Evidence map›Paper›PMID 18617635›Full record

ArticleBlood2008

Outcome of alloanergized haploidentical bone marrow transplantation after ex vivo costimulatory blockade: results of 2 phase 1 studies.

Jeff K Davies, John G Gribben, Lisa L Brennan, Dongin Yuk, Lee M Nadler, Eva C Guinan

Registry-linked trialAbstract readClinical Trial, Phase I
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 NCT00005988 (A Phase I Open-Label, Safety Study of Haploidentical Bone Marrow Transplantation), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing 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.

NCT00005988 phase1completednot on this map

A Phase I Open-Label, Safety Study of Haploidentical Bone Marrow Transplantation (BMT) After Ex Vivo Treatment of Bone Marrow With Anti-B7.1 and Anti-B7.2 Antibodies

TypeinterventionalSponsorDana-Farber Cancer InstituteRan2000 to 2002Enrolled5ConditionsGraft Versus Host Disease, Leukemia, Lymphoma, Myelodysplastic SyndromesArmscyclophosphamide, cyclosporine, leucovorin calcium, methotrexate, methylprednisolone
3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Review
  2. Article
  3. Infusion of Alloanergized Donor Lymphocytes after CD34-selected Haploidentical Myeloablative Hematopoietic Stem Cell Transplantation.Clinical cancer research : an official journal of the American Association for Cancer Research · 2018
    Article
  4. FOXP3-Positive Regulatory T Cells and Kidney Allograft Tolerance.American journal of kidney diseases : the official journal of the National Kidney Foundation · 2017
    Review
  5. CD28 BlockadeFrontiers in immunology · 2017
    Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Antiviral T-cell therapy.Immunological reviews · 2014
    Review
  12. Review
  13. Article
  14. Strategies in haploidentical stem cell transplantation in adults.Turkish journal of haematology : official journal of Turkish Society of Haematology · 2013
    Review
  15. T-cell costimulatory blockade in organ transplantation.Cold Spring Harbor perspectives in medicine · 2013
    Review
  16. T cell depletion in paediatric stem cell transplantation.Clinical and experimental immunology · 2013
    Review
  17. Review
  18. Review
  19. Progress in haploidentical stem cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2012
    Review
  20. 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

6 authors.

Jeff K DaviesDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02115, USA.
John G Gribben
Lisa L Brennan
Dongin Yuk
Lee M Nadler
Eva C Guinan

Funding

TRANSPLANTATION IN MODELS OF GENETIC DISEASEP50HL054785 · NHLBI · DANA-FARBER CANCER INSTITUTE · PI NATHAN, DAVID G. · 1995 to 2004
$8.8M
MOLECULAR PATHWAYS REGULATING T CELL ANERGY TO ALLOANTIGENP01AI041584 · NIAID · DANA-FARBER CANCER INSTITUTE · PI GRIBBEN, JOHN G. · 1997 to 2001
$1.8M
NHLBI NIH HHS P50 HL054785NHLBI NIH HHS P50 HL54785NIAID NIH HHS P01 AI41584
6 · The paper itself

Abstract

We report the outcomes of 24 patients with high-risk hematologic malignancies or bone marrow failure (BMF) who received haploidentical bone marrow transplantation (BMT) after ex vivo induction of alloantigen-specific anergy in donor T cells by allostimulation in the presence of costimulatory blockade. Ninety-five percent of evaluable patients engrafted and achieved full donor chimerism. Despite receiving a median T-cell dose of 29 x10(6)/kg, only 5 of 21 evaluable patients developed grade C (n = 4) or D (n = 1) acute graft-versus-host disease (GVHD), with only one attributable death. Twelve patients died from treatment-related mortality (TRM). Patients reconstituted T-cell subsets and immunoglobulin levels rapidly with evidence of in vivo expansion of pathogen-specific T cells in the early posttransplantation period. Five patients reactivated cytomegalovirus (CMV), only one of whom required extended antiviral treatment. No deaths were attributable to CMV or other viral infections. Only 1 of 12 evaluable patients developed chronic GVHD. Eight patients survive disease-free with normal performance scores (median follow-up, 7 years). Thus, despite significant early TRM, ex vivo alloanergization can support administration of large numbers of haploidentical donor T cells, resulting in rapid immune reconstitution with very few viral infections. Surviving patients have excellent performance status and a low rate of chronic GVHD.

Indexed as

AdolescentAdultBone Marrow DiseasesBone Marrow TransplantationChildChild, PreschoolClonal AnergyCytomegalovirus InfectionsFemaleGraft SurvivalGraft vs Host DiseaseHaplotypesHematologic NeoplasmsHumansInfantIsoantigensIsoantigens

Identifiers

PMID18617635
PMCPMC2532801

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.