Review
Bone Marrow Transplantation (2008) 42, S101–S105; doi:10.1038/bmt.2008.294
Innovative approaches to treat steroid-resistant or steroid refractory GVHD
M Berger1, E Biasin1, F Saglio1 and F Fagioli1
1Paediatric Onco-Haematology and Stem Cell Transplantation and Cellular Therapy Unit, Regina Margherita Children's Hospital, Turin, Italy
Correspondence: Professor F Fagioli, Paediatric Onco-Haematology and Stem Cell Transplantation and Cellular Therapy Unit, Regina Margherita Children's Hospital, Turin, Italy. E-mail: franca.fagioli@unito.it
Abstract
First-line treatment of GVHD is based on steroids and produces sustained responses in 50–80% of patients with acute GVHD (aGVHD) and 40–50% of patients with chronic GVHD (cGVHD) depending on the initial disease severity. Non-responding children are offered second-line therapy with combinations of various agents, but currently available agents have not improved survival in these high-risk populations. In this minireview, we will focus on new agents to treat GVHD in paediatric patients.
Keywords:
GVHD, new approaches, steroids
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