Austin Health

Title
Vaccine schedule recommendations and updates for patients with hematologic malignancy post-hematopoietic cell transplant or CAR T-cell therapy.
Publication Date
2023-11
Author(s)
Reynolds, Gemma
Hall, Victoria G
Teh, Benjamin W
Subject
CAR-T cell
bispecific
cellular therapy
hematologic malignancy
stem cell transplant
vaccination
Type of document
Journal Article
OrcId
0000-0002-9561-3592
0000-0001-9353-0059
0000-0003-0213-5470
DOI
10.1111/tid.14109
Abstract
Revaccination after receipt of a hematopoietic cell transplant (HCT) or cellular therapies is a pillar of patient supportive care, with the potential to reduce morbidity and mortality linked to vaccine-preventable infections. This review synthesizes national, international, and expert consensus vaccination schedules post-HCT and presents evidence regarding the efficacy of newer vaccine formulations for pneumococcus, recombinant zoster vaccine, and coronavirus disease 2019 in patients with hematological malignancy. Revaccination post-cellular therapies are less well defined. This review highlights important considerations around poor vaccine response, seroprevalence preservation after cellular therapies, and the optimal timing of revaccination. Future research should assess the immunogenicity and real-world effectiveness of new vaccine formulations and/or vaccine schedules in patients post-HCT and cellular therapy, including analysis of vaccine response that relates to the target of cellular therapies.
Link
Citation
Transplant Infectious Disease : an Official Journal of the Transplantation Society 2023-11; 25 Suppl 1
Jornal Title
Transplant Infectious Disease : an Official Journal of the Transplantation Society
ISSN
1399-3062

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