Evidence map›Paper›PMID 18850014›Full record

ArticleBone marrow transplantation2009

Response and toxicity of donor lymphocyte infusions following T-cell depleted non-myeloablative allogeneic hematopoietic SCT from 3-6/6 HLA matched donors.

D A Rizzieri, P Dev, G D Long, C Gasparetto, K M Sullivan, Ml Horwitz, J Chute, N J Chao

Registry-linked trialAbstract read
In one paragraph

Article in Bone marrow transplantation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00580034 (Allogeneic), which is not on this map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing 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.

NCT00580034 phase2completednot on this map

Allogeneic (Allo) Non-Myeloablative Stem Cell Transplantation (SCT) Utilizing Mis-Matched Family Member Stem Cells Purged Using Campath-1H

TypeinterventionalSponsorDavid Rizzieri, MDRan2003 to 2013Enrolled176ConditionsLymphoma, Myeloma, Leukemia, MyelodysplasiaArmsCampath Purged Non-myeloablative ASCT, Donor Apheresis
3 · Its place in the literature

Who cites it

12 citing papers in PubMed.

  1. Trial
  2. Natural killer cell-enriched donor lymphocyte infusions from A 3-6/6 HLA matched family member following nonmyeloablative allogeneic stem cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2010
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Alemtuzumab in allogeneic hematopoetic stem cell transplantation.Expert opinion on biological therapy · 2011
    Article
  9. Review
  10. Article
  11. Article
  12. Haploidentical transplantation for leukemia.Current oncology reports · 2010
    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

8 authors.

D A RizzieriDivision of Cellular Therapy, Department of Medicine, Duke University Medical Center, Durham, NC 27710, USA. rizzi003@mc.duke.edu
P Dev
G D Long
C Gasparetto
K M Sullivan
Ml Horwitz
J Chute
N J Chao

Funding

THERAPEUTIC APPROACHES TO OVARIAN/BREAST CANCER--HIGH DOSE CHEMOTHERAPY AND ABMSP01CA047741 · NCI · DUKE UNIVERSITY · PI CHAO, NELSON J. · 1990 to 2013
$19.5M
Mentored Patient-Oriented Research Career Development AwK23RR016063 · NCRR · DUKE UNIVERSITY · PI RIZZIERI, DAVID A · 2000 to 2004
$626k
NCI NIH HHS P01 CA047741NCRR NIH HHS K23 RR016063
6 · The paper itself

Abstract

We report the outcome of early donor lymphocyte infusions (DLIs) after T-cell depleted non-myeloablative transplantation using stem cells from HLA-matched or mismatched donors. Sixty-nine patients with high-risk hematologic malignancies received DLI following fludarabine, CY and alemtuzumab with infusion of stem cells from a matched sibling (52) or partially matched family member donor (17). Patients received the first infusion at a median of 50 days after transplant, and doses ranged from 1 x 10(4) CD3+ cells/kg to 3.27 x 10(8) CD3+ cells/kg, depending on clinical status and the physician's discretion. A median cell dose of 1 x 10(5) CD3+ cells/kg in the mismatched setting and 1 x 10(6) CD3+ cells/kg in the matched sibling setting appears safe with only 1 of 7 (14%) and 4 of 31 patients (13%), respectively, experiencing severe acute GVHD at these doses. Importantly, 38% of patients with persistent disease before DLI attained a remission after infusion. Nine of the 69 patients remain alive and disease-free 32-71 months after the first DLI. In conclusion, low doses of DLI can be safely provided soon after T-cell depleted non-myeloablative therapy and provide a chance of remission. However, long-term survival still remains poor, primarily because of relapse in these patients.

Indexed as

Acute DiseaseAdolescentAdultAgedCohort StudiesGraft SurvivalGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHLA AntigensHumansLymphocyte TransfusionMiddle AgedMyeloablative AgonistsProspective StudiesSurvivorsHLA AntigensMyeloablative Agonists

Identifiers

PMID18850014
PMCPMC3635807

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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.