Evidence map›Paper›PMID 16459181›Full record

ArticleExperimental hematology2006

Busulfan pharmacokinetics, toxicity, and low-dose conditioning for autologous transplantation of genetically modified hematopoietic stem cells in the rhesus macaque model.

Elizabeth M Kang, Matthew M Hsieh, Mark Metzger, Allen Krouse, Robert E Donahue, Michel Sadelain, John F Tisdale

Registry-linked trialOpen access · bronzeAbstract readComparative Study
In one paragraph

Article in Experimental hematology, 2006. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02629120 (High Dose Peripheral Blood Stem Cell Transplantation With Post Transplant Cyclophosphamide for Patients With Chronic Granulomatous Disease), which is not on this map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.5field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02629120 phase1 / phase2active not recruitingnot on this mapstarted 2015, after this paper: background citation

High Dose Peripheral Blood Stem Cell Transplantation With Post Transplant Cyclophosphamide for Patients With Chronic Granulomatous Disease

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2015 to 2028Enrolled45ConditionsChronic Granulomatous Disease TransplantArmsAlemtuzumab, Busulfan, Sirolimus, Cyclophosphamide, Total Body Irradiation
3 · Its place in the literature

Who cites it

22 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Efficient manufacturing and engraftment ofMolecular therapy. Methods & clinical development · 2023
    Article
  5. Article
  6. Article
  7. Immunoresponse to Gene-Modified Hematopoietic Stem Cells.Molecular therapy. Methods & clinical development · 2020
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Gene therapy of chronic granulomatous disease: the engraftment dilemma.Molecular therapy : the journal of the American Society of Gene Therapy · 2011
    Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Elizabeth M KangLaboratory of Host Defense, National Institute of Allergy and Infectious Disease, National Institutes of Health, Bethesda, MD, USA.
Matthew M Hsieh
Mark Metzger
Allen Krouse
Robert E Donahue
Michel Sadelain
John F Tisdale
National Heart Lung and Blood Institute · USNational Institute of Diabetes and Digestive and Kidney Diseases · USMemorial Sloan Kettering Cancer Center · USNational Institute of Allergy and Infectious Diseases · USNational Institutes of Health · US

Funding

A preclinical large animal model for globin gene transferZ01DK027011 · NIDDK · DIABETES, DIGESTIVE, KIDNEY DISEASES · PI TISDALE, JOHN · 2005 to 2007
$480k
Gene Therapy Clinical Trials for Chronic Granulomatous DiseaseZ01AI000991 · NIAID · NIAID EXTRAMURAL ACTIVITIES · PI KANG, ELIZABETH · 2007 to 2008
$388k
Intramural NIH HHS Z01 DK027011
6 · The paper itself

Abstract

objectiveGene transfer to hematopoietic stem cells has recently been demonstrated to benefit a small number of patients in whom a selective advantage is conferred upon genetically modified cells; however, in disorders where no such selective advantage is conferred, conditioning appears necessary to allow adequate engraftment. To decrease the toxicity profile, we sought to develop nonmyeloablative conditioning regimens and in this work, explored the use of intravenous busulfan in a large animal model.

methodsBusulfan pharmacokinetics and toxicity were monitored in young rhesus macaques at two dosing levels (4 and 6 mg/kg). These doses were then employed to condition two animals at each dose level prior to autologous transplantation of genetically modified cells using our standard methods.

resultsBusulfan pharmacokinetic (PK) data showed the area under the curve (AUC), drug half-life, and drug clearance were consistent within each dose group and similar to those reported in children. Single doses of busulfan were well tolerated and produced dose-dependent myelosuppression, most notably in the neutrophil and platelet counts. Although marking levels reached over 1% early in one animal, the long-term marking was low but detectable at 0.01 to 0.001%.

conclusionsWe conclude that low-dose intravenous bolus infusion of busulfan is well tolerated, has dose-dependent effects on peripheral blood counts, and allows long-term engraftment of genetically modified cells, but at levels too low for most clinical disorders.

Indexed as

BusulfanAnimalsDose-Response Relationship, DrugHematopoietic Stem CellsHematopoietic Stem Cell TransplantationInfusions, IntravenousMacaca mulattaTransplantation, AutologousTransplantation ConditioningBusulfan

Identifiers

PMID16459181
PMCPMC2676898
OpenAlexW1980785906

What OpenQuestion holds

Textmetadata
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.