Advances in the treatment of chronic graft-versus-host disease

Eric D. Johnson, Daniel R. Couriel
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Abstract

Chronic Graft Versus Host Disease (cGVHD) occurs in over 50-70% of patients undergoing hematopoietic stem-cell transplantation (HSCT) and is the leading cause of late non-relapse mortality. cGVHD typically has insidious multi-organ involvement and has been associated with a worse quality of life, functional status, and increased risk of subsequent comorbidities. The last several years have seen advances in the understanding of the disease, which provided a framework for the design of translational and clinical studies with newer agents currently at different phases which that may hopefully change the course of the disease. This review provides an overview of more commonly used and newer second line options for the management of cGVHD.

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慢性移植物抗宿主病的治疗进展
慢性移植物抗宿主病(cGVHD)发生在50-70%以上接受造血干细胞移植(HSCT)的患者中,是晚期非复发死亡率的主要原因。cGVHD通常具有潜在的多器官受累,并与较差的生活质量、功能状态和随后合并症的风险增加有关。在过去的几年里,人们对该疾病的理解取得了进展,这为目前处于不同阶段的新型药物的转化和临床研究的设计提供了一个框架,有望改变疾病的进程。本综述概述了cGVHD管理中更常用和更新的二线方案。
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