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Reply To: Vaccines S/P CAR-T
November 9, 2019 at 7:18 pm
Do you have any data on titers drawn following vaccines for CAR-T patients? Our policy is that our CAR-T patients will not receive any vaccines as they continue to receive IVIg infusion indefinitely. The post-BMT vaccination guidelines reference not administering vaccines until at least 3 months following IVIg infusions.
—————————— Elizabeth Sheldon, CPHON,CPNP-PC,PCNS San Diego, CA United States —————————— ——————————————- Original Message: Sent: 10-07-2018 09:42 PM From: Jessica Dean Murphy Subject: Vaccines S/P CAR-T
Hi Michelle, Although they are not followed by our BMT team, we still use the same guidelines for our CAR-T patients as BMT: No vaccines (besides flu shot) until 6 months post, no live vaccines until 1 year post.
—————————— JD Murphy MS CPNP-AC CPHON Pediatric Oncology/BMT Nurse Practitioner Johns Hopkins Hospital Baltimore, MD USA firstname.lastname@example.org ——————————
Hello from Phoenix, Since many of you are now doing CAR-T at your institutions, I’m wondering if you have an SOP or plan for vaccines s/p CAR-T infusion? Are you using the 6 months s/p treatment end (and is that day of infusion) for live vaccines or a more conservative approach as these kids are usually managed by the BMT team? If you can, please share:
Timeline to live vaccines:
Timeline to inactive/attenuated vaccines
Thank you for sharing! Michelle
—————————— Michelle Gillard, MSN, RN, CPHON Cellular Therapy Program Coordinator Phoenix Children’s Hospital Phoenix, AZ email@example.com ——————————