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Treatment and unmet needs in steroid-refractory acute graft-versus-host disease

Florent Malard, Xiao‐Jun Huang, Joycelyn Sim

2020Leukemia155 citationsDOIOpen Access PDF

Abstract

Acute graft-versus-host disease (aGVHD) is a common complication of allogeneic hematopoietic stem cell transplantation (alloHCT) and is a major cause of morbidity and mortality. Systemic steroid therapy is the first-line treatment for aGVHD, although about half of patients will become refractory to treatment. As the number of patients undergoing alloHCT increases, developing safe and effective treatments for aGVHD will become increasingly important, especially for those whose disease becomes refractory to systemic steroid therapy. This paper reviews current treatment options for patients with steroid-refractory aGVHD and discusses data from recently published clinical studies to outline emerging therapeutic strategies.

Topics & Concepts

Refractory (planetary science)Graft-versus-host diseaseHost (biology)MedicineDiseaseSteroidInternal medicineImmunologyIntensive care medicineBiologyAstrobiologyHormoneEcologyHematopoietic Stem Cell TransplantationMesenchymal stem cell researchRenal Transplantation Outcomes and Treatments
Treatment and unmet needs in steroid-refractory acute graft-versus-host disease | Litcius