| Literature DB >> 29367708 |
Hanna Jean Khoury1, Amelia A Langston2, Vamsi K Kota2, Jennifer A Wilkinson2, Iskra Pusic3, Anand Jillella2, Stephanie Bauer3, Audrey S Kim2, Danielle Roberts2, Zaid Al-Kadhimi2, Imre Bodo2, Elliott Winton2, Martha Arellano2, John F DiPersio3.
Abstract
Inhibition of the Janus-associated kinases (JAK) with ruxolitinib (RUX) reduces graft-versus-host disease (GVHD) in preclinical and clinical models. In total 19 allograft recipients with moderate/severe steroid-dependent chronic GVHD received RUX as ≥2nd line salvage. RUX was well tolerated, and led to complete/partial resolution of oral (92/7%), cutaneous (82/0%), hepatic (71/28%), gastro-intestinal (75/17%), musculoskeletal (33/67%), pulmonary (0/80%), scleroderma (0/75%), vaginal (0/75%), and ocular (0/100%) chronic GVHD. Overall 18 achieved partial response and 1 complete response according to NIH Consensus Criteria. Responses occurred early and were sustained which enabled discontinuation (68%) or reduction of steroids to physiologic doses (21%). We conclude that RUX is an effective steroid-sparing agent in chronic GVHD.Entities:
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Year: 2018 PMID: 29367708 PMCID: PMC6041160 DOI: 10.1038/s41409-017-0081-5
Source DB: PubMed Journal: Bone Marrow Transplant ISSN: 0268-3369 Impact factor: 5.483