Evidence map›Paper›PMID 39663471›Full record

ArticleBone marrow transplantation2025

Ruxolitinib in acute and chronic graft-versus-host disease: real life long-term experience in a multi-center study for adult and pediatric patients, on behalf of the GETH-TC.

Virginia Escamilla-Gómez, Valentín García Gutiérrez, Patricia Alcalde-Mellado, Beatriz Astibia-Mahillo, Anabelle Chinea-Rodriguez, Lucía López-Corral, Marina Acera-Gómez, Melissa Karina Torres Ochando, Asunción Borrero Borrego, Leslie González Pinedo and 24 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

34 authors.

Virginia Escamilla-GómezServicio de hematologia, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/CSIC, Universidad de Sevilla, Sevilla, Spain.ORCID 0000-0002-0639-574X
Valentín García GutiérrezHematology Service, Hospital Universitario Ramón y Cajal. IRYCIS, Universidad de Alcalá, Madrid, Spain. jvalentingg@gmail.com.ORCID 0000-0003-4752-0815
Patricia Alcalde-MelladoServicio de hematologia, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/CSIC, Universidad de Sevilla, Sevilla, Spain.
Beatriz Astibia-MahilloHematology Service, Hospital Universitario Ramón y Cajal. IRYCIS, Universidad de Alcalá, Madrid, Spain.ORCID 0000-0002-9387-0288
Anabelle Chinea-RodriguezHematology Service, Hospital Universitario Ramón y Cajal. IRYCIS, Universidad de Alcalá, Madrid, Spain.
Lucía López-CorralDepartment of Hematology, Hospital Clínico Universitario de Salamanca (CAUSA/IBSAL), Salamanca, Spain.
Marina Acera-GómezDepartment of Hematology, Hospital Clínico Universitario de Salamanca (CAUSA/IBSAL), Salamanca, Spain.
Melissa Karina Torres OchandoHematology Department, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Asunción Borrero BorregoHematology Department, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Leslie González PinedoHematology Department, Hospital Universitario de Gran Canaria Doctor Negrín, Las Palmas de Gran Canaria, Spain.
Teresa Zudaire RipaHematology Department, Hospital Universitario de Navarra, Pamplona, Spain.
Marta González VicentHematopoietic Transplant Department, Hospital Universitario Niño Jesús, Madrid, Spain.ORCID 0000-0002-4845-5616
Ana BenzaquénHematology Department, Hospital Clínico Universitario de Valencia, Instituto de Investigación Sanitaria INCLIVA, Valencia, Valencia, Spain.ORCID 0000-0003-4015-0831
Isabel Izquierdo GarciaHematology Department, Hospital Universitario Miguel Servet, Zaragoza, Spain.ORCID 0000-0002-3599-4901
Pedro Asensi CantóHematology Department, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID 0000-0002-6504-3656
Juan MontoroHematology Department, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID 0000-0003-0024-8068
Francisco Manuel Martín-DomínguezServicio de hematologia, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/CSIC, Universidad de Sevilla, Sevilla, Spain.
Guillermo OrtiHematology Department, HospitalUniversitario Vall d´Hebron, Barcelona, Spain.ORCID 0000-0002-7889-5807
David ValcárcelHematology Department, HospitalUniversitario Vall d´Hebron, Barcelona, Spain.
Maria Isabel Benitez-CarabanteHematology and Oncology Department, Division of Pediatric Hematology and Oncology, Hospital Universitario Vall d´Hebron, Barcelona, Spain.ORCID 0000-0002-5366-8384
Cristina Diaz-de-HerediaHematology and Oncology Department, Division of Pediatric Hematology and Oncology, Hospital Universitario Vall d´Hebron, Barcelona, Spain.
Eloi CañameroHematology Deparment, HospitalUniversitario Germans Trias i Pujol - Institut Català d'Oncologia, Barcelona, Spain.
Christelle FerráHematology Deparment, HospitalUniversitario Germans Trias i Pujol - Institut Català d'Oncologia, Barcelona, Spain.
Irene García-CadenasHematology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0002-2994-9055
Sara RedondoHematology Department, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.ORCID 0000-0001-8967-7410
Luisa SisinniHemato-Oncology Pediatric Service, HospitalUniversitario La Paz, Madrid, Spain.
Antonio Perez-MartínezHemato-Oncology Pediatric Service, HospitalUniversitario La Paz, Madrid, Spain.ORCID 0000-0002-6436-9195
Alberto MussettiDepartment of Hematology, Hospital Duran i Reynals, Instituto Catalán de Oncología, L'Hospitalet De Llobregat, Barcelona, Spain.
Lucía Garcia-MañóHospital Universitario Son Espases, Islas Baleares, Spain.
María Del Pilar Palomo-MoraledaHematology Department, Hospital Universitario Central de Asturias, Oviedo, Spain.
Pedro Antonio González-SierraHospital Universitario Virgen de las Nieves, Instituto de Investigación Biosanitaria, Granada, Spain.ORCID 0000-0002-6492-1728
Manuel JuradoHospital Universitario Virgen de las Nieves, Instituto de Investigación Biosanitaria, Granada, Spain.
Jose A Perez-SimonServicio de hematologia, Hospital Universitario Virgen del Rocío, Instituto de Biomedicina de Sevilla (IBIS)/CSIC, Universidad de Sevilla, Sevilla, Spain. josea.perez.simon.sspa@juntadeandalucia.es.ORCID 0000-0003-3616-6101
GETH-TC

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ruxolitinib has been approved for the treatment of adults and pediatric patients ≥12 years with steroid refractory graft-versus-host disease (GvHD). However, real-life studies are needed to confirm the results of clinical trials and further assess its efficacy in special populations. We performed a descriptive, retrospective, multi-center study of 352 adults and 42 pediatric patients treated with ruxolitinib for steroid-refractory acute or chronic GvHD. Among 119 and 233 adult patients with acute and chronic GvHD, overall response rate (ORR) was 58.8% (CR 33.6%) and 65.7% (CR 18.5%), respectively. Corticosteroids were withdrawn in 59.2% and 40.1%, and ruxolitinib in 47.2% and 34.8% in the acute and chronic groups of responders. Among 29 and 13 pediatric patients with acute and chronic GvHD, ORR was 82.7% (CR 51.7%) and 100% (CR 23%), respectively. Among responder patients, corticosteroids were withdrawn in 72.7% and 50%, and ruxolitinib in 75% and 30.7% in both groups respectively. Ruxolitinib in the real world setting, showed similar results as compared to clinical trials. Its efficacy is maintained in subsequent lines of treatment. In the pediatric population, the data are more favorable. In the long-term follow-up, corticosteroids, ruxolitinib and other inmunosuppressive drugs could be eliminated in a remarkably proportion of patients.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPyrazolesAcute DiseaseAdolescentAdultAgedChildChild, PreschoolChronic DiseaseFemaleHumansInfantMaleMiddle AgedNitrilesNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.