Table 3

Translation of immunosuppressive strategies from animal models of cGVHD into clinical trials

Main conclusion from the mouse model of cGVHDReferenceClinical trialReference
BTK inhibition reduces cGVHD in mice (2014) 134  BTK inhibition reduces cGVHD in patients (2016). Phase 1b/2 study 112  
IL-2 is critical for Treg expansion, activity, and survival during GVHD (2004, 2006) 41,131  Exogenous IL-2 increases Treg numbers and improves disease in patients with cGVHD (2011). Phase 1/2 study 114  
B cells play a central role in the pathogenesis of cGVHD (2006) 115  The B-cell–depleting antibody rituximab is effective in patients with cGVHD. Retrospective analysis (2003); phase 1/2 study (2006) 116,117  
JAK1/2 inhibition reduces cGVHD in the mouse (2015, Supplemental Figures) 85  JAK1/2 inhibition reduces cGVHD in patients refractory to multiple therapies (2015). Retrospective analysis 85  
Syk inhibition reduces cGVHD in the mouse (2014, 2015) 124,125,132  Open clinical trials for Syk inhibitors (fostamatinib, entospletinib) (2016) 135  
Main conclusion from the mouse model of cGVHDReferenceClinical trialReference
BTK inhibition reduces cGVHD in mice (2014) 134  BTK inhibition reduces cGVHD in patients (2016). Phase 1b/2 study 112  
IL-2 is critical for Treg expansion, activity, and survival during GVHD (2004, 2006) 41,131  Exogenous IL-2 increases Treg numbers and improves disease in patients with cGVHD (2011). Phase 1/2 study 114  
B cells play a central role in the pathogenesis of cGVHD (2006) 115  The B-cell–depleting antibody rituximab is effective in patients with cGVHD. Retrospective analysis (2003); phase 1/2 study (2006) 116,117  
JAK1/2 inhibition reduces cGVHD in the mouse (2015, Supplemental Figures) 85  JAK1/2 inhibition reduces cGVHD in patients refractory to multiple therapies (2015). Retrospective analysis 85  
Syk inhibition reduces cGVHD in the mouse (2014, 2015) 124,125,132  Open clinical trials for Syk inhibitors (fostamatinib, entospletinib) (2016) 135  
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