What is your re-immunization strategy after auto SCT for patients with myeloma on dara/len maintenance?
3 Answers
Mednet Member
Medical Oncology · OhioHealth
We do the same vaccination sequence according to BMT/CTN, whether they are on maintenance dara or not. Here is our schedule
Post autologous SCT vaccine
Interval Date Vaccine
Yearly Flu Vaccine
3-month post-transplant Pneumovax 20, Hib, hep A/hep B, polio, TDap, Shingrix
6 months post-transplant Pneu...
Mednet Member
Medical Oncology · Winship Cancer Institute of Emory University
The BMT/CTN schedule has not been re-examined, unfortunately. Hib & polio are thankfully not a risk in the U.S. for now, and so these vaccinations do not have an appealing benefit:risk ratio - similar to MenACWY, MenB, and HPV.
Hepatitis A and B have individualized risk factors per the previous ACIP...