Experimental Pharmaceuticals for Steroid-Refractory Acute Graft-versus-Host Disease.

graft-vs-host disease hematopoietic ruxolitinib stem cell transplantation steroid refractory

Journal

Journal of experimental pharmacology
ISSN: 1179-1454
Titre abrégé: J Exp Pharmacol
Pays: New Zealand
ID NLM: 101530345

Informations de publication

Date de publication:
2020
Historique:
received: 18 09 2020
accepted: 16 11 2020
entrez: 4 12 2020
pubmed: 5 12 2020
medline: 5 12 2020
Statut: epublish

Résumé

Acute GVHD (aGVHD) is a significant complication after allogeneic hematopoietic cell transplantation (HCT), occurring in up to 70% of HCT recipients. Steroid-refractory aGVHD represents a subset of patients failing initial therapy and is particularly morbid, with only 30% of patients surviving long term. Better therapies are urgently required for these patients. Here, we discuss recent advancements in the management of SR-aGVHD. We review the currently available therapies for SR-aGVHD including the results of the REACH1 and REACH2 trials, which provide the basis for the use of ruxolitinib for the treatment of SR-aGVHD. We additionally discuss newer agents under clinical investigation and will highlight the niche these agents may fill to further improve outcomes in aGVHD patient care.

Identifiants

pubmed: 33273867
doi: 10.2147/JEP.S259290
pii: 259290
pmc: PMC7705269
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

549-557

Informations de copyright

© 2020 Abedin and Hamadani.

Déclaration de conflit d'intérêts

Mehdi Hamadani reports consultancy for Incyte during the conduct of the study. The authors report no other potential conflicts of interest for this work.

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Auteurs

Sameem Abedin (S)

Blood & Marrow Transplantation and Cellular Therapy Program, Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Mehdi Hamadani (M)

Blood & Marrow Transplantation and Cellular Therapy Program, Division of Hematology and Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin, USA.

Classifications MeSH