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. 2022 Sep 14;13:959658. doi: 10.3389/fimmu.2022.959658

Table 3.

Chronic GVHD characteristics and response following autologous MSC infusion.

Study ID Dose level # Doses Time from GVHD dx (years) Baseline severity Treatment on day 1 Other treatments Severity at last f/u Overall response1 Steroid dose (mg/kg)
EPIC2014-07 2 2 2.1 Severe Steroid, FK2 Sirolimus, MMF, ruxolitinib, ECP, imatinib, MTX, rituximab Severe PR 0.3→0.3
EPIC2014-12 2 2 0.23 Mod Steroid FK, ruxolitinib Mod PR 0.5→0.2
EPIC2014-13 2 2 0.54 Severe FK5 Steroid, ruxolitinib, ibrutinib, ECP Severe PD 0→0
EPIC2014-14 3 4 1.7 Severe Steroid, FK, ruxolitinib N/A Severe SD 0.1→0.1
EPIC2014-16 3 4 6.2 Severe Steroid, sirolimus, ibrutinib6 FK, ECP Severe PR 0.6→0.4
EPIC2014-177 3 2 4.4 Severe Ruxolitinib, MMF Steroid, rituximab, FK, MMF, imatinib, sirolimus, ECP, ruxolitinib Mod PR 0→0
EPIC2014-188 3 4 0.2 Mild Steroid, FK, ruxolitinib N/A Mild PR 0.2→0

GVHD, graft-versus-host disease; MSC, mesenchymal stromal cells; dx, diagnosis; f/u, follow-up; mod, moderate; FK, tacrolimus; MMF, mycophenolate mofetil; ECP, extracorporeal photopheresis; MTX, methotrexate; PR, partial response; PD, progressive disease; SD, stable disease; EGD, esophagogastroduodenoscopy; UGI, upper gastrointestinal; LGI, lower GI.

(1)Overall response assessed at 3 months following first MSC infusion.

(2)Ibrutinib started 3 months following first MSC infusion.

(3)Date of diagnostic EGD, prior history of skin and nail chronic GVHD.

(4)Overlap GVHD diagnosed on 4/30/2015.

(5)Jakafi started at 9 months following first MSC infusion.

(6)Ruxolitinib started 5 months following first MSC infusion and ibrutinib discontinued.

(7)History of acute skin only GVHD, quiescent at study enrollment.

(8)At enrollment, patient had acute GVHD (stage 1 UGI, 2 LGI); at treatment, patient had only chronic GVHD.