Table 6

Agents used for secondary treatment of chronic GVHD*

Treatment% Overall response*Survival
ECP 65-70 70%-78% at 1 y 
Rituximab 66-86 72% at 1 y 
Imatinib 22-79 75%-84% at 1.5 y 
Pentostatin 53-56 34%-60% at 1-3 y 
Mesenchymal stem cells 50-74 78% at 2 y 
Mycophenolate mofetil 26-64 67%-96% at 1 y 
mTOR inhibitor 76 72% at 3 y 
Interleukin-2 52 Not reported 
Other therapies summarized in other reviews** 
 Calcineurin inhibitor  
 High-dose methylprednisolone  
 Methotrexate  
 Thalidomide 
 Hydroxychloroquine 
 Clofazimine 
 Thoracoabdominal irradiation 
 Alefacept 
 Infliximab 
 Etanercept70  
Treatment% Overall response*Survival
ECP 65-70 70%-78% at 1 y 
Rituximab 66-86 72% at 1 y 
Imatinib 22-79 75%-84% at 1.5 y 
Pentostatin 53-56 34%-60% at 1-3 y 
Mesenchymal stem cells 50-74 78% at 2 y 
Mycophenolate mofetil 26-64 67%-96% at 1 y 
mTOR inhibitor 76 72% at 3 y 
Interleukin-2 52 Not reported 
Other therapies summarized in other reviews** 
 Calcineurin inhibitor  
 High-dose methylprednisolone  
 Methotrexate  
 Thalidomide 
 Hydroxychloroquine 
 Clofazimine 
 Thoracoabdominal irradiation 
 Alefacept 
 Infliximab 
 Etanercept70  

mTOR, mammalian target of rapamycin.

*

Simplified from Inamoto and Flowers36 ; see Flowers et al,35  Wolff et al,63  and Flowers and Deeg64  for other reviews.

**

20%-82% overall response rates reported.

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