Patient Experiences and Considerations for Axatilimab Therapy in Steroid-Refractory cGVHD

Opinion
Video

Panelists discuss how axatilimab demonstrates particularly good responses for gastrointestinal graft-vs-host disease (GVHD) and may improve sclerotic skin changes despite lower rates of overall skin response.

Clinical Experience with Newer Agents

The final segment covers the panelists’ perspectives on the AGAVE-201 trial data and early clinical experience with axatilimab. They note:

  • Strong efficacy in gastrointestinal manifestations of chronic GVHD
  • Efficacy in heavily pretreated patients (85% had prior ruxolitinib/ibrutinib/belumosudil)
  • Different mechanism of action provides new options for refractory disease
  • Early clinical experience shows good tolerability
  • Potential adverse events to monitor: liver enzyme elevations, infusion reactions, periorbital edema

The panel discusses the practical aspects of intravenous administration (every 2 weeks) and their approaches to sequential vs combination therapy. Most prefer to add axatilimab while maintaining current therapy, then gradually tapering prior agents, though practices vary between centers.

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