Efficacy, durability, and response predictors of low-dose interleukin-2 therapy for chronic graft-versus-host disease

Author:

Koreth John1,Kim Haesook T.2,Jones Kyle T.1,Lange Paulina B.1,Reynolds Carol G.1,Chammas Marie J.1,Dusenbury Katherine1,Whangbo Jennifer1,Nikiforow Sarah1,Alyea Edwin P.1,Armand Philippe1,Cutler Corey S.1,Ho Vincent T.1,Chen Yi-Bin3,Avigan David4,Blazar Bruce R.5,Antin Joseph H.1,Ritz Jerome1,Soiffer Robert J.1

Affiliation:

1. Division of Hematologic Malignancies, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA;

2. Department of Biostatistics & Computational Biology, Dana-Farber Cancer Institute and Harvard School of Public Health, Boston, MA;

3. Hematology/Oncology Division, Massachusetts General Hospital and Harvard Medical School, Boston, MA;

4. Hematology/Oncology, Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA; and

5. University of Minnesota Masonic Cancer Center and Division of Blood and Marrow Transplantation, Department of Pediatrics, Minneapolis, MN

Abstract

Key Points Low-dose IL-2 is efficacious in steroid-refractory cGVHD, with objective responses in >50% of patients, and durable disease control. IL-2 initiation earlier after cGVHD onset, prior to severe impairment of Treg:Tcon ratios, improves likelihood of clinical response.

Publisher

American Society of Hematology

Subject

Cell Biology,Hematology,Immunology,Biochemistry

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