Evidence map›Paper›PMID 17529996›Full record

Trial reportBone marrow transplantation2007

Efficacy of caspofungin as secondary prophylaxis in patients undergoing allogeneic stem cell transplantation with prior pulmonary and/or systemic fungal infection.

P de Fabritiis, A Spagnoli, P Di Bartolomeo, A Locasciulli, L Cudillo, G Milone, A Busca, A Picardi, R Scimè, A Bonini and 8 more

Registry-linked trialAbstract readClinical TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01198236 (Efficacy of Itraconazole as Secondary Prophylaxis in Patients Undergoing Allogeneic Stem Cell Transplantation or Chemotherapy With Prior Invasive Fungal Infection), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
2.6field-weighted citation impact, top 11% 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.

NCT01198236 phase4completednot on this mapstarted 2008, after this paper: background citation

Efficacy of Itraconazole as Secondary Prophylaxis in Patients Undergoing Allogeneic Stem Cell Transplantation or Chemotherapy With Prior Invasive Fungal Infection

TypeinterventionalSponsorZhejiang UniversityRan2008 to 2010Enrolled150ConditionsInvasive Fungal InfectionArmsItraconazole
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Practice Guidelines for the Diagnosis and Management of Aspergillosis: 2016 Update by the Infectious Diseases Society of America.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2016
    Guideline
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Use of antifungal drugs in hematology.Revista brasileira de hematologia e hemoterapia · 2012
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Fungal infections after hematopoietic stem cell transplantation.International journal of hematology · 2010
    Review
  16. 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

18 authors at 9 institutions in 1 country.

P de FabritiisDepartment of Hematology, S Eugenio Hospital, Tor Vergata University, Rome, Italy. paolo.de.fabritiis@uniroma2.it
A Spagnoli
P Di Bartolomeo
A Locasciulli
L Cudillo
G Milone
A Busca
A Picardi
R Scimè
A Bonini
L Cupelli
P Chiusolo
A Olivieri
S Santarone
M Poidomani
S Fallani
A Novelli
I Majolino
St. Eugenio Hospital · ITFerrarotto Hospital · ITIRCCS San Camillo Hospital · ITOspedale di Santo Spirito · ITPoliclinico Tor Vergata · ITUniversity of Florence · ITFondazione Ricerca Molinette · ITOspedale Vincenzo Cervello · ITSanta Maria Nuova Hospital · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Transplanted patients with a history of invasive fungal infection (IFI) are at high risk of developing relapse and fatal complications. Eighteen patients affected by hematological malignancies and a previous IFI were submitted to allogeneic stem cell transplantation, using Caspofungin as a secondary prophylaxis. Patients had a probable or proven fungal infection and 16 had a pulmonary localization. No side effects were recorded during treatment with Caspofungin. Compared to pre-transplant evaluation, stability or improvement of the previous IFI was observed in 16 of the 18 patients at day 30, in 13 of the 15 evaluable patients at day 180 and in 11 of the 11 evaluable patients at day 360 post transplant. In particular, all the six patients with a proven fungal infection were alive, with a stable or improved IFI after 1 year from transplant. At a maximum follow-up of 31 months, eight patients died for disease progression or transplant-related complications, but only two had evidence of fungal progression. Secondary prophylaxis with Caspofungin may represent a suitable approach to limit IFI relapse or progression, allowing patients with hematological malignancies to adhere to the planned therapeutic program.

Indexed as

Stem Cell TransplantationAdultAntifungal AgentsCaspofunginDisease-Free SurvivalEchinocandinsFemaleHematologic DiseasesHumansLipopeptidesLung Diseases, FungalMaleMiddle AgedRecurrenceRetrospective StudiesSurvival RateAntifungal AgentsCaspofunginEchinocandinsLipopeptides

Identifiers

PMID17529996
OpenAlexW2136719642

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.