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e-learning module | ECP for the treatment of GvHD: Best practice guidelines

By Devon Else

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Feb 4, 2026

Learning objective: After reading this article, learners will be able to describe best practice guidelines and recommendations for the use of ECP in the treatment of GvHD.


Despite the use of prophylactic measures, graft-versus-host disease (GvHD) remains an ongoing complication for ~30–50% patients following allogeneic hematopoietic stem cell transplantation. Extracorporeal photopheresis (ECP) has been investigated for the treatment of acute and chronic GvHD, both as monotherapy and in combination with other agents, due to its immunomodulatory and steroid-sparing efficacy. It is typically considered as a second-line or later treatment option for patients with acute or chronic GvHD who are steroid-refractory.

In this e-learning module, we describe the current unmet needs and challenges in GvHD – including the side effects associated with prolonged steroid use and the management of steroid- and treatment-refractory disease – and the rationale for the use of ECP in the treatment of GvHD. We then go on to summarize clinical data supporting ECP therapy for GvHD and best practice recommendations for its use, and we explore patient selection and treatment sequencing with ECP through guided case studies. 

Overview of the unmet needs in GvHD, and an introduction to ECP therapy

Overview of the unmet needs in GvHD, and an introduction to ECP therapy

In the first chapter of this e-learning module, we describe the current unmet needs and challenges in acute and chronic graft-versus-host disease (GvHD), and we introduce the mechanism of action of extracorporeal photopheresis (ECP) and the rationale for its use in the treatment of GvHD.

Clinical data supporting ECP in the treatment of GvHD

Clinical data supporting ECP in the treatment of GvHD

In the second chapter of this e-learning module, we present clinical data supporting the use of extracorporeal photopheresis (ECP), either alone or in combination with other agents, in the treatment of graft-versus-host disease (GvHD).

Guidelines and recommendations for the use of ECP in the treatment of GvHD

Guidelines and recommendations for the use of ECP in the treatment of GvHD

In the third chapter of this e-learning module, we describe the current guidelines and latest recommendations from expert groups for the use of extracorporeal photopheresis (ECP) in the treatment of acute and chronic graft-versus-host disease (GvHD).

ECP in the treatment of acute and chronic GvHD: Guided case studies

ECP in the treatment of acute and chronic GvHD: Guided case studies

In the fourth chapter of this e-learning module, we present two patient case studies navigating the graft-versus-host disease (GvHD) treatment journey, including patient selection and treatment sequencing with extracorporeal photopheresis (ECP).

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.

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