Evidence map›Paper›PMID 18042798›Full record

ArticleBlood2008

Etanercept plus methylprednisolone as initial therapy for acute graft-versus-host disease.

John E Levine, Sophie Paczesny, Shin Mineishi, Thomas Braun, Sung W Choi, Raymond J Hutchinson, Dawn Jones, Yasser Khaled, Carrie L Kitko, Daniel Bickley and 4 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Blood, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00141713 (The Use of Etanercept), which is not on this map. Cited by 85 papers.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed
8.9field-weighted citation impact, top 2% 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.

NCT00141713 phase2completednot on this map

The Use of Etanercept (Enbrel®) in the Treatment of Acute Graft-Versus-Host Disease

TypeinterventionalSponsorUniversity of Michigan Rogel Cancer CenterRan2003 to 2006Enrolled40ConditionsGraft-Versus-Host DiseaseArmsEtanercept
3 · Its place in the literature

Who cites it

85 citing papers in PubMed, 190 citations in OpenAlex.

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  5. Combination Therapy for Graft-versus-Host Disease Prophylaxis with Etanercept and Extracorporeal Photopheresis: Results of a Phase II Clinical Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
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  7. Etanercept plus topical corticosteroids as initial therapy for grade one acute graft-versus-host disease after allogeneic hematopoietic cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
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  10. Mycophenolate pharmacokinetics and association with response to acute graft-versus-host disease treatment from the Blood and Marrow Transplant Clinical Trials Network.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2010
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25 more citing papers are in PubMed but not listed here.

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

14 authors at 1 institution in 1 country.

John E LevineDepartment of Pediatrics, University of Michigan Medical School, Ann Arbor, MI, USA. jelevine@umich.edu
Sophie Paczesny
Shin Mineishi
Thomas Braun
Sung W Choi
Raymond J Hutchinson
Dawn Jones
Yasser Khaled
Carrie L Kitko
Daniel Bickley
Oleg Krijanovski
Pavan Reddy
Gregory Yanik
James L M Ferrara
University of Michigan–Ann Arbor · US

Funding

XenograftP30CA046592 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI Scott Michael Schuetze · 1988 to 2026
$178.2M
TUMOR VACCINES AND BONE MARROW TRANSPLANTATIONP01CA039542 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAMES L. M. FERRARA · 1985 to 2026
$47.9M
Treatment of Graft-versus-Host Disease Using EnbrelR01FD002397 · FDA · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI LEVINE, JOHN · 2005 to 2005
–
FDA HHS 5R01FD002397-03-2FDA HHS R01 FD002397NCI NIH HHS 2P01CA039542-18NCI NIH HHS 5P30CA046592NCI NIH HHS P01 CA039542NCI NIH HHS P30 CA046592
6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) is a principal cause of morbidity following allogeneic hematopoietic cell transplantation (HCT). Standard therapy for GVHD, high-dose steroids, results in complete responses (CRs) in 35% of patients. Because tumor necrosis factor-alpha (TNFalpha) is an important effector of experimental GVHD, we treated patients with new-onset GVHD with steroids plus the TNFalpha inhibitor etanercept on a previously reported pilot trial (n = 20) and a phase 2 trial (n = 41). We compared their outcomes with those of contemporaneous patients with GVHD (n = 99) whose initial therapy was steroids alone. Groups were similar with respect to age, conditioning, donor, degree of HLA match, and severity of GVHD at onset. Patients treated with etanercept were more likely to achieve CR than were patients treated with steroids alone (69% vs 33%; P < .001). This difference was observed in HCT recipients of both related donors (79% vs 39%; P = .001) and unrelated donors (53% vs 26%; P < .001). Plasma TNFR1 levels, a biomarker for GVHD activity, were elevated at GVHD onset and decreased significantly only in patients with CR. We conclude that etanercept plus steroids as initial therapy for acute GVHD results in a substantial majority of CRs. This trial was referenced at www.clinicaltrials.gov as NCT00141713.

Indexed as

Hematopoietic Stem Cell TransplantationAcute DiseaseAdolescentAdultAgedChildChild, PreschoolClinical Trials as TopicCytokinesDrug Therapy, CombinationEtanerceptGlucocorticoidsGraft vs Host DiseaseHistocompatibility TestingHumansImmunoglobulin GCytokinesEtanerceptGlucocorticoidsImmunoglobulin GMethylprednisoloneReceptors, Tumor Necrosis FactorRecombinant Fusion Proteins

Identifiers

PMID18042798
PMCPMC2361693
OpenAlexW2090779203

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.