Evidence map›Paper›PMID 18398065›Full record

ArticleBlood2008

Unrelated donor transplants in adults with Philadelphia-negative acute lymphoblastic leukemia in first complete remission.

David I Marks, Waleska S Pérez, Wensheng He, Mei-Jie Zhang, Michael R Bishop, Brian J Bolwell, Christopher N Bredeson, Edward A Copelan, Robert Peter Gale, Vikas Gupta and 16 more

Abstract 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. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Recent Advances in the Management of Acute Lymphoblastic Leukaemia.Current treatment options in oncology · 2020
    Review
  11. Review
  12. Who Should Receive a Transplant for Acute Lymphoblastic Leukaemia?Current hematologic malignancy reports · 2017
    Review
  13. Haploidentical Transplantation with Post-Transplantation Cyclophosphamide for High-Risk Acute Lymphoblastic Leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Providing personalized prognostic information for adult leukemia survivors.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2013
    Article
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

26 authors.

David I MarksAdult Blood and Marrow Transplantation (BMT) Unit, United Bristol Healthcare Trust, Bristol, United Kingdom;
Waleska S Pérez
Wensheng He
Mei-Jie Zhang
Michael R Bishop
Brian J Bolwell
Christopher N Bredeson
Edward A Copelan
Robert Peter Gale
Vikas Gupta
Gregory A Hale
Luis M Isola
Ann A Jakubowski
Armand Keating
Thomas R Klumpp
Hillard M Lazarus
Jane L Liesveld
Richard T Maziarz
Philip L McCarthy
Mitchell Sabloff
Gary Schiller
Jorge Sierra
Martin S Tallman
Edmund K Waller
Peter H Wiernik
Daniel J Weisdorf

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA76518
6 · The paper itself

Abstract

We report the retrospective outcomes of unrelated donor (URD) transplants in 169 patients with acute lymphoblastic leukemia (ALL) in first complete remission (CR1) who received transplants between 1995 and 2004. Median age was 33 years (range, 16-59 years). A total of 50% had a white blood cell count (WBC) more than 30 x 10(9)/L, 18% extramedullary disease, 42% achieved CR more than 8 weeks from diagnosis, 25% had adverse cytogenetics, and 19% had T-cell leukemia. A total of 41% were HLA well-matched, 41% partially matched with their donors, and 18% were HLA-mismatched. At 54-month median follow-up, incidences of acute grade 2-IV, III to IV, and chronic graft-versus-host disease were 50%, 25%, and 43%, respectively. Five-year treatment-related mortality (TRM), relapse, and overall survival were 42%, 20%, and 39%, respectively. In multivariate analyses, TRM was significantly higher with HLA-mismatched donors and T-cell depletion. Relapse risk was higher if the diagnostic WBC was more than 100 x 10(9)/L. Factors associated with poorer survival included WBC more than 100 x 10(9)/L, more than 8 weeks to CR1, cytomegalovirus seropositivity, HLA mismatching, and T-cell depletion. Nearly 40% of adults with ALL in CR1 survive 5 years after URD transplantation. Relapse risks were modest; TRM is the major cause of treatment failure. Selecting closely HLA-matched URD and reducing TRM should improve results.

Indexed as

AdolescentAdultAgedHematopoietic Stem Cell TransplantationHistocompatibility TestingHumansMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisRemission InductionRetrospective StudiesSurvival AnalysisTissue Donors

Identifiers

PMID18398065
PMCPMC2442751

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.