Table 2.

Summary of treatment recommendations for allogeneic HCT for Hodgkin lymphoma

Recommendation
Most patients who relapse after autologous HCT will receive CPIs rather than conventional therapy. 
Allogeneic HCT should be used instead of conventional therapy for relapse after autologous HCT. 
RIC is the recommended regimen intensity. 
All donor sources (except cord blood) can be considered. 
PTCy-based GVHD prophylaxis is considered standard and is preferred in patients with prior CPI. 
Allogeneic HCT can be considered in patients as soon as they achieve CR after CPI but is typically deferred to relapse/progression or because of lack of response or intolerance. 
DLI can be given for relapse or progressive disease (limited data for mixed-donor chimerism). 
Recommendation
Most patients who relapse after autologous HCT will receive CPIs rather than conventional therapy. 
Allogeneic HCT should be used instead of conventional therapy for relapse after autologous HCT. 
RIC is the recommended regimen intensity. 
All donor sources (except cord blood) can be considered. 
PTCy-based GVHD prophylaxis is considered standard and is preferred in patients with prior CPI. 
Allogeneic HCT can be considered in patients as soon as they achieve CR after CPI but is typically deferred to relapse/progression or because of lack of response or intolerance. 
DLI can be given for relapse or progressive disease (limited data for mixed-donor chimerism). 

DLI, donor lymphocyte infusion.

Adapted with permission from Perales et al.9 

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