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

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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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