgBd9CJpc1ZWayJjOC_71nu2tpn3Jyzpcf5zs5CL0n-IKSVn7ebJYX31uiKWcv0CkhUi6U0j9fPolP0Jta7zEWTFDyGp0wzSkXWJ8iux6Sn7vkQt_EXJrrMNgp73IKU3LNKvR9c1fsWHe9Haf6pVnlsSYfip0SRA9PNhAHKDZ29CAOdhrg2qznyeUh1LfoVbR9De-O5xn68fXqbnW9uF1_u1ktbxeOiXZaRM01Zjh2QjshO2y9kpJrQiP1nSKeROWYskGoLoqAfasjVB13sgVbLrIzdHPg-mzvza6kwZa_JttkHhK5bI0tYKoPxlPeRSypEKpthSTKOeydxU4Jz2PngXV5YO3mbgjegZ9i-2fQ55Ux_TLb_McQwlutCQbCpyOh5N9zqJMZUoUhwxhDnqthhCrJcasVSD8epFsLvaUxZkC6vdwsFcVEYIr3wPODypVcawnxsRuCzX4PDOyBOe4BqD88NfCo_f_x7B-Zh67s</recordid><startdate>20240101</startdate><enddate>20240101</enddate><creator>Morse, Allison L</creator><creator>Kurz, Hana</creator><creator>Moore, Donald C</creator><general>Dove Medical Press Limited</general><general>Dove</general><general>Dove Medical Press</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><orcidid>https://orcid.org/0000-0001-5629-9505</orcidid></search><sort><creationdate>20240101</creationdate><title>Omidubicel for Hematopoietic Cell Transplants: Considerations for Patients and Treatment Outcomes</title><author>Morse, Allison L ; Kurz, Hana ; Moore, Donald C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c364t-f959030fb69c67b0ad8775912f2db81d1f8c38ae68bf6e0d49f591c5c74063cf3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Antithymocyte globulin</topic><topic>cellular therapy</topic><topic>Drug approval</topic><topic>hematology</topic><topic>hematopoietic cell transplant</topic><topic>Hematopoietic stem cells</topic><topic>Niacinamide</topic><topic>omidubicel</topic><topic>Review</topic><topic>Stem cells</topic><topic>Transplantation</topic><topic>Transplantation of organs, tissues, etc</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Morse, Allison L</creatorcontrib><creatorcontrib>Kurz, Hana</creatorcontrib><creatorcontrib>Moore, Donald C</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Patient preference and adherence</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Morse, Allison L</au><au>Kurz, Hana</au><au>Moore, Donald C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Omidubicel for Hematopoietic Cell Transplants: Considerations for Patients and Treatment Outcomes</atitle><jtitle>Patient preference and adherence</jtitle><addtitle>Patient Prefer Adherence</addtitle><date>2024-01-01</date><risdate>2024</risdate><volume>18</volume><spage>2217</spage><epage>2223</epage><pages>2217-2223</pages><issn>1177-889X</issn><eissn>1177-889X</eissn><abstract>For patients with hematologic malignancies requiring allogeneic stem cell transplantation, alternative donor sources are needed when lacking access to a matched related or unrelated donor. Umbilical cord blood (UCB) has been an important alternative allograft donor source for these patients; however, several limitations exist. Omidubicel is a nicotinamide modified allogeneic hematopoietic progenitor cell therapy derived from UCB. Omidubicel was approved in May 2023 by the United States Food and Drug Administration based on the results of a Phase III trial comparing it to UCB transplantation in patients with high-risk hematologic malignancies. Median time to neutrophil engraftment was faster with omidubicel compared to UCB transplantation (12 days vs 22 days; p<0.001). There was also a lower incidence of grade 2/3 bacterial or invasive fungal infections with omidubicel compared to UCB transplantation (37% vs 57%; p=0.027). From a safety perspective, omidubicel has a boxed warning due to the risk of life-threatening infusion reactions, graft-versus-host disease, graft failure, and engraftment syndrome. Omidubicel represents an important advancement in developing novel alternative allograft donor sources. This also has important implications in ensuring access to alternative donor sources for ethnic and minority populations.</abstract><cop>New Zealand</cop><pub>Dove Medical Press Limited</pub><pmid>39525609</pmid><doi>10.2147/PPA.S419253</doi><tpages>7</tpages><orcidid>https://orcid.org/0000-0001-5629-9505</orcidid><oa>free_for_read</oa></addata></record> |
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subjects | Antithymocyte globulin cellular therapy Drug approval hematology hematopoietic cell transplant Hematopoietic stem cells Niacinamide omidubicel Review Stem cells Transplantation Transplantation of organs, tissues, etc |
title | Omidubicel for Hematopoietic Cell Transplants: Considerations for Patients and Treatment Outcomes |
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