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Baricitinib in Patients with Refractory Rheumatoid Arthritis.巴瑞替尼治疗难治性类风湿关节炎患者的疗效。
N Engl J Med. 2016 Mar 31;374(13):1243-52. doi: 10.1056/NEJMoa1507247.
2
Ruxolitinib in corticosteroid-refractory graft-versus-host disease after allogeneic stem cell transplantation: a multicenter survey.芦可替尼用于异基因干细胞移植后对皮质类固醇难治的移植物抗宿主病:一项多中心调查
Leukemia. 2015 Oct;29(10):2062-8. doi: 10.1038/leu.2015.212. Epub 2015 Jul 31.
3
Corticosteroid-Free Primary Treatment of Chronic Extensive Graft-versus-Host Disease Incorporating Rituximab.含利妥昔单抗的无皮质类固醇初始治疗慢性广泛性移植物抗宿主病
Biol Blood Marrow Transplant. 2015 Sep;21(9):1576-82. doi: 10.1016/j.bbmt.2015.04.023. Epub 2015 May 16.
4
Measuring therapeutic response in chronic graft-versus-host disease. National Institutes of Health consensus development project on criteria for clinical trials in chronic graft-versus-host disease: IV. The 2014 Response Criteria Working Group report.慢性移植物抗宿主病治疗反应的评估。美国国立卫生研究院慢性移植物抗宿主病临床试验标准共识发展项目:IV。2014年反应标准工作组报告。
Biol Blood Marrow Transplant. 2015 Jun;21(6):984-99. doi: 10.1016/j.bbmt.2015.02.025. Epub 2015 Mar 19.
5
National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: I. The 2014 Diagnosis and Staging Working Group report.美国国立卫生研究院慢性移植物抗宿主病临床试验标准共识发展项目:I. 2014年诊断与分期工作组报告
Biol Blood Marrow Transplant. 2015 Mar;21(3):389-401.e1. doi: 10.1016/j.bbmt.2014.12.001. Epub 2014 Dec 18.
6
Pharmacologic blockade of JAK1/JAK2 reduces GvHD and preserves the graft-versus-leukemia effect.对JAK1/JAK2进行药物阻断可减轻移植物抗宿主病并保留移植物抗白血病效应。
PLoS One. 2014 Oct 7;9(10):e109799. doi: 10.1371/journal.pone.0109799. eCollection 2014.
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Extracorporeal photopheresis for chronic graft-versus-host disease: a systematic review and meta-analysis.体外光分离置换法治疗慢性移植物抗宿主病:一项系统评价和荟萃分析。
Blood Res. 2014 Jun;49(2):100-6. doi: 10.5045/br.2014.49.2.100. Epub 2014 Jun 25.
8
Current issues in chronic graft-versus-host disease.慢性移植物抗宿主病的当前问题
Blood. 2014 Jul 17;124(3):374-84. doi: 10.1182/blood-2014-01-514752. Epub 2014 Jun 9.
9
Are we making progress in GVHD prophylaxis and treatment?GVHD 的预防和治疗是否取得了进展?
Hematology Am Soc Hematol Educ Program. 2012;2012:251-64. doi: 10.1182/asheducation-2012.1.251.
10
IFNγR signaling mediates alloreactive T-cell trafficking and GVHD.IFNγR 信号转导介导同种反应性 T 细胞归巢和移植物抗宿主病。
Blood. 2012 Nov 8;120(19):4093-103. doi: 10.1182/blood-2012-01-403196. Epub 2012 Sep 12.

芦可替尼:慢性移植物抗宿主病的类固醇节约剂。

Ruxolitinib: a steroid sparing agent in chronic graft-versus-host disease.

机构信息

Department of Hematology and Medical Oncology Winship Cancer Institute of Emory, University Atlanta, Atlanta, GA, USA.

Division of Medical Oncology, Washington University School of Medicine, St. Louis, MO, USA.

出版信息

Bone Marrow Transplant. 2018 Jul;53(7):826-831. doi: 10.1038/s41409-017-0081-5. Epub 2018 Jan 24.

DOI:10.1038/s41409-017-0081-5
PMID:29367708
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6041160/
Abstract

Inhibition of the Janus-associated kinases (JAK) with ruxolitinib (RUX) reduces graft-versus-host disease (GVHD) in preclinical and clinical models. In total 19 allograft recipients with moderate/severe steroid-dependent chronic GVHD received RUX as ≥2nd line salvage. RUX was well tolerated, and led to complete/partial resolution of oral (92/7%), cutaneous (82/0%), hepatic (71/28%), gastro-intestinal (75/17%), musculoskeletal (33/67%), pulmonary (0/80%), scleroderma (0/75%), vaginal (0/75%), and ocular (0/100%) chronic GVHD. Overall 18 achieved partial response and 1 complete response according to NIH Consensus Criteria. Responses occurred early and were sustained which enabled discontinuation (68%) or reduction of steroids to physiologic doses (21%). We conclude that RUX is an effective steroid-sparing agent in chronic GVHD.

摘要

抑制 Janus 相关激酶(JAK)的芦可替尼(RUX)可减少临床前和临床模型中的移植物抗宿主病(GVHD)。共有 19 名接受同种异体移植且患有中度/重度类固醇依赖型慢性 GVHD 的患者接受了 RUX 作为二线挽救治疗。RUX 耐受性良好,导致口腔(92/7%)、皮肤(82/0%)、肝脏(71/28%)、胃肠(75/17%)、肌肉骨骼(33/67%)、肺(0/80%)、硬皮病(0/75%)、阴道(0/75%)和眼部(0/100%)慢性 GVHD 完全/部分缓解。根据 NIH 共识标准,18 例患者达到部分缓解,1 例完全缓解。反应发生得早且持续,从而能够停用(68%)或减少类固醇至生理剂量(21%)。我们得出结论,RUX 是慢性 GVHD 中一种有效的类固醇节约剂。