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December 8, 2025BloodOpen Access

Long-term treatment duration and safety of axatilimab among patients with chronic graft-versus-host disease in AGAVE-201

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Authors

PHPatrick H. HardestyDWDaniel Wolff

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Overview

Randomised trial evaluated long-term safety and overall survival in refractory chronic graft-versus-host disease, suggesting axatilimab maintains efficacy.

Key Points

  • To assess the long-term treatment duration and safety of axatilimab in patients with chronic graft-versus-host disease.
  • Patients aged ≥2 years with cGVHD after ≥2 prior lines of systemic therapy were randomized to receive different dosages of axatilimab.
  • Treatment continued based on clinical benefit and symptom improvement as assessed by investigators.
  • Long-term overall survival, safety, and treatment duration were evaluated, focusing on the FDA-approved dosage.
  • Of the 241 patients enrolled, 239 received axatilimab, with 205 discontinuing treatment for reasons including disease progression and adverse events.
  • The 46-month overall survival rate was 77.6% for the 0.3 mg/kg Q2W cohort, while 14% of patients continued treatment after 2.8 years.
  • Common treatment-emergent adverse events included fatigue and increased lab parameters across all doses.

Cite This Study

Hardesty et al. (2025) studied this question.

synapsesocial.com/papers/693624dd4fa91c937236d1a2https://doi.org/10.1182/blood-2025-6010
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Safety analysis of axatilimab in patients with chronic graft-versus-host disease in an expanded access program2025 · 1 citations
  2. 2Pharmacodynamic analysis of AGAVE-201 indicates changes in CSF-1R–expressing cells and associated biomarkers potentially contributing to chronic graft-versus-host disease resolution2025
  3. 3Safety and feasibility of 0.6 mg/kg every 4 weeks dosing of axatilimab in patients treated in the AGAVE-201 study2025 · 1 citations
  4. 4Axatilimab in combination with ruxolitinib in patients with newly diagnosed chronic graft-versus-host disease: Interim safety analysis of a phase 2, randomized study2025 · 1 citations
  5. 5Axatilimab (Niktimvo®) in chronic graft-versus-host disease: a profile of its use2026