BMT or maintenance therapy?
My father,58, was diagnosed with MPAL in feb 2026.
Started on Vincristine and steroids. Reached 1% blast from 34%. On Dasatanib since day 1. Reached mrd negative post administration of Inotuzumab. Been suffering from Diabetes, hypertension & thyroid since 10years and took regular meds. We were told to either go for BMT or on maintenance therapy. Have haplo match with both of sons. Stats presented by doctors- 15% chance of Fatality during BMT given his comorbidities. 40% chance of relapse post BMT. No surety about the timeline. Books tell BMT as the only curative treatment hence doctors say BMT is the best shot.
We took the safer route of maintenance therapy as BMT had immediate risk. Currently only 1 dose/month of Vincristine. Weekly- Methotrexate. Daily -Dasatanib, mercaptopurine. Along with few other antifungal and drugs for existing comorbidities.
Idk if we took the right decision or we should have opted for BMT.