Expanded antigen-specific donor regulatory T cells for GVHD prevention.

BloodSep 24, 2026

Joseph Pidala, Nicoletta Cieri, Michael J Schell et al.

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In 30 seconds

This phase 1 clinical trial evaluated the safety and preliminary efficacy of expanded minor histocompatibility antigen (mHAg)-specific donor regulatory T cells (Treg) for preventing graft-versus-host disease (GVHD) in 15 patients undergoing allogeneic hematopoietic cell transplantation. The maximum tolerated dose was determined to be 4 × 10^5/kg, with a day 100 cumulative incidence of grade II to IV acute GVHD at 13%.

Key findings

  • No dose-limiting toxicities were observed across all dose levels.
  • The day 100 cumulative incidence of grade II to IV acute GVHD was 13%.
  • Moderate/severe chronic GVHD rates were 6.7% at 1 year and 20% at 3 years.
  • Overall survival at the median follow-up of 41.7 months was 73%.

Why it matters

The findings suggest that mHAg-specific expanded donor Treg may provide a safe and effective strategy for GVHD prevention, potentially improving outcomes in patients undergoing allogeneic hematopoietic cell transplantation.

Source

Published in Blood. This summary was written by xxcode from the publication's abstract and metadata. It is not peer reviewed and is not a substitute for the original article. For clinical decisions, review the original publication.

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