For a Jehovah's Witness patient with multiple myeloma, could you safely offer a BCMA-directed bispecific antibody or CAR-T therapy?
Please assume that IVIG is fine (as it is for many Jehovah's Witness patients, since IgG is often not considered a blood product per se).
2 Answers
Mednet MemberInvited Expert
Medical Oncology · University of Chicago
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Short answer is - yes! Long answer is - it depends.
Patients can be optimized leading into CAR T-cell therapy by using ESAs and possible TPO agonists, iron, B12, folate supplementation. The main issue is around propensity for anemia and thrombocytopenia, especially if profound and prolonged. Patient...
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Medical Oncology · Winship Cancer Institute of Emory University
Answered on
Jehovah's Witness patients can be under-treated or receive inappropriate care within medical systems because of their views about transfusions. Many of these patients refuse red blood cell or platelet transfusions, but allow for autologous stem cells.
From a clinician standpoint, what is the differe...
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