Transplant conditioning intensity (TCI) score predicts allo-HCT outcomes in patients with myelofibrosis: a study of the Chronic Malignancies Working Party of EBMT Article Swipe
Patryk Sobieralski
,
Tomasz Czerw
,
Luuk Gras
,
Linda Köster
,
Nicolaus Kröger
,
Thomas Schroeder
,
Lone Smidstrup Friis
,
Elisabetta Metafuni
,
Jakob Passweg
,
Marie Robin
,
Matthias Stelljes
,
Annoek E. C. Broers
,
Patrice Chevallier
,
Robert Zeiser
,
Marie‐Thérèse Rubio
,
Mareike Verbeek
,
İpek Yönal Hindilerden
,
Domenico Pastore
,
Jan Zaucha
,
Kavita Raj
,
Joanna Drozd‐Sokołowska
,
Giorgia Battipaglia
,
Nicola Polverelli
,
Juan Carlos Hernández‐Boluda
,
Donal P. McLornan
·
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41409-025-02732-w
YOU?
·
· 2025
· Open Access
·
· DOI: https://doi.org/10.1038/s41409-025-02732-w
Outcomes in myelofibrosis (MF) patients undergoing allogeneic hematopoietic cell transplantation (allo-HCT) appear unaffected by the intensity of the preparative regimen, defined traditionally as myeloablative (MAC) or reduced intensity conditioning (RIC). The Transplant Conditioning Intensity (TCI) index is an objective tool offering a precise measure of conditioning intensity. We explored the potential association between TCI score and overall survival (OS), progression-free survival (PFS), cumulative incidence of relapse (CIR) and non-relapse mortality (NRM) in 2454 MF patients undergoing allo-HCT between 2012 and 2021, selected from the EBMT registry. Patients receiving TCI-intermediate/high regimens had similar OS (HR 1.12, 95% CI 0.97-1.30) and PFS (HR 1.00, 95% CI 0.88-1.14) compared to TCI-low regimens. However, TCI-intermediate/high regimens were associated with lower risk of relapse (HR 0.74, 95% CI 0.61-0.91, p = 0.008) and higher risk of NRM (HR 1.24, 95% CI 1.04-1.48, p = 0.02). Our findings suggest that the TCI score provides a more clinically relevant stratification of conditioning intensity than the conventional MAC/RIC classification. While higher intensity TCI regimens are associated with lower RI, this benefit is offset by increased NRM, resulting in no survival advantage. However, the TCI index may enable a more personalized approach to conditioning regimen selection by balancing relapse risk with patient frailty.
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- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1038/s41409-025-02732-w
- https://www.nature.com/articles/s41409-025-02732-w.pdf
- OA Status
- hybrid
- References
- 27
- OpenAlex ID
- https://openalex.org/W4415205062
All OpenAlex metadata
Raw OpenAlex JSON
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https://openalex.org/W4415205062Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1038/s41409-025-02732-wDigital Object Identifier
- Title
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Transplant conditioning intensity (TCI) score predicts allo-HCT outcomes in patients with myelofibrosis: a study of the Chronic Malignancies Working Party of EBMTWork title
- Type
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articleOpenAlex work type
- Language
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enPrimary language
- Publication year
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2025Year of publication
- Publication date
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2025-10-15Full publication date if available
- Authors
-
Patryk Sobieralski, Tomasz Czerw, Luuk Gras, Linda Köster, Nicolaus Kröger, Thomas Schroeder, Lone Smidstrup Friis, Elisabetta Metafuni, Jakob Passweg, Marie Robin, Matthias Stelljes, Annoek E. C. Broers, Patrice Chevallier, Robert Zeiser, Marie‐Thérèse Rubio, Mareike Verbeek, İpek Yönal Hindilerden, Domenico Pastore, Jan Zaucha, Kavita Raj, Joanna Drozd‐Sokołowska, Giorgia Battipaglia, Nicola Polverelli, Juan Carlos Hernández‐Boluda, Donal P. McLornanList of authors in order
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https://doi.org/10.1038/s41409-025-02732-wPublisher landing page
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https://www.nature.com/articles/s41409-025-02732-w.pdfDirect link to full text PDF
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hybridOpen access status per OpenAlex
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https://www.nature.com/articles/s41409-025-02732-w.pdfDirect OA link when available
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| abstract_inverted_index.2454 | 72 |
| abstract_inverted_index.EBMT | 84 |
| abstract_inverted_index.NRM, | 177 |
| abstract_inverted_index.cell | 8 |
| abstract_inverted_index.from | 82 |
| abstract_inverted_index.more | 149, 190 |
| abstract_inverted_index.risk | 116, 129, 200 |
| abstract_inverted_index.than | 156 |
| abstract_inverted_index.that | 143 |
| abstract_inverted_index.this | 171 |
| abstract_inverted_index.tool | 39 |
| abstract_inverted_index.were | 112 |
| abstract_inverted_index.with | 114, 168, 201 |
| abstract_inverted_index.(CIR) | 66 |
| abstract_inverted_index.(MAC) | 24 |
| abstract_inverted_index.(NRM) | 70 |
| abstract_inverted_index.(OS), | 58 |
| abstract_inverted_index.(TCI) | 34 |
| abstract_inverted_index.0.74, | 120 |
| abstract_inverted_index.1.00, | 101 |
| abstract_inverted_index.1.12, | 94 |
| abstract_inverted_index.1.24, | 133 |
| abstract_inverted_index.2021, | 80 |
| abstract_inverted_index.While | 161 |
| abstract_inverted_index.index | 35, 186 |
| abstract_inverted_index.lower | 115, 169 |
| abstract_inverted_index.score | 54, 146 |
| abstract_inverted_index.(PFS), | 61 |
| abstract_inverted_index.(RIC). | 29 |
| abstract_inverted_index.0.008) | 126 |
| abstract_inverted_index.0.02). | 139 |
| abstract_inverted_index.appear | 11 |
| abstract_inverted_index.enable | 188 |
| abstract_inverted_index.higher | 128, 162 |
| abstract_inverted_index.offset | 174 |
| abstract_inverted_index.MAC/RIC | 159 |
| abstract_inverted_index.TCI-low | 107 |
| abstract_inverted_index.benefit | 172 |
| abstract_inverted_index.between | 52, 77 |
| abstract_inverted_index.defined | 20 |
| abstract_inverted_index.measure | 43 |
| abstract_inverted_index.overall | 56 |
| abstract_inverted_index.patient | 202 |
| abstract_inverted_index.precise | 42 |
| abstract_inverted_index.reduced | 26 |
| abstract_inverted_index.regimen | 195 |
| abstract_inverted_index.relapse | 65, 118, 199 |
| abstract_inverted_index.similar | 91 |
| abstract_inverted_index.suggest | 142 |
| abstract_inverted_index.However, | 109, 183 |
| abstract_inverted_index.Outcomes | 0 |
| abstract_inverted_index.Patients | 86 |
| abstract_inverted_index.allo-HCT | 76 |
| abstract_inverted_index.approach | 192 |
| abstract_inverted_index.compared | 105 |
| abstract_inverted_index.explored | 48 |
| abstract_inverted_index.findings | 141 |
| abstract_inverted_index.frailty. | 203 |
| abstract_inverted_index.offering | 40 |
| abstract_inverted_index.patients | 4, 74 |
| abstract_inverted_index.provides | 147 |
| abstract_inverted_index.regimen, | 19 |
| abstract_inverted_index.regimens | 89, 111, 165 |
| abstract_inverted_index.relevant | 151 |
| abstract_inverted_index.selected | 81 |
| abstract_inverted_index.survival | 57, 60, 181 |
| abstract_inverted_index.Intensity | 33 |
| abstract_inverted_index.balancing | 198 |
| abstract_inverted_index.incidence | 63 |
| abstract_inverted_index.increased | 176 |
| abstract_inverted_index.intensity | 15, 27, 155, 163 |
| abstract_inverted_index.mortality | 69 |
| abstract_inverted_index.objective | 38 |
| abstract_inverted_index.potential | 50 |
| abstract_inverted_index.receiving | 87 |
| abstract_inverted_index.regimens. | 108 |
| abstract_inverted_index.registry. | 85 |
| abstract_inverted_index.resulting | 178 |
| abstract_inverted_index.selection | 196 |
| abstract_inverted_index.(allo-HCT) | 10 |
| abstract_inverted_index.0.61-0.91, | 123 |
| abstract_inverted_index.0.88-1.14) | 104 |
| abstract_inverted_index.0.97-1.30) | 97 |
| abstract_inverted_index.1.04-1.48, | 136 |
| abstract_inverted_index.Transplant | 31 |
| abstract_inverted_index.advantage. | 182 |
| abstract_inverted_index.allogeneic | 6 |
| abstract_inverted_index.associated | 113, 167 |
| abstract_inverted_index.clinically | 150 |
| abstract_inverted_index.cumulative | 62 |
| abstract_inverted_index.intensity. | 46 |
| abstract_inverted_index.unaffected | 12 |
| abstract_inverted_index.undergoing | 5, 75 |
| abstract_inverted_index.association | 51 |
| abstract_inverted_index.non-relapse | 68 |
| abstract_inverted_index.preparative | 18 |
| abstract_inverted_index.Conditioning | 32 |
| abstract_inverted_index.conditioning | 28, 45, 154, 194 |
| abstract_inverted_index.conventional | 158 |
| abstract_inverted_index.personalized | 191 |
| abstract_inverted_index.hematopoietic | 7 |
| abstract_inverted_index.myeloablative | 23 |
| abstract_inverted_index.myelofibrosis | 2 |
| abstract_inverted_index.traditionally | 21 |
| abstract_inverted_index.stratification | 152 |
| abstract_inverted_index.classification. | 160 |
| abstract_inverted_index.transplantation | 9 |
| abstract_inverted_index.progression-free | 59 |
| abstract_inverted_index.TCI-intermediate/high | 88, 110 |
| cited_by_percentile_year | |
| countries_distinct_count | 10 |
| institutions_distinct_count | 25 |
| citation_normalized_percentile.value | 0.64302588 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |