Fecal Microbiota Transplantation: A Promising Therapy for Steroid-Refractory Acute Graft-Versus-Host Disease

Highlight

  • Fecal microbiota transplantation (FMT) showed a 60.5% overall response rate at day 28 in steroid-refractory acute graft-versus-host disease (aGvHD) patients.
  • GI involvement was the primary indication for FMT, addressing gut dysbiosis linked to aGvHD pathophysiology.
  • More than half of patients experienced related adverse events, yet no unexpected safety signals emerged.
  • Significant secondary benefit included a 54.5% decolonization rate of antibiotic-resistant bacteria.

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