Vedolizumab therapy for pediatric steroid-refractory gastrointestinal acute graft-versus-host disease

被引:0
|
作者
Kyohei Isshiki
Takahiro Kamiya
Akifumi Endo
Kentaro Okamoto
Tomoo Osumi
Toshinao Kawai
Katsuhiro Arai
Daisuke Tomizawa
Kazuo Ohtsuka
Masakazu Nagahori
Kohsuke Imai
Motohiro Kato
Hirokazu Kanegane
机构
[1] National Center for Child Health and Development,Children’s Cancer Center
[2] Tokyo Medical and Dental University Hospital,Department of Pediatrics
[3] Tokyo Medical and Dental University Hospital,Department of Pediatric Surgery
[4] National Center for Child Health and Development,Division of Immunology
[5] National Center for Child Health and Development,Division of Gastroenterology
[6] Tokyo Medical and Dental University Hospital,Department of Gastroenterology and Hepatology
来源
International Journal of Hematology | 2022年 / 115卷
关键词
Vedolizumab; GVHD; Children; Gastrointestinal tract; Refractory;
D O I
暂无
中图分类号
学科分类号
摘要
Vedolizumab, an immunosuppressive drug that acts locally on the gastrointestinal tract, is mainly used for the treatment of inflammatory bowel disease, and has been reported to be effective against gastrointestinal acute graft-versus-host disease (GI-aGVHD) in adults. However, there is insufficient evidence for pediatric GI-aGVHD. We used vedolizumab to treat three cases of GI-aGVHD in patients aged 1.5–4.4 years. It was significantly effective in two patients and did not cause serious side effects in any patient. Vedolizumab might be effective and safe for pediatric GI-aGVHD refractory to other treatments, but this must be confirmed in future studies.
引用
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页码:590 / 594
页数:4
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