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May 1, 2022Drugs of today

Belumosudil for chronic graft-versus-host disease

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Authors

BTBreanna J TaylorJCJaimie CohenJTJennifer Tejeda

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Overview

Narrative review reveals the efficacy and safety of belumosudil in chronic graft-versus-host disease, highlighting its role as the first approved selective ROCK2 inhibitor.

Key Points

  • To summarize the preclinical and clinical evidence leading to the FDA approval of belumosudil for patients with chronic graft-versus-host disease.
  • Review of preclinical investigations assessing the ROCK signaling pathway, its isoform selectivity, and downstream fibrotic and inflammatory mechanisms.
  • Evaluation of clinical safety and efficacy data for belumosudil mesylate in adults and pediatric patients aged 12 years and older refractory to at least two prior systemic therapies.
  • Belumosudil selectively inhibits the ROCK2 isoform, avoiding the dose-limiting toxicities typically observed with non-selective ROCK inhibitors.
  • Clinical evaluation demonstrated favorable safety and efficacy profiles, securing FDA approval for patients aged 12 years and older after failure of at least two prior lines of systemic therapy.

Cite This Study

Taylor et al. (2022) studied this question.

synapsesocial.com/papers/6ab37ca8b1df9c50c8ec6ff6https://doi.org/10.1358/dot.2022.58.5.3400705
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Also Consider

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

  1. 1Belumosudil for chronic graft-versus-host disease in children under 12: A retrospective analysis of effectiveness and safety2025
  2. 2Belumosudil in the Management of Heavily Pretreated Prolonged Chronic GVHD: A Retrospective Multicenter Real‐World Study2026
  3. 3Organ Responses, Survival, and Safety of Belumosudil in Chronic Graft‐Versus‐Host Disease: A Systematic Review and Meta‐Analysis2026
  4. 4Real-world outcomes in refractory chronic graft-versus-host disease: the Italian multicenter experience with belumosudil2026
  5. 5Belumosudil for Chronic Graft-versus-Host Disease: A Systematic Review and Meta-Analysis2025