Evaluation of Ruxolitinib for Steroid-Refractory Chronic Graft-vs-Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation.

Evaluation of Ruxolitinib for Steroid-Refractory Chronic Graft-vs-Host Disease After Allogeneic Hematopoietic Stem Cell Transplantation.
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鲁索替尼治疗异基因造血干细胞移植后类固醇难治性慢性移植物抗宿主病的评价

DOI:
10.1001/jamanetworkopen.2020.34750
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发表时间:
2021-01-04
期刊:
影响因子:
13.8
通讯作者:
Zhao Y
Zhao Y
中科院分区:
医学1区
文献类型:
--
作者:
Wu H;Shi J;Luo Y;Tan Y;Zhang M;Lai X;Yu J;Liu L;Fu H;Huang H;Zhao Y

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鲁索利替尼是否是类固醇难治性慢性移植物抗宿主病患者的一种选择,与治疗反应相关的特征是什么?结果在这个病例系列中,41例类固醇难治性慢性移植物抗宿主病患者接受ruxolitinib治疗,大量预治疗的患者可以获得有意义的反应,具有良好的安全性。无肺受累和单倍体相合供体与ruxolitinib反应相关。在这项研究中,ruxolitinib单药治疗与类固醇难治性慢性移植物抗宿主病患者的有意义的反应相关,这表明目前没有接受标准治疗的严重疾病可能的治疗选择。
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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