Advances in graft-versus-host disease prevention strategies: latest updates from the 2022 ASH annual meeting

Author:

Chen Yiyin,Xu Yang,Wu Depei

Abstract

AbstractThis review summarizes the significant advancements in prophylaxis against graft-versus-host disease (GvHD) presented at the 2022 ASH Annual Meeting. The use of innovative agents and regimens, along with the conventional prophylactic approach of combining post-transplant cyclophosphamide and anti-thymocyte globulin, were discussed. The innovative agents and regimens highlighted in this review include abatacept, the first FDA-approved drug for acute GvHD prophylaxis; RGI-2001, which promotes the expansion of regulatory T cells; and cell therapies such as Orca-T and Orca-Q. These advancements provide promising strategies and options for GvHD prevention, offering hope for improved post-transplant patient outcomes in terms of survival rates.

Funder

the National Key R&D Program of China

the National Natural Science Foundation of China

Postgraduate Research & Practice Innovation Program of Jiangsu Province

Publisher

Springer Science and Business Media LLC

Subject

Cancer Research,Oncology,Hematology

Reference12 articles.

1. Albanese A, Eran A, Suessmuth Y, Betz K, Bratrude B, Keskula P, et al. Early breakthrough T cell proliferation despite CNI/MTX prophylaxis is a harbinger of Acute GvHD (AGVHD) and is controlled by Abatacept: mechanism of success of the ABA2 AGvHD Prevention Trial. Blood. 2022 Nov;15(Supplement 1):274–5.

2. Kean LS, Burns LJ, Kou TD, Bond C, Kapikian R, Lozenski K et al. A Real-World Evidence Comparison of 1-Year Overall Survival and Relapse-Free Survival between Patients Treated with Abatacept in Combination with a Calcineurin Inhibitor and Methotrexate Versus Antithymocyte Globulin or Post-Transplant Cyclophosphamide Following Allogeneic Hematopoietic Cell Transplantation. Blood. 2022 Nov 15;140(Supplement 1):1373–5.

3. Raghunandan S, Gorfinkel L, Graiser M, Bratrude B, Betz K, Suessmuth Y, et al. Abatacept for the Prevention of GvHD in Pediatric and adult patients receiving 7/8 HLA-Mismatched unrelated transplant for hematologic malignancies: a real-world analysis. Blood. 2022 Nov;15(Supplement 1):7653–5.

4. Vorobyev VI, Subora AYu, Oleinik YA, Butaev LS, Zherebtsova VA, Kisilichina DG, et al. Abatacept/Tacrolimus or Abatacept/Tacrolimus/Post-Transplant cyclophosphamide are safe and highly effective in preventing graft-versus-host disease in matched or mismatched Donor Peripheral blood stem cell transplantation. Blood. 2022 Nov;15(Supplement 1):7622–3.

5. Chen YB, Saad A, Farhan SY, Lekakis LJ, Schiller GJ, Yared JA et al. RGI-2001 Infusion for Prevention of Acute GvHD after Allogeneic Hematopoietic Cell Transplantation. Blood. 2022 Nov 15;140(Supplement 1):1877–8.

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