Ajay Major, MD, MBA
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majorajay.bsky.social
Ajay Major, MD, MBA
@majorajay.bsky.social
Lymphoma/CLL faculty at the University of Colorado School of Medicine. Patient-reported outcomes methodologist & #lymsm quality of life investigator. #medsky
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Happy #ASH25 day!
Check out all of this year's #MajorPROsASH, the top 20 best patient-reported outcomes & quality of life abstracts from this year's @ash.hematology.org meeting.
Check out the hashtag for details on all the abstracts: bsky.app/hashtag/Majo...
Axi-cel can now be used for R/R PCNSL! HT @samyamshon.bsky.social #lymsm #tcellrx
February 6, 2026 at 8:28 PM
Infx post CD20 bispecifics @bloodadvances.bsky.social
- 122 pts
- 61% ≥1 infx episode; 37% had Grade 3+ infx!!! (lots of CMV)
- 76% cumulative incidence infx at 2 yrs
- 8% G5 infx at 1 year
Important data (more infx than CAR?); need ppx/IVIG strategies. #lymsm
ashpublications.org/bloodadvance...
February 3, 2026 at 3:36 PM
Hoping I have favor with the kiln deities! #pleasedontbreak #pottery
January 29, 2026 at 7:52 PM
Elated to be presenting our MAGIC-ONC vascular access appropriateness recommendations in patients with cancer to the @hms-mi.bsky.social consortium today! Be sure to read the full paper published @annalsofim.bsky.social: www.acpjournals.org/doi/10.7326/... #medsky #oncsky cc @davidpaje.bsky.social
January 29, 2026 at 7:07 PM
CD3xCD20 BsAb CNS lymphoma #ASH25
- 28 pts from CUBIC (22 glofi), 18 active CNSi
- 6-mo PFS/OS 44%/81%
- active CNSi: ORR 56% (CR 33%)
- 67% received combo tx (BTKi, len, IT chemo)
Outcomes with active CNSi similar to trials. Need more pts & longer f/u. #lymsm #tcellrx
December 31, 2025 at 7:47 PM
CNS relapse of LBCL after CAR-T #ASH25
- 1102 pts R/R LBCL: 79% CAR, 21% CIT
- 1.6% incidence of CNS relapse after CAR (2.2% CIT cohort)
- time from CAR to CNSr 4.7 mo
Corroborates known CAR CNS penetration. Upfront CAR if high CNSr risk? #lymsm #tcellrx
December 31, 2025 at 7:39 PM
3-year f/u STARGLO #ASH25
- glofi-GemOx: mPFS 14 (v 3 mos), mOS 26 (v 13 mos)
- in 2L: mPFS 20 (vs 5 mos), mOS NR (vs 14 mos)
- 20% G3+ infx AEs in glofi arm
Maybe a PFS plateau on KM curves if you squint... #lymsm #tcellrx
December 31, 2025 at 7:31 PM
Q-TWIST analysis of CARTITUDE-4 @surbhisidanamd.bsky.social #ASH25: 9-13 month gain of quality-adjusted time w/o symptoms/toxicity as compared to SOC, and this includes time with high-grade ICANS. #mmsm #tcellrx
December 31, 2025 at 7:23 PM
Patients with poor baseline HRQoL in ALPINE trial still had PFS benefit with zanu (vs ibrutinib). #lymsm #ASH25
December 30, 2025 at 6:43 PM
Spiritual wellness & QoL PROs in acute leukemia #ASH25
- 30 pts, 27% AYA, 53% AML
- higher spiritual wellness = better QoL across first 30 days of treatment (at baseline & 30 days)
Opportunity to improve QoL/PROs with spiritual support services at diagnosis. #leusm
December 29, 2025 at 4:28 PM
Time & financial tox work at #ASH25: 66 pts (40 #lymsm, 26 #mmsm) treated with BsAb or CAR-T. ~25% had significant FT at 3 months, and time tox decreased over time. FT & TT both associated with worse QoL & psychological distress.
December 29, 2025 at 4:21 PM
Glofi+obin 1L HTB FL #ASH25
- 35 pts, 63% FLIPI 3-5
- ORR 100% (CR 88%)
- pretx with 4 doses of obinu: 40% any-grade CRS, all G1 except 1 case of G3
- 31% infx (all G1-2)
- only 7.5 mo F/U: 8-mo PFS 95%
More chemo-free options in 1L FL; need more f/u. #lymsm
December 29, 2025 at 4:17 PM
Epidemiological data on NLPHL presented at the @ash.hematology.org #ASH25 Annual Meeting. Using a UK-based cancer registry, higher incidence of NLPHL in Black and Asian patients as compared to White patients. 5-year OS and relative survival of >90%. #lymsm #NLPHLsm
December 29, 2025 at 4:07 PM
More time toxicity work from #ASH25: adults with ALL spent 25% of days over the first year physically interacting with the health care system. Tremendous potential to improve this with novel agents and/or hospital at home care delivery models. #leusm #AYAsm #timetox @ash.hematology.org
December 29, 2025 at 4:03 PM
Pirto v venetoclax in R/R WM #ASH25
- 91 pts: 64 VEN
- MV model:⬇️PFS w/ ven if TP53mut;⬇️MRR & PFS w/ pirto if CXCR4mut
- no diff in MRR or PFS between pirto & VEN
- transition from BTKi to VEN = 62% IgM rebound (didn't happen w/ pirto)
Genetic-based tx decisions in WM! #lymsm
December 24, 2025 at 8:38 PM
A time toxicity analysis of CAR-T in NHL by Trotier et al. from #ASH25 (using claims data) found a 1-year median of 52 contact days, very similar to our multicenter study. Very promising that we can use claims data to generate these time toxicity data. #lymsm cc @uduranimd.bsky.social
December 24, 2025 at 8:30 PM
In our study of real-world survival & time toxicity of CAR-T vs BsAb in R/R FL, we found that CAR-T resulted in superior PFS but more time toxicity, with no difference in OS.
Over first year, 51-64 physical healthcare contact days with CAR-T vs 36-38 with BsAb. #lymsm
www.vumedi.com/video/ash-20...
ASH 2025 Insights: Comparison of Real-World Survival Outcomes and Time Toxicity of CAR T-Cell vs. Bispecific Antibody Therapies in R/R FL - A Multicenter Cohort From 15 US Academic Institutions
A video from Ajay Major (as part of 2025 ASH Annual Meeting Insights Hub), posted on Dec 23, 2025.
www.vumedi.com
December 23, 2025 at 11:41 PM
Reposted by Ajay Major, MD, MBA
CU Cancer Center member Ajay Major (@majorajay.bsky.social), MD, MBA, led a study of more than 25,000 long-term childhood cancer survivors, to learn more about their rates of colorectal cancer and what their doctors can do about it ⬇️
https://bit.ly/3MkDl2t
Why Childhood Cancer Survivors Are at Higher Risk of Colorectal Cancer — and What Their Doctors Can Do About It
Ajay Major's research found childhood cancer survivors got subsequent colorectal cancer at younger ages and had high colorectal cancer mortality rates.
news.cuanschutz.edu
December 15, 2025 at 11:27 PM
At #ASH25, we presented our patient-reported time toxicity study in 120 pts w/ R/R FL & DLBCL on mosun, glofi & epcor. Mosun & glofi w/⬇️all-cause healthcare visits & hours spent on cancer-related care in past 30 days v epcor.
More details in this #thread. #lymsm
www.sciencedirect.com/science/arti...
December 15, 2025 at 10:43 PM
Announcing my #ASHNewsDaily Golden Globule award picks for @ash.hematology.org #ASH25! I gave my awards to the best (shocker) patient-reported outcomes abstracts, including quality of life studies from trials and in real-world practice. #MajorPROsASH ashpublications.org/ashnewsdaily...
December 10, 2025 at 8:27 PM
Thanks for all the great memories, my #ASH25 friends! Stay in touch, and looking forward to seeing your new abstracts at #ASH26. cc @ash.hematology.org
December 9, 2025 at 7:18 PM
Our budding PRO researcher Dr. Hofmeister @cuinternalmed.bsky.social in the @cuhematology.bsky.social Major Lab presented her work on quality of life in CTCL at the @ash.hematology.org #ASH25 Annual Meeting.
Thread below with our study findings. 🧵 #lymsm
December 8, 2025 at 9:58 PM
The L-THORs (Lymphoma Translational Health Outcomes Researchers) assemble at #ASH25, presenting work in patient-reported outcomes and time toxicity! 🎉 #lymsm cc @ash.hematology.org
December 7, 2025 at 10:01 PM
Reposted by Ajay Major, MD, MBA
Twins looking sharp!! #ASH25
December 7, 2025 at 7:33 PM
December 7, 2025 at 7:14 PM