Current and Recent Advances in the Treatment of Steroid Refractory Acute Graft versus Host Disease
DOI:
https://doi.org/10.47611/jsrhs.v13i2.6571Keywords:
Biomedical and Health Sciences, Immunology, Graft versus Host disease, Steroid refractory Acute Graft versus Host Disease, Treatments for Steroid refractory Acute Graft versus Host diseaseAbstract
Acute Graft versus Host Disease (aGVHD) is a life-threatening complication that occurs within the first 100 days after an allogeneic hematopoietic stem cell transplantation (allo-HSCT). In order to treat aGVHD, corticosteroids are commonly used as first-line therapy. Nevertheless, their complete response rate is only around 50%. The rest of the patients became steroid-refractory (SR), and the death rate of steroid-refractory aGVHD (SR-aGVHD) patients was more than 90%, which shows that there is a pressing need for a cure for this condition. Hence, this review aims to highlight the currently available and recent advancements in the field of treatments for SR-aGVHD. Despite the deaths, relapses and infections caused by SR-aGVHD, there are significant innovations, specifically in the area of using stem cells as a treatment. Ultimately, this literature has reflected on the development of SR-aGVHD treatments over the years, indicated by the rise in the number and the quality of ongoing and completed trials.
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