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MedXY AI/MedXY News/Section: Hematology-Oncology

Limited Success: Third-Line Therapy Yields Modest Responses in Steroid-Refractory aGvHD with GI Involvement

MedXY Editorial Team•Apr 3, 2026•Hematology-Oncology
acute graft-versus-host diseasegastrointestinal involvementruxolitinib failuresteroid-refractorythird-line therapy

Highlights

Third-line therapy for steroid- and ruxolitinib-refractory acute graft-versus-host disease with gastrointestinal involvement demonstrates limited effectiveness, with only 36% overall response rate at Day 28. More than half of responding patients lost their response within 90 days, highlighting significant durability concerns. The median overall survival was 86 days, though responders showed substantially better outcomes with median OS of 186 days compared to 45 days in non-responders. Infectious complications and aGvHD progression remained the leading causes of mortality, affecting over half of the patient population within three months.

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