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Tolerance and effectiveness of nivolumab after pediatric T‐cell replete,haploidentical, bone marrow transplantation: A case report
Authors:Aziza T Shad  Courtney Darcy  Amal Abu‐Ghosh  Giuseppe Esposito  Mary‐Jo Holuba  Nancy Robey  Kenneth R Cooke  Heather J Symons  Allen R Chen  Nicolas J Llosa
Abstract:To date, there has been a lack of pediatric experience regarding the efficacy and tolerability of immune checkpoint inhibitors after haploidentical hematopoietic stem cell transplant (HSCT). We present the case of a 22‐year‐old female with multiple‐relapsed Hodgkin lymphoma (HL) who presented with a new relapse after haploidentical (post‐haplo) HSCT. Anti‐PD‐1 therapy with nivolumab resulted in significant objective disease response and clinical improvement without notable side effects, including the absence of a graft‐versus‐host disease (GVHD). This case report suggests that immune checkpoint inhibition may be safely tolerated even in the setting of haploidentical HSCT, without triggering overt GVHD.
Keywords:anti‐PD1  haploidentical bone marrow transplant  Hodgkin lymphoma  immunotherapy  nivolumab  relapse
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