Evidence map›Paper›PMID 18489989›Full record

Trial reportBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2008

HLA-haploidentical bone marrow transplantation for hematologic malignancies using nonmyeloablative conditioning and high-dose, posttransplantation cyclophosphamide.

Leo Luznik, Paul V O'Donnell, Heather J Symons, Allen R Chen, M Susan Leffell, Marianna Zahurak, Ted A Gooley, Steve Piantadosi, Michele Kaup, Richard F Ambinder and 13 more

8 registry-linked trialsAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 8 registered trials, which are not on this map. Cited by 924 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
924citing papers in PubMed, 5 pooled it
–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.

NCT02169791 phase2completednot on this mapstarted 2014, after this paper: background citation

A Phase II Trial of Nonmyeloablative Haploidentical Peripheral Blood Stem Cell Transplantation Followed By Maintenance Therapy With the Novel Oral Proteasome Inhibitor, MLN9708, in Patients With High-risk Hematologic Malignancies

TypeinterventionalSponsorNorthside Hospital, Inc.Ran2014 to 2020Enrolled29ConditionsAcute Leukemia, Chronic Leukemia, Myelodysplastic Syndrome, LymphomasArmsMLN9708
NCT02193880 nacompletednot on this mapstarted 2014, after this paper: background citation

Safety of Post-transplant Alpha-beta Depleted T-cell Infusion Following Haploidentical Stem Cell Transplant (Haplo SCT)

TypeinterventionalSponsorAyman SaadRan2014 to 2018Enrolled7ConditionsHematologic Neoplasms, Graft-Versus-Host DiseaseArmsAlpha-beta depleted T-cell infusion after post-transplant cyclophosphamide.
NCT02282904 phase1 / phase2terminatednot on this mapstarted 2014, after this paper: background citation

Haploidentical Transplant for Patients With Chronic Granulomatous Disease (CGD) Using Post-Transplant Cyclophosphamide

TypeinterventionalSponsorNational Institute of Allergy and Infectious Diseases (NIAID)Ran2014 to 2019Enrolled7ConditionsChronic Granulomatous DiseaseArmsSirolimus, Donor peripheral blood stem cells., Cyclophosphamide post transplant, Total body 200cGy, Cyclophosphamide
NCT03240731 phase2completednot on this mapstarted 2017, after this paper: background citation

Bone Marrow Transplantation HLA Haploidentical After a Reduced Intensity Conditioning and Prevention of GvHD Based on Post-transplant Cyclophosphamide Administration in Patients With Severe Sickle Cell Disease

TypeinterventionalSponsorCentre Hospitalier Intercommunal CreteilRan2017 to 2024Enrolled25ConditionsSickle Cell DiseaseArmsbone marrow transplant
NCT03480360 phase3completednot on this mapstarted 2018, after this paper: background citation

Haploidentical Allogeneic Peripheral Blood Transplantation: Clinical Trial and Laboratory Correlates Examining Checkpoint Immune Regulators' Expression

TypeinterventionalSponsorDartmouth-Hitchcock Medical CenterRan2018 to 2025Enrolled21ConditionsAcute Myeloid Leukemia, Chronic Lymphocytic Leukemia, Chronic Myeloid Leukemia, MyelodysplasiaArmsCyclophosphamide, Fludarabine, Total Body Irradiation, Tacrolimus, cellcept
NCT03608059 phase4completednot on this mapstarted 2018, after this paper: background citation

Shanghai General Hospital Affiliated to Shanghai Jiao Tong University

TypeinterventionalSponsorShanghai General Hospital, Shanghai Jiao Tong University School of MedicineRan2018 to 2023Enrolled418ConditionsMyeloid TumorArmsATG/PTCy, standard ATG, standard PTCy
NCT03821519 phase1 / phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Phase I/II Trial of Donor Derived Cytokine Induced Killer (CIK) Cells Infusion for Relapsed Hematologic Malignancy After Haploidentical Stem Cell Transplantation

TypeinterventionalSponsorA.O. Ospedale Papa Giovanni XXIIIRan2019 to 2023Enrolled20ConditionsRelapsed Hematologic MalignancyArmsdonor-derived CIK cells
NCT07719946 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Phase II Trial of Reduced Dose Post Transplant Cyclophosphamide After Haploidentical Hematopoietic Stem Cell Transplant in Hematological Malignancies

TypeinterventionalSponsorTata Memorial CentreRan2025 to 2028Enrolled20ConditionsHaploidentical Hematopoietic Stem Cell Transplant, Hematological MalignanciesArmsCyclophosphamide
3 · Its place in the literature

Who cites it

924 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Pooled it
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  18. Targeted Radiation Delivery before Haploidentical HCT for High-risk Leukemia or MDS Patients Yields Long-term Survivors.Clinical cancer research : an official journal of the American Association for Cancer Research · 2024
    Trial
  19. Review
  20. Article

864 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

23 authors.

Leo LuznikSidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, Maryland, USA.
Paul V O'Donnell
Heather J Symons
Allen R Chen
M Susan Leffell
Marianna Zahurak
Ted A Gooley
Steve Piantadosi
Michele Kaup
Richard F Ambinder
Carol Ann Huff
William Matsui
Javier Bolaños-Meade
Ivan Borrello
Jonathan D Powell
Elizabeth Harrington
Sandy Warnock
Mary Flowers
Robert A Brodsky
Brenda M Sandmaier
Rainer F Storb
Richard J Jones
Ephraim J Fuchs

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Geoffrey Roger HILL · 1985 to 2026
$128.4M
Project 3: Stem Cell Allografts for Lymphoid MalignanciesP01CA078902 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SANDMAIER, BRENDA MARIE · 1999 to 2025
$46.1M
TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI HESS, ALLAN D · 1985 to 2016
$38.1M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAWLINGS, DAVID J · 1986 to 2010
$25.9M
NCI NIH HHS CA15396NCI NIH HHS CA15704NCI NIH HHS CA18029NCI NIH HHS CA78902NCI NIH HHS P01 CA015396NCI NIH HHS P01 CA018029NCI NIH HHS P01 CA078902NCI NIH HHS P30 CA015704NHLBI NIH HHS HL36444NHLBI NIH HHS P01 HL036444
6 · The paper itself

Abstract

We evaluated the safety and efficacy of high-dose, posttransplantation cyclophosphamide (Cy) to prevent graft rejection and graft-versus-host disease (GVHD) after outpatient nonmyeloablative conditioning and T cell-replete bone marrow transplantation from partially HLA-mismatched (haploidentical) related donors. Patients with advanced hematologic malignancies (n = 67) or paroxysmal nocturnal hemoglobinuria (n = 1) received Cy 50 mg/kg i.v. on day 3 (n = 28) or on days 3 and 4 (n = 40) after transplantation. The median times to neutrophil (>500/microL) and platelet recovery (>20,000/microL) were 15 and 24 days, respectively. Graft failure occurred in 9 of 66 (13%) evaluable patients, and was fatal in 1. The cumulative incidences of grades II-IV and grades III-IV acute (aGVHD) by day 200 were 34% and 6%, respectively. There was a trend toward a lower risk of extensive chronic GVHD (cGVHD) among recipients of 2 versus 1 dose of posttransplantation Cy (P = .05), the only difference between these groups. The cumulative incidences of nonrelapse mortality (NRM) and relapse at 1 year were 15% and 51%, respectively. Actuarial overall survival (OS) and event-free survival (EFS) at 2 years after transplantation were 36% and 26%, respectively. Patients with lymphoid malignancies had an improved EFS compared to those with myelogenous malignancies (P = .02). Nonmyeloablative HLA-haploidentical BMT with posttransplantation Cy is associated with acceptable rates of fatal graft failure and severe aGVHD or cGVHD.

Indexed as

HistocompatibilityAdultAgedBlood Component TransfusionBone Marrow TransplantationCyclophosphamideDisease-Free SurvivalDrug Administration ScheduleFemaleFilgrastimGraft SurvivalGraft vs Host DiseaseGranulocyte Colony-Stimulating FactorHematologic NeoplasmsHemoglobinuria, ParoxysmalHumansCyclophosphamideFilgrastimfludarabineGranulocyte Colony-Stimulating FactorImmunosuppressive AgentsMycophenolic AcidRecombinant ProteinsTacrolimusVidarabine

Identifiers

PMID18489989
PMCPMC2633246

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

and 2 more above

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.