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Clinical data supporting ECP in the treatment of GvHD

By Devon Else

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Jan 23, 2026

Learning objective: After reading this article, learners will be able to describe the clinical data supporting the use of extracorporeal photopheresis either alone or in combination with other agents in the treatment of graft-versus-host disease.


Do you know... In a retrospective study by Lastovytska et al., what was the CR rate at Month 12 in patients with SR-aGvHD treated with ECP + ruxolitinib?

Question 1 1

Knowledge check | Which of the following statements does not accurately reflect the ongoing unmet needs in cGvHD?

A

Over two-thirds of patients require subsequent therapy following first-line corticosteroids due to lack of efficacy or intolerance.

B

Prolonged use of corticosteroids is associated with metabolic and bone complications, as well as increased risk of infections.

C

Treatment advances for highly morbid cGvHD manifestations are limited by difficulties in conducting clinical trials and the absence of effective organ-specific strategies.

D

Despite treatment advances, cGvHD occurs in 20% of patients who undergo allo-HSCT.

Extracorporeal photopheresis (ECP) has been investigated for the treatment of acute and chronic graft-versus-host disease (GvHD) as both monotherapy and in combination with other agents.

In the second chapter of this e-learning module, we go through some of the clinical findings supporting the use of ECP either alone or in combination with other agents, including ruxolitinib, belumosudil, interleukin-2 (IL-2), and axatilimab, in patients with GvHD.

Click through the slides below to learn more.

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The next chapter of this e-learning module will be published shortly.

This educational resource is independently supported by Therakos. All content was developed by SES in collaboration with an expert steering committee. Funders were allowed no influence on the content of this resource. 

Please indicate your level of agreement with the following statements:

The content was clear and easy to understand

The content addressed the learning objectives

The content was relevant to my practice

I will change my clinical practice as a result of this content

Your opinion matters

Which consideration most strongly guides your decision to escalate therapy in SR-aGvHD?