Current Practices and Future Directions for Treatment of Graft-vs-Host Disease (GVHD)

EP. 1: Immunopathology and GVHD Incidence
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Yi-Bin Chen , MD, provides an overview of how the landscape graft-vs-host disease (GVHD) has evolved over the past 3 decades. Corey Cutler, MD, PhD, FRCPC, provides an overview of GVHD biology. Potential risk factors for development of acute and chronic GVHD are discussed.

EP. 2: GVHD Prophylaxis
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Richard Maziarz, MD, highlights the fact that graft-vs-host disease (GVHD) is a T-cell disease and then outlines qualitative and quantitative mechanisms that are used to prophylactically target the alloreactive T-cell population. A calcineurin inhibitor combined with methotrexate is the currently accepted standard of care for GVHD prophylaxis. Panelists weigh in on the use of post-transplant cyclophosphamide (PTCy) for prevention of GVHD.

EP. 3: Diagnosing & Staging of GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Sophie Paczesny, MD, PhD, leads a discussion on diagnostic tests used in the setting of graft-vs-host disease and how patients are risk stratified. Whether organ biopsies are used routinely is also discussed.

EP. 4: Management of Acute GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Yi-Bin Chen, MD, leads a discussion on systemic treatment approaches being used currently for the management of acute graft-vs-host disease, as well as those being considered for the future.

EP. 5: Management of Chronic GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Dr Cutler leads a discussion on the approach to management of chronic GVHD and whether complete response is a realistic end point.

EP. 6: Steroid Refractory GVHD: Scope of the Problem
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Dr Chen provides an overview of the prevalence of steroid refractory GVHD and leads a discussion on how steroid refractory GVHD is defined.

EP. 7: Steroid-Refractory Acute GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Richard Maziarz, MD, provides an overview of the drug ruxolitinib, which was recently approved for use in steroid-refractory acute GVHD (graft-vs-host disease). He leads a discussion on the results of REACH-1 and REACH-2 and the experiences of the other panelists in using this drug.

EP. 8: Steroid-Refractory Chronic GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD Sophie Paczesny, MD, PhD, provides an overview of the drug ibrutinib for use in steroid-refractory chronic graft-vs-host disease (GVHD). She elicits thoughts from the panelists on how they envision this drug being used.

EP. 9: Final Thoughts: GVHD
ByYi-Bin A. Chen, MD, Massachusetts General Hospital,Corey S. Cutler, MD, MPH, FRCPC, Dana-Farber Cancer Institute,Richard T. Maziarz, MD,Sophie Paczesny, MD, PhD All panelists provide their final thoughts on the current landscape and future directions in graft-vs-host disease (GVHD).