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#EBMT17 www.ebmt.org General Assembly Meeting President s Activity Report - Mohamad Mohty Treasurer s Activity Report - Jürgen Kuball Secretary s Report - Rafael Duarte Election Results - Rafael Duarte Marseille, March, 2017

#EBMT17 www.ebmt.org President s Annual Activity Report for 2016 Mohamad Mohty General Assembly Meeting - Marseille, March, 2017

The EBMT at a glance Board Scientific Council = 11 Working Parties 7 Committees Nurses Group Board of Counsellors 29 Honorary Members 52 EBMT Staff members in 4 offices 3

SCIENCE EDUCATION PATIENT CARE 306 ongoing projects 63 publications in peer-reviewed journals 102 oral presentations at international meetings (ASH, EHA, BMT Tandem) 39,000 transplants reported to the Registry 42,171 HSCT reported to the Activity Survey in 2015 Organisation of the first International Transplant Course 24 educational events with > 1,300 attendees 4,750 delegates at EBMT 2016 STANDARDS & ACCREDITATION JACIE 58 received applications 64 performed inspections 72 awarded accreditations NURSING Educational meetings Materials: new Textbook for Nurses Collaborative research projects Collaboration including training courses in China and India

SCIENCE 5

Research projects The Working Parties use data from the EBMT patient Registry to perform three types of clinical research: 1. Retrospective studies 2. Prospective non-interventional studies (NIS) 3. Prospective interventional studies (Prospective Clinical Trials)** 306 ongoing projects ** New EBMT Unit for Prospective Clinical Studies: 1. Important increase in the number and complexity of our prospective noninterventional studies (NIS) in multiple working parties. 2. Centralisation of all the prospective clinical study activities in the Leiden Data Office. 3. Specific studies will be carried out in both Leiden and Paris DO to facilitate closer dynamics between statisticians, data managers and the working parties involved in different studies. 6

<1980 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 The EBMT Registry (1/3) 20000 18000 16000 14000 12000 10000 8000 6000 4000 2000 0 Allo Auto Type of transplant by year 7

The EBMT Registry (2/3) Data sharing AGNIS project o The new Med-A has been mapped to the new CIBMTR form (TED) o Data of approx. 20,000 registrations from 46 centres were forwarded by the EBMT to CIBMTR during 2016 o 4 TED related data collection forms were automated HLA o o HLA data were reported to > 12,000 transplants Increase mainly due to the upload of HLA data coming from Anthony Nolan donor Registry Data collection and quality Med-A: Med-B harmonisation with new Med-A completed and the manual has been updated Paper free: data entry of standard paper forms - MED-A, MED-B, HLA and Follow Up is no longer be offered by EBMT. The objective is to increase the quality of the database Cell Therapy: New forms for the collection of cell therapies have been implemented in the Registry. The Data collection forms are ready for data entry 8

Registry upgrade: new system (3/3) Elsevier has been appointed on February 1 st 2017 to work on the new registry system. The development will be based on MACRO, a powerful, flexible and user friendly Electronic Data Capture (EDC) system that can be customised further to meet EBMT Registry requirements. 9

Transplant Activity Survey 2015 (1/2) Trends: Highest number of HSCT reported: > 42,000 HSCT Continued increase in haploidentical HSCT in both BM and PBSC Continued decrease in cord blood use in malignant disease but not in NMD Continued increase in DLI - 11% since 2014 10

Transplant Activity Survey 2015 (2/2) 11

EDUCATION 12

24 Educational Events

250 attendees The 1st International Transplant Course 9-11 September 2016 in Barcelona, Spain Young physicians featured their work by presenting clinical case reports. 16 reports were presented in total to illustrate the seminal lectures. The EBMT-ITC is part of a broader initiative, which will encompass the launch of a specific high level EBMT stem cell transplant physician curriculum 15

PATIENT CARE 16

Accreditations JACIE - In 2016, joint-highest number of inspections (64) and record of accreditation awards (72) 80 70 60 50 40 30 20 10 0 2012 2013 2014 2015 2016 Reacc. 2 0 4 4 8 6 Reacc. 1 15 12 16 17 33 Initial 32 26 27 25 33 17

JACIE event 2016 18

Education 500 nurses attended the 32nd Meeting of the Nurses Group in Valencia Educational Meeting on Transplant procedures update for physicians and nurses operating in JACIE accredited transplant centers with focus on competency maintenance. o New online platform, certified by EBMT and JACIE, including e-sessions and lectures Materials The EBMT Texbook for Nurses (will be released late 2017): o Comprehensive and informative guide covering all aspects of transplant nursing. VOD learning programme and practical guides on PNH Research Rolling programme of research co-ordinated by the Research Committee Collaboration The Nurses Group - Committed to patient care through education, research and international network collaboration 9th International Study Day 1st International Research Nurse Day Training courses for HSCT nurses in China and India 5th EBMT training course for paediatricians and paediatric nurses on HSCT in children and adolescents 19

EBMT Annual Meeting 2017 EBMT Annual Meeting 2018 20

The 43rd EBMT Annual Meeting in figures +/- 5,000 delegates 1,067 accepted high quality abstracts 32 industry symposia sessions 57 educational sessions 22 workshops 4 plenary sessions 27 oral sessions 8 How do I...? Sessions 18 Meet the expert sessions 11 working party sessions 21

Awards Opening session Van Bekkum Award sponsored by EBMT Basic Science Award sponsored by Cryostem Poster session 10 Best Young Abstract Awards sponsored by EBMT Presidential symposium Honorary Members Clinical Achievements Lymphoma Working Party session Jian-Jian Luan for Lymphoma Transplant Research sponsored by the EBMT LWP Cellular Therapy and Immunobiology Working Party session Jon J. van Rood Award sponsored by EBMT Joint ISCT-EBMT Award for best abstract in cellular therapy Closing session Nature Publishing Award for Best Clinical & Science Posters - sponsored by Nature Publishing Group Nurses Group closing session Best Oral presentation Best Poster 22

Young Ambassadors #EBMT17 23

Upcoming Annual Meeting 24

Bids for EBMT Annual Meeting 2021 Members will be invited shortly to submit a bid to host the 2021 Annual Meeting The mail of Invitation to bid will be sent to all EBMT Centres at the beginning of June 2017 Eligibility criteria, bid specification document and overview of the EBMT Annual Meeting will be then available on the EBMT website If interested, please inform EBMT Executive Office in Barcelona Submission deadline for complete bid documents: 30 September 2017 For more information, please visit the education section on www.ebmt.org 25

Acknowledgements to 26

The EBMT Scientific Council Chairs 27

EBMT Staff 28

Our Congress President 2017 Christian Chabannon 29

The outgoing Chairs and Board Members Francesco Lanza STWP Chair Andrew Gennery IEWP Chair Rafael Duarte CQLWP Chair Aleksandra Babic Nurses Group President 30

Our Corporate Sponsors 31

#EBMT17 www.ebmt.org Treasurer s Annual Activity Report for 2016 Jürgen Kuball General Assembly Meeting - Marseille, March, 2017

Unqualified Opinion The EBMT is maintaining its high standard of modern management and has, for the second time, obtained an unqualified opinion, we can be proud! This demonstrates that the EBMT is improving its financial stability and provides assurance that money is spent and allocated according to our mission. What is an unqualified opinion? It is an independent auditor's judgment that a company's financial records and statements are fairly and appropriately presented, and in accordance with Generally Accepted Accounting Principles (GAAP). 33

Our impression in 2016 Our impression in 2015 Our impression in 2014 Our impression in 2013 Our impression in 2012 Governance and compliance - Financial statement closing process - Taxes Treasury Expenditures Revenues: Annual Meeting - - Clinical Trials/ research projects Accreditation Fee - - Memberships - - Educational events - Sponsoring - - - - Personnel Automation -

Improvements to be made in 2017 However, the hard work isn t over yet, we still need to ensure the following 2 priorities are executed: 1. Study Budget Follow Up = the multiyear grants are still not followed up on a regular basis. 2. Tax Control = Since 2014 the EBMT is acting on the flow chart of the tax control framework and will further implement this framework into the financial policy of the EBMT in 2017 in order to allow a thorough discussion with all local tax authorities. 35

EBMT has closed for a third consecutive year with a positive result This improvement of our financial outcome in the last years is due to: better results on the income from the Annual Meeting and last but not least a better capacity of the organisation to be in full control and follow up on its activities 36

EBMT keeps its Mission ratio In 2016 the EBMT maintains that 83% of its expenses has been dedicated and allocated to its mission (studies, registry, accreditation and education) and the remaining 17% allocated to management (board and executive office expenses). 37

https://www.charitywatch.org/charitywatchcriteria-methodology American Red Cross A- Cancer Research Institute A City of hope A- 38 38

The EBMT continues to develop and build on its strategy for diversification and retention of resources EBMT also works hard to assure its non-earmarked income (Membership, Sponsoring, Annual Meeting) covers the structural cost of the Society (Registry and Management) and investment in non-commercial academic retrospective and educational studies/activities through our Working Parties (WPs). Our earmarked income comes from Pharma grants, which are allocated to specific educational studies/activities for our Clinical Trials Office and WPs 39

Financial directions Professionalising educational events As part of our mission to professionalise all our educational events, the EBMT Board has taken the strategic decision to start a process to fully in-house all education events including the annual meeting management until 2020. As a first step, all accounting and financial flows have been centralized within the EBMT and plans are underway to further invest in a team to support all educational events. Investing in structural innovation Over the last few years and in 2016, the board has earmarked more than 300k Euros per year for structural innovation. As a consequence of this strict financial policy, we have achieved earlier than anticipated a major financial milestone, which has allowed us to commit to and start on the urgently needed new registry. Consequently our budget for structural innovation will from now on not only be dedicated to the registry but also open for other innovative tools, which need a startup funding such as new educational tools. We are inviting all our members to get creative with any suggestions! 40

Financial directions Stay connected with EBMT Part of our positive outcome will be used to upgrade our appearance in the World Wide Web during 2017. This new web appearance will also allow EBMT to integrate future educational tools. Further professionalizing JACIE JACIE is an ongoing success story of EBMT. In order to keep up with our success and the increasing numbers of accreditations, as well as all new developments in quality management, we plan to strengthen our JACIE team in Barcelona as well improve support to our valuable inspectors. In addition, EBMT will embark on supporting a project to better allow benchmarking for centers. However, this further professionalization has meant an increase in accreditation fees, which has been approved by the Board of Association and will be implemented in 2017. Tax control framework Since 2014, EBMT is improving the Tax management and will further implement a new Tax framework into the financial policy of the EBMT in 2017 with our partner E&Y in order to allow a thorough discussion with all local tax authorities. 41

Financial conclusions In 2016, EBMT has successfully achieved full control of all financial aspects, which will pave the way forward in 2017 as EBMT embarks on long-term obligations such as the new registry, new webpage and JACIE. With this full control of all financial aspects, the Board has agreed to invest 1.200K in the new registry, with the project starting in 2017. EBMT will be closing the year 2016 with a total expense of 2.906 and a total income of 4,654K, which means a total positive balance of 1.748K. The net profit of 1.748K will be returned to the reserves in order to consolidate further the financial reserves of the organization as well as serve all missions of EBMT. This includes mitigating financial risks during the building of the new registry, investing in future structural innovations, and professionalizing educational tools. For more information regarding the Audit report please visit the website www.ebmt.org 42

#EBMT17 www.ebmt.org Secretary s Annual Activity Report for 2016 Rafael Duarte General Assembly Meeting - Marseille, March, 2017

Membership Overview Global figures The EBMT has a total of 4,645 Members (Centres & Individuals) with the following split per role Role Number Physician 2697 Nurse 747 Data Management 636 Lab Technician 124 Quality Manager 201 Other 240 TOTAL 4645 Source : Promise Jan 2017 / GAM 2016 44

CENTRES Membership Overview Per country The 558 EBMT centres are located in 57 different countries The top 10 split of Centres represents 418 Centres (75% of total) and the split per countries is the following : Country Numbers of centres GAM 2016 Numbers of centres GAM 2015 Nº1 Italy 83 87 1 Germany 83 84 3 U.K. 52 52 4 France 52 52 4 Spain 48 47 6 Turkey 34 39 7 Belgium 19 19 7 Poland 19 18 9 The Netherlands 16 16 10 Switzerland 12 12 45

CENTRES Membership Overview New EBMT Members The following 14 Member Centres have been granted provisional membership and await your approval. CIC Institution City Country 176 Republican Thalassemia Center Baku Azerbaijan 364 Sahyadri Specialty Hospital Maharashtra India 460 London Bridge Hospital London UK 517 Ganja International Hospital Ganja Azerbaijan 655 Clinical Center of Vojvodina Novi Sad Serbia 845 Federal State Budget Institution Scientific Research Insititute of Oncology na N.N. Petrov St. Petersburg Russia 847 HIWA Cancer Hospital Sulaimania Kurdistan Iraq 913 Erciyes University Kayseri Turkey 934 IRCCS Istituto Tumori Giovanni Paolo II Bari Italy 935 Fundeni Clinical Institute Bucharest Romania 949 Klinikum Bielefield Bielefield Germany 980 Polish Stem Cell Bank FamiCord Group Warsaw Poland 984 North Estonia Medical Centre Tallinn Estonia 990 Damian Medical Centre Warsaw Poland 46

CENTRES Membership Overview Centres Membership Status Changes The following number of member centres have had their membership status changed due to data reporting: Full to Associate: 16 16 Centres have stopped reporting and have been moved from Full Members to ASSOCIATE Associate to Full: 4 4 centres have resumed reporting and have been moved from Associate to FULL 47

INDIVIDUAL Membership Overview Main figures GAM 2017 Vs GAM 2016 Individual Membership 108 131 Of which PROVISIONAL 12 21 Physicians 74 85 Nurses 33 46 Honorary Members 34 35 48

INDIVIDUAL Membership Overview New EBMT Individual Members The following 12 Individuals have been granted provisional membership and await your approval. Surname Name Role Country Thoennissen Gabriela Physician Germany Agreiter Iris Nurse Italy Beitinjaneh Amer Physician USA Zon-Giebel Aleksandra Physician Poland Siddique Sulman Nurse UK Allmann Suzanne Nurse UK Bastianelli Giancarlo Quality Manager Italy Francois Sylvie Physician France Krawczyk Janusz Physician Ireland Oudshoorn L.A.G. Nurse Netherlands Spruitenburg-van Loenen P.A.M. Nurse Netherlands Tierney Jane Nurse UK 49

New Membership Initiatives In February 2017, a new membership category for Low-to-Middle Income Countries (LMICs) was created in order to engage fellow transplanters worldwide, and endeavor to improve the quality of care of BMT patients in developing countries around the world. Benefits of the LMIC membership include: reduced annual membership fees (450 euros/year for centre members, and 20 euros/year for individual members) This initiative was a project developed following the EBMT Nurse s Group s efforts to provide an option for a less expensive membership for Indian nurses, and has since been extended to all individuals, in all LMICs (as defined by the World Bank Group) The EBMT is also now offering a special offer to Chinese centres and individuals looking to apply to be a member. This includes reduced fees for the first year of membership, and an opportunity to be sponsored by our Global Committee to join the EBMT. 50

Candidates EBMT President Elect Nicolaus Kröger Hamburg, Germany Anna Sureda Barcelona, Spain Inborn Errors Working Party Arjan Lankster Leiden, The Netherlands Complications and Quality of Life Working Party Gregorz Basak Warsaw, Poland Nina Salooja London, UK 51

President-elect Total eligible voters: 487 Votes Nicolaus Kröger 147 53% Anna Sureda 128 46% Abstain 3 1% Percentage 52

Inborn Errors Working Party Chair Total eligible voters: 487 Votes Arjan Lankster 237 88% Percentage Abstain 33 12% 53

Complications and Quality of Life Working Party Chair Total eligible voters: 487 Votes Gregorz Basak 137 50% Nina Salooja 110 40% Abstain 25 9% Percentage 54

President s Activity Report Total eligible voters: 487 Votes Percentage Yes (Approved) 238 88% No (Not Approved) 5 2% Abstain 27 10% 55

Treasurer s Financial Report Total eligible voters: 487 Votes Percentage Yes (Approved) 220 81% No (Not Approved) 6 2% Abstain 45 17% 56

Secretary s Membership Report Total eligible voters: 487 Votes Percentage Yes (Approved) 235 87% No (Not Approved) 3 1% Abstain 33 12% 57