Current Status and Future Directions in Graft- Versus-Host Disease Prevention Following Allogeneic Blood and Marrow Transplantation in Adults

Clin Hematol Int. 2020 Jan 28;2(1):5-12. doi: 10.2991/chi.d.200115.001. eCollection 2020 Mar.

Abstract

Graft-versus-host disease (GvHD) in its acute and chronic forms continues to represent a significant barrier to the success and wide-applicability of blood and marrow transplantation as a potentially curative treatment modality for a number of benign and malignant blood conditions. Presently, calcineurin inhibitor (CNI)-based regimens remain the most commonly used prevention strategy, although post-transplant cyclophosphamide is emerging as an alternative approach, and is providing a backbone for innovative CNI-free combinations. In this paper, we review the current strategies used for the prevention of GvHD, and highlight some of the developing and promising combinations.

Keywords: Calcineurin inhibitors; GvHD prevention; Post-transplant cyclophosphamide; mTOR inhibitors.

Publication types

  • Review