Evidence map›Paper›PMID 19159415›Full record

Trial reportTransfusion2009

High-resolution HLA matching in double-umbilical-cord-blood reduced-intensity transplantation in adults.

Meghan Delaney, Corey S Cutler, Richard L Haspel, Beow Y Yeap, Steven L McAfee, Bimalangshu R Dey, Eyal Attar, Grace Kao, Edwin P Alyea, John Koreth and 8 more

Open access · greenAbstract readClinical Trial
In one paragraph

Trial report in Transfusion, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
3.8field-weighted citation impact, top 6% of its field
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

11 citing papers in PubMed, 36 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Article
  6. Graft-versus-host disease after double-unit cord blood transplantation has unique features and an association with engrafting unit-to-recipient HLA match.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2013
    Article
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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

18 authors at 6 institutions in 2 countries.

Meghan DelaneyPuget Sound Blood Center, Seattle, Washington 98104, USA. meghand@psbc.org
Corey S Cutler
Richard L Haspel
Beow Y Yeap
Steven L McAfee
Bimalangshu R Dey
Eyal Attar
Grace Kao
Edwin P Alyea
John Koreth
Vincent T Ho
Susan Saidman
Deborah Liney
Doreen Sese
Robert J Soiffer
Thomas R Spitzer
Joseph H Antin
Karen K Ballen
Dana-Farber Cancer Institute · USMassachusetts General Hospital · USBloodworks Northwest · USBrigham and Women's Hospital · USDana-Farber Brigham Cancer Center · USHadassah Medical Center · IL

Funding

Specialized Center for Cell Based TherapyU54HL081030 · NHLBI · MASSACHUSETTS GENERAL HOSPITAL · PI KRONENBERG, HENRY M. · 2005 to 2009
$11.0M
Novel Approaches to GHVD PreventionP01HL070149 · NHLBI · DANA-FARBER CANCER INSTITUTE · PI LEE, STEPHANIE J · 2003 to 2007
$10.2M
NHLBI NIH HHS HL070149NHLBI NIH HHS P01 HL070149NHLBI NIH HHS U54 HL081030
6 · The paper itself

Abstract

backgroundDouble-cord-blood transplantation (DCBT) offers an option for patients receiving reduced-intensity transplants. These unique transplants have two donors, both of whom are usually HLA mismatched at one to two loci. STUDY DESIGN AND

methodsFifty-three patients were recipients of a reduced-intensity DCBT. Cords were at least 4/6 allele-level HLA-A, -B, and -DR match with the patient and each other with a minimum combined cell dose of more than 3.7 x 10(7) total nucleated cells per kg. Twenty-one patients received cyclosporine/mycophenolate mofetil and 32 patients received sirolimus/tacrolimus (SIR/TAC) for graft-versus-host disease prophylaxis. The effect of allele level HLA typing on clinical endpoints of overall survival (OS), disease-free survival (DFS), engraftment, and acute graft-versus-host disease (aGVHD) were assessed.

resultsNeutrophil (p = 0.001) engraftment and platelet engraftment (p = 0.027) were significantly faster in patients who have closer Class I (HLA-A, -B, -C) matching. Neutrophil engraftment was faster in patients who had closer HLA-B matching to their combined cords (p = 0.007). There was a low incidence of aGVHD overall, especially in the SIR/TAC group. Class I HLA matching had no effect on aGVHD. HLA-DR and -DQ had no effect on engraftment or aGVHD.

conclusionClass I allele matching, and HLA-B matching specifically, were associated with faster neutrophil engraftment. High-resolution HLA matching did not affect OS or DFS.

Indexed as

AdolescentAdultAgedBlood PlateletsCell CountCord Blood Stem Cell TransplantationFetal BloodGraft SurvivalGraft vs Host DiseaseHistocompatibilityHistocompatibility TestingHumansMiddle AgedNeutrophilsSurvival AnalysisTissue Donors

Identifiers

PMID19159415
PMCPMC2763583
OpenAlexW2081949521

What OpenQuestion holds

Textmetadata
LicenceTDM
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.