Evaluation of Ruxolitinib for Steroid-Refractory Chronic Graft-vs-Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation
Author(s) -
Hengwei Wu,
Jimin Shi,
Yi Luo,
Yamin Tan,
Mingming Zhang,
Xiaoyu Lai,
Jian Yu,
Lizhen Liu,
Huarui Fu,
He Huang,
Yanmin Zhao
Publication year - 2021
Publication title -
jama network open
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.278
H-Index - 39
ISSN - 2574-3805
DOI - 10.1001/jamanetworkopen.2020.34750
Subject(s) - ruxolitinib , graft versus host disease , hematopoietic stem cell transplantation , host (biology) , haematopoiesis , stem cell , transplantation , medicine , refractory (planetary science) , immunology , hematopoietic stem cell , cancer research , oncology , biology , myelofibrosis , microbiology and biotechnology , bone marrow , genetics , astrobiology
Key Points Question Is ruxolitinib an option for patients with steroid-refractory chronic graft-vs-host disease, and what characteristics are associated with treatment response? Findings In this case series of 41 patients with steroid-refractory chronic graft-vs-host disease who were treated with ruxolitinib, heavily pretreated patients could achieve meaningful responses with a favorable safety profile. No lung involvement and haploidentical donors were associated with response to ruxolitinib. Meaning In this study, monotherapy with ruxolitinib was associated with a meaningful response in patients with steroid-refractory chronic graft-vs-host disease, suggesting a possible therapeutic option for a serious disease with no currently accepted standard-of-care treatment.
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