The Lancet Haematology | Professor Yanmin Zhao, Professor He Huang, and Professor Jimin Shi: Moving Low-Dose Ruxolitinib Upfront to GVHD Prophylaxis Significantly Reduces the Risk of Acute GVHD After Haploidentical Transplantation
Hematopoietic stem cell transplantation (HSCT) is an important treatment modality for various hematological malignancies. With the widespread application of haploidentical hematopoietic stem cell transplantation (Haplo-HSCT), limitations related to donor availability have been substantially overcome. However, graft-versus-host disease (GVHD), particularly clinically significant acute GVHD, remains an important complication affecting outcomes in transplant recipients. As an oral JAK1/2 inhibitor, ruxolitinib has demonstrated clear efficacy in the treatment of steroid-refractory GVHD, although long-term outcomes following salvage therapy remain an area for further improvement. Based on its ability to regulate inflammatory signaling and T-cell activation, ruxolitinib has increasingly been investigated for early GVHD prophylaxis in recent years. However, previous evidence has mainly come from exploratory studies, with prospective randomized controlled evidence remaining limited.









