The role of oral beclometasone dipropionate in the treatment of gastrointestinal Graft-versus-Host Disease.

Published

Journal Article (Review)

Graft-versus-host disease (GVHD) after allogeneic stem-cell transplantation causes significant morbidity and mortality. An important site of GVHD is the gastrointestinal (GI) tract because development of acute GI GVHD is prognostic of overall survival. The standard of care to treat acute GI GVHD is systemic corticosteroids and immunosuppressants; however, the use of these therapies can cause life-threatening opportunistic infections. To limit the adverse effects of systemic immunosuppression, the topically active corticosteroid beclometasone dipropionate has been investigated in case studies and in randomized placebo-controlled trials for the treatment of acute GI GVHD. In this review, we appraise these studies with beclometasone dipropionate, and discuss future randomized studies to clarify the role of beclometasone dipropionate for the treatment and prevention of acute GVHD. At present, more data are required before the addition of beclometasone dipropionate to systemic corticosteroids for the treatment of acute GVHD can be considered the standard of care.

Full Text

Duke Authors

Cited Authors

  • Doan, PL; Chao, NJ

Published Date

  • July 9, 2009

Published In

Volume / Issue

  • 69 / 10

Start / End Page

  • 1339 - 1350

PubMed ID

  • 19583452

Pubmed Central ID

  • 19583452

Electronic International Standard Serial Number (EISSN)

  • 1179-1950

Digital Object Identifier (DOI)

  • 10.2165/00003495-200969100-00004

Language

  • eng

Conference Location

  • New Zealand