Evidence map›Paper›PMID 40927281›Full record

ArticleBlood cell therapy2025

REAL-WORLD OUTCOMES OF STEROID-REFRACTORY ACUTE GRAFT-VERSUS-HOST DISEASE TREATED WITH RUXOLITINIB.

Archita Ravindranath, Sushil Selvarajan, Sharon Lionel, Anup Joseph Devasia, Anu Korula, Fouzia N Aboobacker, Kavitha M Lakshmi, Poonkuzhali Balasubramanian, Biju George, Vikram Mathews and 2 more

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Article in Blood cell therapy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

12 authors.

Archita RavindranathDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Sushil SelvarajanDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Sharon LionelDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Anup Joseph DevasiaDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Anu KorulaDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Fouzia N AboobackerDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Kavitha M LakshmiDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Poonkuzhali BalasubramanianDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Biju GeorgeDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Vikram MathewsDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Aby AbrahamDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.
Uday KulkarniDepartment of Haematology, Christian Medical College Vellore, Tamil Nadu, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute graft-versus-host disease (aGVHD) is a life-threatening complication that can develop after allogeneic hematopoietic stem cell transplantation. Patients with steroid-refractory aGVHD (SR-aGVHD) have an extremely poor prognosis. Ruxolitinib is an approved treatment for SR-aGVHD. However, there is a paucity of real-world data on the clinical outcomes of patients with SR-aGVHD treated with ruxolitinib. We conducted a retrospective analysis using hospital records of the clinical outcomes of patients who underwent stem cell transplantation at our center between January 2021 and December 2022 and developed steroid-refractory aGVHD which was treated with ruxolitinib. During the study period, 381 patients underwent allogeneic stem cell transplantation at our center. Amongst these, 160 (42.0%) developed aGVHD. Of these, 59 (36.8%) had SR-aGVHD and 40 were treated with ruxolitinib. Ruxolitinib therapy was administered after a median of 6 days (range 3-29) from onset of aGVHD. Amongst the 28 patients who survived at day 28 (12 died before the day 28 response could be assessed), a total of 16 patients (57.1%) attained a response (complete response (n=12) or partial response (n=4)). Infectious complications were the most common adverse event (n=39; 97.5%), followed by severe cytopenia (grades 3 to 4) in 25 (62.5%) patients. The median follow-up of the cohort was 5 months (range 1 to 29 months). At the last follow up, 30 (75%) patients died; 3 patients died of progression of steroid-refractory aGVHD, 14 died of progression of aGVHD with infection, 10 died of underlying infection and 3 had disease relapse. From our real-world analysis, we conclude that though the outcomes in patients with SR-aGVHD responding to ruxolitinib are encouraging, there is still a large unmet need for novel strategies for improving outcomes and reducing infection-related mortality, even while there is access to ruxolitinib.

Indexed as

acute GVHDreal-world dataruxolitinibsteroid refractory

Identifiers

PMID40927281
PMCPMC12414650

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