Efficacy of bimonthly extracorporeal photopheresis in refractory chronic mucocutaneous GVHD View Full Text


Ontology type: schema:ScholarlyArticle      Open Access: True


Article Info

DATE

2012-06

AUTHORS

F L Dignan, D Greenblatt, M Cox, J Cavenagh, H Oakervee, J F Apperley, A K Fielding, A Pagliuca, G Mufti, K Raj, D I Marks, P Amrolia, A Peniket, P Medd, M N Potter, B E Shaw, J J Scarisbrick

ABSTRACT

Extracorporeal photopheresis (ECP) has become a recognised treatment for steroid-refractory chronic GVHD (cGVHD), but the optimal frequency and duration of treatment are yet to be established. We report on 82 consecutive patients with mucocutaneous cGVHD who received a bimonthly regimen of ECP treatment for two consecutive days, which could be subsequently tapered to a monthly regimen depending on response. Patients were steroid-refractory, steroid-dependent or steroid-intolerant, and 29 (35%) had multiorgan involvement. The median duration of treatment was 330 days (42-987). The median number of ECP cycles was 15 (1.5-32). Response was assessed by clinical assessment and reduction in immunosuppression after 6 months. 69/82 (84%) had completed 6 months of ECP and 65/69 (94%) had ≥ 50% improvement in symptoms and signs of cGVHD. A total of 77% of patients who completed 6 months of ECP had a reduction in immunosuppression dose and 80% had decreased their steroid dose (27.5% stopped, 30% had ≥ 75% reduction, 17.5% had ≥ 50% reduction and 25% had <50% reduction). OS at 3 years from the start of ECP was 69%. This study reports the largest series of patients receiving bimonthly ECP treatment for cGVHD, and confirms that ECP allows successful reduction of immunosuppression. More... »

PAGES

824

Identifiers

URI

http://scigraph.springernature.com/pub.10.1038/bmt.2011.186

DOI

http://dx.doi.org/10.1038/bmt.2011.186

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1011466592

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/21927038


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RDF/XML is a standard XML format for linked data.

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