Title :

JAK inhibition for CD3− CD4+ lymphocytic-variant hypereosinophilic syndrome

Author(s) :

Faguer, Stanislas [Auteur]
Centre Hospitalier Universitaire de Toulouse [CHU Toulouse]
Institut des Maladies Métaboliques et Casdiovasculaires [UPS/Inserm U1297 - I2MC]
Groh, Matthieu [Auteur]
Hôpital Foch [Suresnes]
Vergez, François [Auteur]
Institut National de la Santé et de la Recherche Médicale [INSERM]
Hunault-Berger, Mathilde [Auteur]
Centre de Recherche en Cancérologie et Immunologie Intégrée Nantes-Angers [CRCI2NA ]
Duployez, Nicolas [Auteur]
Cancer Heterogeneity, Plasticity and Resistance to Therapies - UMR 9020 - U 1277 [CANTHER]
Renaudineau, Yves [Auteur]
Institut Toulousain des Maladies Infectieuses et Inflammatoires [Infinity]
Université Toulouse III - Paul Sabatier [UT3]
Paul, Carle [Auteur]
Unité différenciation épidermique et auto-immunité rhumatoïde [UDEAR]
Lefevre, Guillaume [Auteur]
Institute of Chemistry for Life and Health Sciences [iCLeHS]
Kahn, Jean-Emmanuel [Auteur]
Hôpital Ambroise Paré [AP-HP]

Journal title :

Clinical Immunology

Pages :

109275

Publisher :

Elsevier

Publication date :

2023-03

ISSN :

1521-6616

English keyword(s) :

Hypereosinophilic syndrome
JAK inhibition
Lymphocytic variant
Ruxolitinib
T-cell clone. Copyright © 2023. Published by Elsevier Inc.

HAL domain(s) :

Sciences du Vivant [q-bio]

English abstract : [en]

Alternatives are urgently needed in patients with CD3- CD4+ lymphocytic-variant hypereosinophilic syndrome (L-HES) requiring high-level steroids or who are unresponsive and/or intolerant to conventional alternative therapies. ...
Show more >Alternatives are urgently needed in patients with CD3- CD4+ lymphocytic-variant hypereosinophilic syndrome (L-HES) requiring high-level steroids or who are unresponsive and/or intolerant to conventional alternative therapies. We report five L-HES patients (44-66 years) with cutaneous involvement (n = 5) and persistent eosinophilia (n = 3) despite conventional therapies, who successfully received JAK inhibitors (tofacitinib n = 1, ruxolitinib n = 4). JAKi led to complete clinical remission in the first 3 months in all (with prednisone withdrawal in four). Absolute eosinophil counts normalized in cases receiving ruxolitinib, while reduction was partial under tofacitinib. After switch from tofacitinib to ruxolitinib, complete clinical response persisted despite prednisone withdrawal. The clone size remained stable in all patients. After 3-13 months of follow-up, no adverse event was reported. Randomized controlled trials are now mandatory to optimize the use of JAKi in L-HES.Show less >

Language :

Anglais

Peer reviewed article :

Oui

Audience :

Internationale

Popular science :

Non

Collections :

• Cancer Heterogeneity, Plasticity and Resistance to Therapies (CANTHER) - UMR 9020 - UMR 1277

Source :

Harvested from HAL