Evidence map›Paper›PMID 18724393›Full record

ArticleBone marrow transplantation2008

Outcome of second allogeneic transplants using reduced-intensity conditioning following relapse of haematological malignancy after an initial allogeneic transplant.

B E Shaw, G J Mufti, S Mackinnon, J D Cavenagh, R M Pearce, K E Towlson, J F Apperley, R Chakraverty, C F Craddock, M A Kazmi and 6 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Bone 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 trial NCT06125483 (A Clinical Study of Low-dose Total Body Irradiation and Fludarabine/Busulfan/Melphalan as a Conditioning Regimen for Secondary Umbilical Cord Blood Transplantation in Patients With Hematological Malignancies Who Relapsed After Allo-HSCT), which is not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing 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.

NCT06125483 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Clinical Study of Low-dose Total Body Irradiation and Fludarabine/Busulfan/Melphalan as a Conditioning Regimen for Secondary Umbilical Cord Blood Transplantation in Patients With Hematological Malignancies Who Relapsed After Allo-HSCT

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled38ConditionsHematopoietic Malignancy, Relapse/Recurrence, Hematopoietic Stem Cell TransplantationArmsUmbilical Cord Blood Transplantation
3 · Its place in the literature

Who cites it

44 citing papers in PubMed.

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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

16 authors.

B E ShawDepartment of Haematology, Royal Marsden Hospital, Institute of Cancer Research, London, UK. bshaw@doctors.org.uk
G J Mufti
S Mackinnon
J D Cavenagh
R M Pearce
K E Towlson
J F Apperley
R Chakraverty
C F Craddock
M A Kazmi
T J Littlewood
D W Milligan
A Pagliuca
K J Thomson
D I Marks
N H Russell

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Disease relapse following an allogeneic transplant remains a major cause of treatment failure, often with a poor outcome. Second allogeneic transplant procedures have been associated with high TRM, especially with myeloablative conditioning. We hypothesized that the use of reduced-intensity conditioning (RIC) would decrease the TRM. We performed a retrospective national multicentre analysis of 71 patients receiving a second allogeneic transplant using RIC after disease relapse following an initial allogeneic transplant. The majority of patients had leukaemia/myelodysplasia (MDS) (N=57), nine had lymphoproliferative disorders, two had myeloma and three had myeloproliferative diseases. A total of 25% of patients had unrelated donors. The median follow-up was 906 days from the second allograft. The predicted overall survival (OS) and TRM at 2 years were 28 and 27%, respectively. TRM was significantly lower in those who relapsed late (>11 months) following the first transplant (2 years: 17 vs 38% in early relapses; P=0.03). Two factors were significantly associated with a better survival: late relapse (P=0.014) and chronic GVHD following the second transplant (P=0.014). These data support our hypothesis that the second RIC allograft results in a lower TRM than using MA. A proportion of patients achieved a sustained remission even when relapsing after a previous MA transplant.

Indexed as

Hematopoietic Stem Cell TransplantationRegistriesAdolescentAdultAgedChildGraft vs Host DiseaseHematologic NeoplasmsHumansMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesSurvival AnalysisTransplantation ConditioningTransplantation, HomologousYoung Adult

Identifiers

PMID18724393

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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.