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CME: Contemporary treatment approaches in the management of graft-versus-host disease (GVHD)

ACCREDITATION EXPIRED: March 31, 2025

Activity Description / Statement of Need:

In this online, self-learning activity:

Graft-versus-host disease (GvHD) is an immune-mediated response that occurs in recipients of allogenic hematopoietic cell transplantation (HCT). GvHD can be further categorized into acute and chronic cases. Maculopapular rash, follicular erythema, epidermolysis, are common manifestations of acute GvHD, in addition to liver and gastrointestinal dysfunction such as hyperbilirubinemia, nausea, and diarrhea. This activity focuses on chronic GvHD, which has more extensive multi-organ involvement including the liver, eyes, mouth, lungs, skin, genitalia, and gastrointestinal tract.

Target Audience:

The following HCPs: hematologists and oncologists; nurse practitioners, physician assistants, and pharmacists who specialize in oncology; and those who otherwise commonly care for or clinically encounter patients with GVHD.


Commercial Support Disclosure: This program is supported by an educational grant from Mallinckrodt.

This activity is free of charge.


Release Date: March 31, 2023 -- Expiration Date: March 31, 2025

Faculty: Catherine Lee, MD

Agenda

Faculty introduction and disclosures 

Introductory content 

  • Epidemiology  
  • Pathophysiology, clinical presentation, and recognition 
  • aGvHD vs cGvHD 
  •  Treatment of cGvHD
  •  
      • Goals of therapy and prognosis 
      • Overlap syndrome 
      • Disease severity 
      • Corticosteroid therapy and related treatment success vs. failure 
      • Steroid-refractory disease: definitions and therapies 
          • JAK inhibition 
          • Rho-associated kinase inhibition 
          • Calcineurin inhibition 
          • Non-pharmacologic treatment approaches 
            • Extracorporeal photopheresis 
            • Psoralen ultraviolet radiation 
          • Emerging therapies 
            • Alpha-1 proteinase inhibition 
            • α4β7-integrin inhibition 
            • Additional agents targeting tyrosine kinase 
      • Monitoring 
      • Site-specific considerations 
  • Clinical challenges: adherence, adverse effects, delays in therapy  
  • Patient cases 

Summary, conclusions, and best practice recap  

Learning Objectives

By the end of the session the participant will be able to:

  • Review the epidemiology and pathophysiology of cGVHD.
  • Describe the diagnostic and staging criteria in cGVHD.
  • Discuss recent FDA-approved therapeutic agents for treatment refractory cGVHD.
  • Formulate treatment plan for a patient with cGVHD.
  • Describe the role of supportive care in cGVHD management.

Accreditation

ACCME Activity #202490640

ACCREDITATION FOR THIS COURSE HAS EXPIRED. YOU MAY VIEW THE PROGRAM, BUT CME / CE IS NO LONGER AVAILABLE AND NO CERTIFICATE WILL BE ISSUED.

Faculty Disclosure and Resolution of COI

As a provider of continuing medical education, it is the policy of ScientiaCME to ensure balance, independence, objectivity, and scientific rigor in all of its educational activities. In accordance with this policy, faculty and educational planners must disclose any significant relationships with commercial interests whose products or devices may be mentioned in faculty presentations, and any relationships with the commercial supporter of the activity. The intent of this disclosure is to provide the intended audience with information on which they can make their own judgments. Additionally, in the event a conflict of interest (COI) does exist, it is the policy of ScientiaCME to ensure that the COI is resolved in order to ensure the integrity of the CME activity. For this CME activity, any COI has been resolved thru content review by ScientiaCME.

Disclosure of Faculty: Catherine Lee, MD, Associate Professor of Medicine, Fred Hutch Cancer Center, has received financial compensation from Incyte, Kite pharma, BMS, Kadmo, CareDx, and Fresnius Kabi for consulting and/or research and/or speaker's bureau work.

 

Disclosures of Educational Planners: Charles Turck, PharmD, BCPS, BCCCP, President of ScientiaCME, has no relevant financial disclosures.

Faculty will NOT discuss off-label uses.

All relevant financial relationships have been mitigated.

ScientiaCME adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Commercial Support Disclosure: This program is supported by an educational grant from Mallinckrodt.

Instructions

  • Read the learning objectives above
  • Take the Pre-Test (optional). Completion of the pre-test will help us evaluate the knowledge gained by participating in this CME activity.
  • View the online activity. You may view this is in more than one session, and may pause or repeat any portion of the presentation if you need to.
  • Minimum participation threshold: Take the post-test. A score of 70% or higher is required to pass and proceed to the activity evaluation.
  • Complete the activity evaluation and CME registration. A CE certificate will be emailed to you immediately.

Cultural/Linguistic Competence & Health Disparities

System Requirements

PC
Windows 7 or above
Internet Explorer 8
*Adobe Acrobat Reader
MAC
Mac OS 10.2.8
Safari or Chrome or Firefox
*Adobe Acrobat Reader
Internet Explorer is not supported on the Macintosh

*Required to view Printable PDF Version


Perform Pre-Test (optional)

Please take a few minutes to participate in the optional pre-test. It will help us measure the knowledge gained by participating in this activity.


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