Evidence map›Paper›PMID 17660841›Full record

ArticleBone marrow transplantation2007

Reduced intensity allogeneic umbilical cord blood transplantation in children and adolescent recipients with malignant and non-malignant diseases.

M B Bradley, P Satwani, L Baldinger, E Morris, C van de Ven, G Del Toro, J Garvin, D George, M Bhatia, E Roman and 10 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article 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 NCT00886522 (Intrabone Infusion of Cord Blood Hemopoietic Stem Cells in Adult Patients With High Risk Haematological Malignancies.), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
4.3field-weighted citation impact, top 5% 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.

NCT00886522 phase2completednot on this mapstarted 2009, after this paper: background citation

Intrabone Infusion of Cord Blood Hemopoietic Stem Cells in Adult Patients With High Risk Haematological Malignancies.

TypeinterventionalSponsorIRCCS Azienda Ospedaliero-Universitaria di BolognaRan2009 to 2013Enrolled23ConditionsHematological MalignanciesArmsIntrabone cord blood infusion
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 72 citations in OpenAlex.

  1. Trial
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  5. Article
  6. Review
  7. Article
  8. A comparison of bronchoalveolar lavage versus lung biopsy in pediatric recipients after stem cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Review
  16. Future of cord blood for oncology uses.Bone marrow transplantation · 2009
    Review
  17. Review
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

20 authors at 3 institutions in 1 country.

M B BradleyDepartment of Pediatrics, Columbia University, New York, NY 10032, USA.
P Satwani
L Baldinger
E Morris
C van de Ven
G Del Toro
J Garvin
D George
M Bhatia
E Roman
L A Baxter-Lowe
J Schwartz
E Qualter
R Hawks
K Wolownik
S Foley
O Militano
J Leclere
Y-K Cheung
M S Cairo
Columbia University · USMount Sinai Medical Center · USUniversity of California, San Francisco · US

Funding

Nonablative AlloSCT in Refractory Autoimmune DiseaseR21AR049330 · NIAMS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CAIRO, MITCHELL S. · 2002 to 2003
$164k
NCI NIH HHS 5P30CA13697NIAMS NIH HHS R21AR49330
6 · The paper itself

Abstract

There is a significant amount of morbidity and mortality following myeloablative umbilical cord blood transplantation (UCBT). Reduced intensity (RI) conditioning offers an alternative to myeloablative conditioning before UCBT. We investigated RI-UCBT in 21 children and adolescents with malignant (n=14), and non-malignant diseases (n=7). RI conditioning consisted of fludarabine (150-180 mg/m2) with either busulfan (< or = 8 mg/kg)+rabbit antithymocyte globulin (R-ATG; n=16) or cyclophosphamide+R-ATG+/-etoposide (n=5). Human leukocyte antigen match: 4/6 (n=13), 5/6 (n=5) and 6/6 (n=3). The median total nucleated cell and CD34+ cell dose per kilogram were 3.58 x 10(7) and 2.54 x 10(5), respectively. The median time for neutrophil and platelet engraftment was 17.5 and 52 days, respectively. There were six primary graft failures (chronic myelogenous leukemia (CML), beta-thalassemia, hemophagocytic lymphohistiocytosis (HLH) and myelodysplastic syndrome (MDS)). The probability of developing grade II to grade IV acute graft-versus-host disease (GVHD) and chronic GVHD was 28.6 and 16.7%, respectively. Incidence of transplant-related mortality (TRM) was 14%. The 5 years overall survival (OS) in all patients was 59.8%. The 5 years OS for patients with average versus poor-risk malignancy was 77.8 versus 22.2% (P=0.03). RI-UCBT may result in graft failure in specific high-risk chemo-naïve patients (CML, beta-thalassemia, HLH and MDS), but in more heavily pretreated pediatric and adolescent recipients results in rapid engraftment and may be associated with decreased severe GVHD and TRM.

Indexed as

AdolescentAdultAntigens, CD34beta-ThalassemiaChildChild, PreschoolCord Blood Stem Cell TransplantationFetal BloodGraft vs Host DiseaseGranulocyte-Macrophage Colony-Stimulating FactorHumansImmunologic FactorsLiving DonorsMyelodysplastic SyndromesNeoplasmsPatient SelectionAntigens, CD34Granulocyte-Macrophage Colony-Stimulating FactorImmunologic FactorsRecombinant Proteinssargramostim

Identifiers

PMID17660841
OpenAlexW1992424825

What OpenQuestion holds

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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.