Table 2.
Secondary treatment for chronic GVHD
Treatment | Study type | No. of patients | % Overall Response | Overall Survival | Reference |
---|---|---|---|---|---|
Therapies reported during the two years review period | |||||
Extracorporeal photopheresis (ECP) | Phase II | 23 | 70 | 78% | [27] |
Retrospective | 43 | 65 | 70%/1-yr | [28] | |
Retrospective | 9 | 67 | [29] | ||
Rituximab | Phase II | 37 | 86 | 72%/1-yr | [31] |
Meta-analysis | 111 | 66 | [33] | ||
Imatinib | Phase I/II | 19 | 79 | 84%/1.5-yr | [11] |
Phase I/II | 9 | 22 | 78%/1.5-yr | [12] | |
Retrospective | 14 | 50 | 75%/1.5-yr | [13] | |
Pentostatin | Phase II | 51 | 53 | 60%/3-yr | [34] |
Retrospective | 18 | 56 | 34%/1-yr | [35] | |
Mesenchymal stem cells infusions (MSC) | Phase I/II | 19 | 74 | 78%/2-yr | [37] |
Phase I/II | 8 | 50 | [38] | ||
Mycophenolate mofetil | Retrospective | 23 | 26a | 96%/1-yr | [39] |
Retrospective | 11 | 64 | 67%/1-yr | [40] | |
mTOR inhibitor | Retrospective | 34 | 76 | 72%/3-yr | [42] |
Other therapies summarized in recent reviews | [17,25,46] | ||||
Calcineurin inhibitor |
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20 – 82% overall response rates reported | |||
High-dose methylprednisolone | |||||
Methotrexate | |||||
Thalidomide | |||||
Hydroxychloroquine | |||||
Clofazimine | |||||
Thoracoabdominal irradiation | |||||
Alefacept | |||||
Infliximab |
mTOR, mammalian target of rapamycin.
Response was defined as discontinuation of all immunosuppressive treatment by 3 years.