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The current study demonstrates superior FFS, OS and steroid tapering efficacy for ECP vs BAT as third-line therapy or beyond in cGvHD patients.

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Targeting Hedgehog Signaling with Glasdegib in Patients with Refractory Sclerotic Chronic GVHD: A Report of Two Phase I/II Trials

Targeting Hedgehog Signaling with Glasdegib in Patients with Refractory Sclerotic Chronic GVHD: A Report of Two Phase I/II Trials

Source : https://aacrjournals.org/clincancerres/article-abstract/doi/10.1158/1078-0432.CCR-23-0666/729028/Targeting-Hedgehog-Signaling-with-Glasdegib-in?redirectedFrom=fulltext

AbstractPurpose:. Sclerotic chronic GVHD (scGVHD) is characterized by progressive skin fibrosis and frequent refractoriness to available therapies. Aberrant activation of Hedgehog signaling in dermal fibroblasts has been implicated in scGVHD....

Glasdegib demonstrated promising responses in patients with refractory scGVHD, but tolerability was limited by muscle cramping.

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ECP is an effective treatment option for heavily pre-treated cGvHD patients.

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We observed asymmetric di-methylation of IDH2 by PRMT1 at arginine 353 promoted IDH2 homodimerization, which enhanced IDH2 activity, further increasing B cell proliferation and antibody production. Collectively, this study provides a rationale for the application of PRMT1 inhibitors in the prevention of aGVHD and cGVHD.

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Incidence and Outcome of Atypical Manifestations of Chronic Graft-Versus-Host Disease - Results From a Retrospective Single-Center Analysis

Incidence and Outcome of Atypical Manifestations of Chronic Graft-Versus-Host Disease - Results From a Retrospective Single-Center Analysis

Source : https://www.sciencedirect.com/science/article/abs/pii/S2666636723015555?via=ihub

Chronic graft-versus-host disease (cGvHD) is the leading cause of late non-relapse mortality (NRM) after allogeneic stem cell transplantation (alloHSC...

In summary, atypical cGvHD is more common than previously estimated and has both, similarities with and differences from NIH-defined cGvHD. In particular, the increased NRM and a subset of patients with only atypical cGvHD point to the urgent need to capture these manifestations in cGvHD cohorts, including analysis of treatment outcome.