Scientific Program

The European Working Group of Myelodysplastic Syndrome Childhood (EWOG-MDS) and severe aplastic anemia (EWOG-SAA) is a consortium of National Working Groups of clinicians and researchers of 20 European Countries dedicated to diagnose and treat young individuals with acquired and inherited bone marrow failure, predisposition syndromes, MDS and rare MPD in young people.

Biannually, EWOG-MDS/SAA organizes an International Symposium to bring together renowned experts in the fields. The upcoming 11th International Symposium of EWOG-MDS/SAA will be held September 18 – 20, 2025 in Berlin, Germany.

National Coordinators and reference laboratories are the backbone of the EWOG and contribute to the Symposium.

The Symposium is a Hybrid Meeting. Content will be available for all registered participants until March 1, 2026.

Program

Thursday, 18.09.2025
07:30 – 08:30 Breakfast
08:30 – 08:45 Opening of the Symposium
For the Organizing Committee: Charlotte M. Niemeyer, Brigitte Strahm, Edoardo Muratore
08:45 – 12:00 Education Session – organized by Young EWOG


Moderators Part I: Marc Bierings (Utrecht, The Netherlands), Felicia Andresen (Freiburg, Germany)

Moderators Part II: Barbara de Moerloose (Ghent, Belgium), Edoardo Muratore (Bologna, Italy)

08:45 – 09:30 SAA beyond the state of the art
Invited experts: Brigitte Strahm (Freiburg, Germany), Carlo Dufour (Genova, Italy), Mirjam Belderbos (Utrecht, The Netherlands)
09:30 – 10:15 Well begun is half done: How to find the right diagnostic path in MDS
Invited experts: Marcin Wlodarski (Memphis, USA), Michael Dworzak (Vienna, Austria), Martina Rudelius (Munich, Germany)
10:15 – 10:30 Coffee Break
10:30 – 11:15 The journey begins with a single step: Clonal evolution in germline predisposition and clinical management
Invited experts: Marlene Pasquet (Toulouse, France), Marc Bierings (Utrecht, The Netherlands), Henrik Hasle (Aarhus, Denmark)
11:15 – 12:00 JMML Preclinical Models: One size does not fit all – choosing the right model for the right question
Invited experts: Miriam Erlacher (Ulm, Gemany), Silvia Bresolin (Padova, Italy)
12:00 – 13:00 Lunch
13:00 – 14:30

Aplastic Anemia I

Keynote Lecture: The role of somatic T-cell mutations and immune dysregulation in SAA
Satu Mustjoki (Helsinki, Finland)


Alternative Donor Peripheral Stem Cell Transplantation with TCRαβ/CD19 depletion for Pediatric Patients with Bone Marrow Failure 
Tim Olson*, C. W. Elgarten, J. H. Oved, L. Wray, K. Venella, P. Nicholas, S. Kadauke, Y. Wang, S. Grupp
*(Philadelphia, USA)


Outcome of second hematopoietic stem cell transplantation in pediatric patients with severe aplastic anemia
Nienke Wieringa*, M. Amrein, M. Dworzak, V. Labarque, M. Schmugge, J. Stary, F. Locatelli, O. Smith, M. Bierings, J. Buechner, K. Pawelec, B. Strahm
*(Utrecht, The Netherlands)


Late effects of immunosuppressive therapy in acquired bone marrow failure: Long-term follow-up of Czech patients with aplastic anemia and refractory cytopenia
Martina Sukova*, B. Cabalkova, E. Mejstrikova, M. Reiterova, P. Riha, P. Keslova, Z. Novak, O. Zapletal, L. Mastikova, I. Janotova, J. Stary
*(Prague, Czechia)


Improved engraftment following a treosulfan-fludarabine conditioning regimen compared to thiotepa-fludarabine in patients with refractory cytopenia of childhood
Brigitte Strahm*, A. Yoshimi, I. Bodova, J. Buechner, A. Catala, V. De Haas, B. De Moerloose, M. Dworzak, H. Hasle, K. Kallay, F. Locatelli, R. Masetti, P. Noellke, M. Schmugge, O. Smith, J. Stary, D. Turkiewicz, M. Ussovicz, L. Vinci, M. Erlacher, C. M. Niemeyer
*(Freiburg, Germany)

14:30 – 15:30

Aplastic Anemia II

Mini Panel: Long-term Consequences of Therapy in Aplastic Anemia
Moderator: Brigitte Strahm (Freiburg, Germany)

  • Setting the stage: Therapeutic concepts in pediatric SAA
    Carlo Dufour (Genova, Italy)
  • Relevance of clonal hematopoiesis following IST and HSCT
    Mirjam Belderbos (Utrecht, The Netherlands)
  • Risk of malignancy following IST and HSCT
    Akiko Shimamura (Boston, USA)
  • Risk of infertility
    Ayami Yoshimi (Freiburg, Germany)
  • How to design long-term FUP study
    Jean Hugues Dalle (Paris, France)
15:30 – 16:00 Coffee break
16:00 – 17:30

The Path to Clonal Myeloid Malignancy I

Assessment of genetic testing following current comprehensive clinical diagnostic evaluation for pediatric severe aplastic anemia
Helen Reed*, J. De Jong, M. Gaviria, A. Koppayi, Y. Ahmed, I. Atkinson, M. Joos, M. Malsch, M. McClung, P. Nicholas, M. Shah, E. Sullivan, H. Xie, S. Zavarella, Y. Zhou, B. Zorman, L. Godley, T. Nakano, T. Olson, A. Bertuch, A. Shimamura
*(Boston, USA)


Molecular surveillance in bone marrow failure: Predictive value of clonal hematopoiesis
Nathan Gray*, E. Attardi, M. Boals, S. Lewis, P. Shaker, K. Ray, J. Uhrich, M. Hale, A. Kennedy, M. Wlodarski
*(Memphis, USA)


Refractory cytopenia of childhood with normal karyotype: Long-term results of an observational approach
Beatrice Drexler*, S. Schwarz-Furlan, I. Baumann, M. Rudelius, P. Noellke, D. Lebrecht, S. Ramamoorthy, N. Rotari, A. Karow, S. Hirabayashi, F. Beier, Y. L. Behrens, G. Goehring, R. Kalb, M. Wlodarski, B. Strahm, M. Erlacher, C. M. Niemeyer, A. Yoshimi
*(Basel, Swizerland)


Single-cell and spatial transcriptomics of pediatric myelodysplastic syndrome with refractory cytopenia of childhood reveal a disrupted bone marrow niche driving impaired hematopoiesis
Patrycja Fryzik *, L-T. Chen, E.S. Hanemaaijer, I. J. Kal, T. Candelli, B. M. TePas, N. Epskamp, V. De Haas, M. Scheijde-Vermeulen, W. J. De Jonge, T. Margaritis, M. Belderbos
*(Utrecht, The Netherlands)


Concordance of Somatic Genetic Testing in Blood vs. Bone Marrow in Shwachman-Diamond Syndrome
Felicia Andresen*, K. C. Myers, A. Guttierez, D. Schwarz, B. Goldberg, E. Weller, C. Reilly, K. Brundige, S. Loveless, L. Cheng, C. Lindsley, A. Shimamura
*(Boston, USA)


In-vivo mouse model of acute myeloid leukemia development in congenital neutropenia
Jeremy Haaf*, M. Ritter, P. A. Tutusaus, S. Kandabarau, M. Klimiankou, J. Skokowa
*(Tübingen, Germany)

17:30-19:00

The Path to Clonal Myeloid Malignancy II

Keynote Lecture: How Risky is Clonal Hematopoiesis?
Luca Malcovati (Pavia, Italy)


Mini Panel: Clonal hematopoiesis in aging and germline predisposition: Is it the same?
Moderator: Miriam Erlacher (Ulm, Germany)

  • Impulse statement
    Luca Malcovati (Pavia, Italy)
  • Battle of clones: Somatic genetic rescue congenital in bone marrow failure disorders
    Akiko Shimamura (Boston, USA)
  • Clonal evolution in aplastic anemia – what is different?
    Marcin Wlodarski (Memphis, USA)
  • Genetic outfit and modes of stem cell aging
    Julia Skokowa (Tübingen, Germany)

End of Scientific Program

19:00 – 21:00 Welcome Reception
Friday, 19.09.2025
07:30 – 08:30 Breakfast
08:30 – 10:00

Inherited Predispositions to Myeloid Neoplasms and their Clinical Implication

Keynote Lecture: GATA2 Deficiency: From Pathophysiology to Clinical Care
Marlene Pasquet (Toulouse, France)


St. Jude.org/gata2: Online catalogue of 900 individuals with germline GATA2 mutations
Lili Kotmayer*, K. Gangwani, B. Csaba, Z. Xin, M. Wlodarski
*(Memphis, USA)


Mitotic defects impaired CD34+ proliferation in GATA2 deficiency
Maria Magallon-Mosella*, D. Romero-Moya, C. Calvo, J. Pera, E. Torralba-Sales, M. Erlacher, O. Molina, A. Giorgetti
*(Hospitalet de Llobregat, Spain)


Superior survival following hematopoietic stem cell transplantation for high-risk marrow features in patients with Shwachman Diamond syndrome
Kasiani Myers*, F. Andresen, B. Goldberg, E. Weller, C. Reilly, T. Nakano, A. Bertuch, A. Geddis, M. Joos, K. Coyne, K. Brundige, S. Loveless, L. Cheng, A. Shimamura
*(Cincinnati, USA)


Impluse Statement: Tailoring Pre- and Post HSCT Therapy in Advanced MDS
Ricardo Massetti (Bologna, Italy)

10:00 – 11:30 Poster Viewing (coffee served)
10:10 Poster Walk 1: SAA (inkl. Therapy)
Poster Walk 2: Predisposition
Poster Walk 3: Therapy (other than SAA)
10:40 Poster Walk 4: Classical bone marrow failure
Poster Walk 5: MDS
Poster Walk 6: JMML
11:30 – 13:00

Inherited Bone Marrow Failure and Telomeropathies

Keynote Lecture: Germline Disorders Linked to Telomere Maintanance and Dysfunction 
Sharon Savage (Bethesda, USA)


Functional analysis of non-canonical fancj variants in Fanconi anemia
Reinhard Kalb*, A. Droste, A. Repczynska, P. Bydgoszcz, B. Fiebig, J. Vodopiutz, A-R. Janecke, J. Knaup, R. Hark, R. Kulka, A. Sobeck *(Würzburg, Germany)


Clonal hematopoiesis in congenital neutropenia: Insights from somatic mutation analysis
Maksim Klimiankou*, S. Kandabarau, C. Zeidler, S. Kadah, D. Pogozhykh, Y.L. Behrens, D. Dale, V. Makaryan, M. Kelley, A. Bolyard, M. Mezger, C. Gruenes, P. Lang, C. Lengerke, K. Welte, J. Skokowa
*(Tübingen, Germany)


Transcriptional contingency in the early hematopoiesis of inherited bone marrow failure syndromes
Alfredo de Jesús Rodríguez Gómez*, A. De La Cruz, P. Siliceo, P. Leal Anaya
*(Mexico City, Mexico)


In vitro model of stage-specific evolution of clonal hematopoiesis in congenital neutropenia to CN/AML
Natalia Alejanjandra Borbaran Bravo*, A-S Hellmuth, S. Kandabarau, M. Klimiankou, J. Skokowa
*(Tübingen, Germany)

13:00 – 13:30 Lunch + grab a coffee
13:30 – 14:30

(Epi-)genomic Landscape in JMML

Comprehensive characterization of somatic PTPN11-mutated JMML
Edoardo Muratore*, V. De Haas, D. Bresters, C. Flotho, P. Goncalves, M. Hofmans, M. Kavcic, T. Lammens, D.B. Lipka, L. Petrikkos, C. M. Niemeyer for the EWOG-MDS JMML Working Group, P. Noellke, S. Ramamoorthy, D. Lebrecht, R. Masetti, M. Schoenung, and EWOG-MDS National Coordinators for EWOG-MDS
*(Bologna, Italy)


The watch-and-wait approach in patients with juvenile myelomonocytic leukemia (JMML): Results of the French national cohort
Neven Quentin*, C. Arfeuille, A. Caye Eude, P. Durand, E. Lainey, B. Nelken, M. Nolla, A. Sterin, C. Thomas, C. Khouri, M-E. Dourthe, M. Fahd, F. Millot, B. Neven, A. Petit, J-H. Dalle, A. Baruchel, H. Cavé, M. Strullu,
*(Paris, France)


Long-term outcome of an observational approach in patients with NRAS-mutated juvenile myelomonocytic leukemia and absence of high risk features
Jolien De Waele*, M. Hofmans, A. Fischer, A. Catala, M. Dworzak, M. Erlacher, H. Hasle, R. Masetti, M. Schmugge, M. Ussowicz, S. Keogh, O. Tufekci, M. A. Yesilipek, A. Yoshimi, D. Lebrecht, M. Schönung, P. Nöllke, B. De Moerloose, C. M. Niemeyer
*(Ghent, Belgium)


Single-cell trajectories of monosomy 7 driven KRAS-mutant JMML
Lili Kotmayer*, S. Sahoo, Y. Masanori, A. Frisanco, F. Andresen, C. Flotho, M. Erlacher, C. M. Niemeyer, M. Wlodarski
*(Memphis, USA)

14:30-15:15

JMML Risk Factors for Outcome

Mini Panel: Towards an International Consensus on Risk Criteria
Moderator: Christian Flotho(Freiburg, Germany), Daniel Lipka (Heidelberg, Germany)

  • One size fits all? Risk criteria and genetic groups
    Hélène Cavé (Paris, France)
  • Is a DNA methylation score mandatory?
    Hideki Muramatsu (Nagoya, Japan)
  • What is the role of subclonal mutations in risk definition?
    Elliot Stieglitz (San Francisco, USA)
  • How many parameters do we need?
    Edoardo Muratore (Bologna, Italy)
14:00 – 15:00

Meeting of reference pathologists EWOG Pathology:
MDS/MPN and MPN– clear cut or overlapping?

Room: Strasbourg, Estrel Hotel
Martina, Rudelius (Munich, Germany)

Pathology-Workshop: General Information

15:15 – 15:30 Coffee break
15:30 – 16:45

Classification and Clinical Approch to Overlap Syndromes and rare MPDs

Biological and clinical implications of subclonal genetic events in juvenile myelomonocytic leukemia revealed via error-corrected next-generation sequencing
Daichi Sajiki*, H. Muramatsu, M. Wakamatsu, K. Ogawa, D. Yamashita, A. Yamamori, K. Narita, S. Kataoka, Y. Takahashi
*(Nagoya, Japan)


Predicting the unpredictable: Chimerism as a relapse indicator in JMML post-haematopoietic stem cell transplant
Susanne Kricke Orszulik*, A. Rao, E. Louka, S. Adams
*(London, UK)


Myeloproliferative neoplasms (MPN) diagnosed in childhood and adolescence – prospective data on clinical and genetic characteristics from the German national MPN childhood registry
Axel Karow*, Y.L. Behrens, T. Reinkens, W. Hofmann, A. Gumann, R. Strasser, P. Wanjek, N. Di Donato, L. Seitz, M. Pontones, M-P. Hitz, Z. Wotschofsky, B. Schlegelberger, T. Ripperger
*(Erlangen, Germany)


Impluse statement: Classification of Overlap Syndromes and rare MPD
Martina Rudelius (Munich, Germany)

End of Scientific Program

17:00 Departure for evening program
Saturday, 20.09.2025
07:30 – 08:30 Breakfast
07:30 – 08:30 Closed EWOG Meeting
08:30 – 10:00

Advanced MDS – from Clones to Therapy

Keynote Lecture: Therapy-induced clonal hematopoiesis
Sam Behjati (Cambridge, UK)


Genetic origins and clonal trajectories of monosomy 7 in pediatric MDS
Sushree Sahoo*, V. P. Pastor, M. van Roosmalen, D. Lebrecht, S. Ramamoorthy, C.G. Harris, A. van Leeuwen, L. Kotmayer, K. Schratz, A. Yoshimi, B. Strahm, P. Noellke, A. Gebert, R. van Boxtel, C. M. Niemeyer, M. Erlacher, M. Wlodarski
*(Memphis, USA)


Genetic landscape of myelodysplastic syndrome in children
Masataka Hasegawa*, K. Mimura, R. Ono, D. Keino, S. Tsujimoto, K. Isobe, T. Deguchi, H. Iwafuchi, H. Moritake, A. Manabe, S. Ogawa, K. Yoshida, D. Hasegawa,
*(Tokyo, Japan)


Genetic landscape of primary myelodysplastic syndromes with excess of blasts (MDS-EB) in children and adolescents
Davide Leardini*, L. Vinci, B. De Moerloose, H. Hasle, K. Heitink-Polle, M. Kavčič, K. Thus, D. Turkiewicz, C.M. Niemeyer, M. Erlacher, R. Masetti, M. Dworzak, and EWOG-MDS National Coordinators
*(Bologna, Italy)


Genetic landscape and outcomes after hematopoietic stem cell transplantation in children and adolescents with therapy-related myeloid neoplasms
Luca Vinci*, S. Ramamoorthy, E-V. Kornemann, V. De Haas, B. De Moerloose, M. Dworzak, M. Erlacher, G. Goehring, H. Hasle, K. Jahnukainen, K. Kallay, R. Masetti, P. Noellke, M. Schmugge, J. Stary, D. Turkiewicz, M. Ussowicz, F. Locatelli, T. N. Masmas, P. Sedlacek, M. Wlodarski, A. Yoshimi, M. Zecca, C. M. Niemeyer, B. Strahm
*(Freiburg, Germany)


Advanced myelodysplastic syndrome. The Dutch experience
Katja Heitink-Polle*, K. Thus, D. Bresters, V. De Haas, A. Vissers, A. Kors, M. Belderbos, L. Kester, E. Waanders, M. Bierings
*(Utrecht, The Netherlands)

10:00 – 10:20 Coffee break
10:20 – 11:45

Innovations in Therapy and Diagnostics for MDS

Integrated immunophenotyping and drug response profiling in pediatric MDS-EB : The Zurich-Vienna experince
Zürich (Switzerland): Nastassja Scheidegger-Egloff, S. Gutnik, C. Moeller, F. Steffen, A. Arpagaus, L. Schori, S. Schuehle, S. Bohler, B. Haladik, A. Hurt, C.M. Koebl, M. Maurer-Granofszky, B. De Moerloose, H. Hasle, C.M. Niemeyer, M. Ussowicz, L. Vinci, A. Yoshimi-Noellke, K. Boztug, M.N. Dworzak, J-P. Bourquin, M. Erlacher, M. Schmugge, B. Bornhauser
Vienna (Austria): Ben Haladik, M. Maurer-Granofszky, A. Hurt, C.M. Koelbl, N. Scheidegger, S. Gutnik, F. Steffen, B. De Moerloose, H. Hasle, M. Ussowicz, L. Vinci, A. Yoshimi-Noellke, J-P. Bourquin, C.M. Niemeyer, M. Schmugge, B. Bornhauser, M. Erlacher, M.N. Dworzak, K. Boztug


BH3-mimetic treatment reveals subtype-specific BCL-2 protein dependency in pediatric MDS with excess blasts
Sheila Bohler*, A. Yoshimi-Noellke, N. Scheidegger, B. Haladik, B. Bornhauser, M.N. Dworzak, K. Boztug , M. Schmugge, C. M. Niemeyer, M. Erlacher
*(Freiburg, Germany)


Stratus Prime™ GMP compliant process to create high numbers of HLA compatible definitive HSPCS from IPSCS using Piezo1 agonists
Michael P Cooke*, A. Das, G. Singh, Z-J. Liu, Q. Lin, S.K. Patel, J. Li, V. G.Tirunagaru, *(Cambridge, USA)Impulse statement:


Impulse statement: Myeloid targets in CAR T-Cell therapy
Tobias Feuchtinger (Freiburg, Germany)

11:45 – 13:00

Advances in Molecular Diagnostics for Bone Marrow Failure

Keynote Lecture: Establishing a Diagnostic Pipeline for Bone Marrow Failure and Inherited Predisposition Syndromes in Australia
Piers Blombery (Melbourne, Australia)


Mini Panel: The Future in Germline Diagnostics

  • Setting the stage: Germline testing concepts in hematologic diseases
    Piers Blombery (Melbourne, Australia)
  • Germline testing using nails and buccal swabs: lessons from JMML
    Hideki Muramatsu (Nagoya, Japan)
  • Dual platform (WGS and WES) testing from dirrect skin biopsy
    Victor Pastor Loyola (Memphis, USA)
  • Hair follicles NGS: fast and reliable method for confirmation of germline status
    Dirk Lebrecht (Freiburg, Germany)

End of Scientific Program

13:00
Adjourn

Dear young colleagues, newcomers and researchers interested in EWOG topics,

We are looking forward to meeting you at the Symposium On the Verge to Malignancy: Cytopenia and Beyond of the European Working Group of Myelodysplastic Syndromes (EWOG-MDS) and Severe Aplastic Anemia (EWOG-SAA) in Childhood.  The group of Young EWOG will prepare an educational session that will be the part of the sientific program.

Marc Bierings for the organizing team of the educational session

The Symposium would not have been possible without the financial support from:

Deutsche Kinderkrebsstiftung

Stiftung Lichterzellen

Förderverein für krebskranke Kinder e.V. Freiburg i.Br.

We kindly acknowledge support from the following sponsors:

Bristol Myers Squibb

Medac GmbH

Pfizer Pharma GmbH

Neovii Biotech GmbH

Platinum Sponsor

Gold Sponsor

Silver Sponsor

Bronze Sponsor

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