Challenges in handling allogeneic stem cell transplantation in randomized clinical trials

There is no consensus on handling allo-HSCT as an intercurrent event in survival analyses. Censoring, although common, may introduce bias if treatment or prognostic covariates influence allo-HSCT use. The treatment policy estimand should be preferred when allo-HSCT is part of the therapeutic strategy.

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Publication Details

Journal
Journal of Clinical Epidemiology
Published
2026-01-06
DOI
https://doi.org/10.1016/j.jclinepi.2026.112132
Primary Topic
Hematopoietic Stem Cell Transplantation
Type
article
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article

Challenges in handling allogeneic stem cell transplantation in randomized clinical trials

Roland Couturier, Loïc Vasseur, Jérôme Lambert, Nicolas Boissel et al.
Journal of Clinical Epidemiology
Hematopoietic Stem Cell Transplantation
article

Challenges in handling allogeneic stem cell transplantation in randomized clinical trials

Roland Couturier, Loïc Vasseur, Jérôme Lambert, Nicolas Boissel, Sylvie Chevret, Hervé Dombret
article en

Abstract

There is no consensus on handling allo-HSCT as an intercurrent event in survival analyses. Censoring, although common, may introduce bias if treatment or prognostic covariates influence allo-HSCT use. The treatment policy estimand should be preferred when allo-HSCT is part of the therapeutic strategy.

Journal of Clinical EpidemiologyVol. 191
Inserm (FR), Université Paris Cité (FR), Saint Louis University Hospital (US), Assistance Publique – Hôpitaux de Paris (FR), Paris Cardiovascular Research Center (FR), Hôpital Saint-Louis (FR)
Peace, Justice and strong institutions
Openalex Percentile: Top 96%
Hematopoietic Stem Cell Transplantation
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