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International Journal of Hematology

, Volume 83, Issue 1, pp 80–85 | Cite as

Mycophenolate Mofetil Is Effective and Well Tolerated in the Treatment of Refractory Acute and Chronic Graft-versus-Host Disease

  • Akiyoshi Takami
  • Kanako Mochizuki
  • Hirokazu Okumura
  • Hirohito Yamazaki
  • Masahide Yamazaki
  • Yukio Kondo
  • Hidesaku Asakura
  • Shinji Nakao
  • Satsuki Ito
  • Yukio Suga
Article

Abstract

We enrolled 11 patients with refractory graft-versus-host disease (GVHD) in a prospective trial evaluating the efficacy of mycophenolate mofetil (MMF). Four (67%) of the 6 patients with acute GVHD and all 5 patients with chronic GVHD responded to MMF. Ten (91%) of the 11 patients were able to decrease steroid use (median decrease, 86%; range, 25%-100%). After a median follow-up of 18 months (range, 1-65 months), 7 patients (64%) remained alive. The adverse events were infectious complications (36%), diarrhea (27%), and neutropenia (18%); the only patient discontinuing MMF did so because of grade 4 neutropenia. This preliminary study suggests that MMF is a well-tolerated agent and has a beneficial effect in the treatment of refractory acute and chronic GVHD.

Key words

Mycophenolate mofetil Allogeneic stem cell transplantation Mismatched donor Graft-versus-host disease 

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Copyright information

© The Japanese Society of Hematology 2006

Authors and Affiliations

  • Akiyoshi Takami
    • 1
  • Kanako Mochizuki
    • 1
  • Hirokazu Okumura
    • 1
  • Hirohito Yamazaki
    • 1
  • Masahide Yamazaki
    • 1
  • Yukio Kondo
    • 1
  • Hidesaku Asakura
    • 1
  • Shinji Nakao
    • 1
  • Satsuki Ito
    • 2
  • Yukio Suga
    • 2
  1. 1.Department of Cellular Transplantation BiologyKanazawa University Graduate School of MedicineKanazawa, IshikawaJapan
  2. 2.Department of PharmacyKanazawa University Graduate School of MedicineKanazawaJapan

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