Evidence map›Paper›PMID 19423725›Full record

Trial reportBlood2009

TLI and ATG conditioning with low risk of graft-versus-host disease retains antitumor reactions after allogeneic hematopoietic cell transplantation from related and unrelated donors.

Holbrook E Kohrt, Brit B Turnbull, Kartoosh Heydari, Judith A Shizuru, Ginna G Laport, David B Miklos, Laura J Johnston, Sally Arai, Wen-Kai Weng, Richard T Hoppe and 5 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 94 papers.

0numbers the graph read from it
0cells of the map it votes in
94citing papers in PubMed
8.1field-weighted citation impact, top 2% 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.

NCT00185640 phase2completednot on this map

Allogeneic Hematopoietic Cell Transplantation Using a Non-Myeloablative Preparative Regimen of Total Lymphoid Irradiation and Anti-Thymocyte Globulin for Older Patients With Hematologic Malignancies

TypeinterventionalSponsorStanford UniversityRan2003 to 2016Enrolled303ConditionsBlood Cancer, LeukemiaArmsCyclosporine, Anti-thymocyte globulin (ATG), Mycophenolate mofetil (MMF), Filgrastim, Total Lymphoid Irradiation (TLI)
NCT00186615 no registry record found
3 · Its place in the literature

Who cites it

94 citing papers in PubMed, 164 citations in OpenAlex.

  1. Trial
  2. Donor-Derived Cytokine-Induced Killer Cell Infusion as Consolidation after Nonmyeloablative Allogeneic Transplantation for Myeloid Neoplasms.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Total lymphoid irradiation-antithymocyte globulin conditioning and allogeneic transplantation for patients with myelodysplastic syndromes and myeloproliferative neoplasms.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Allogeneic Transplantation for Older Adults.Advances in experimental medicine and biology · 2025
    Review
  12. Graft-Versus-Host Disease Mouse Models: A Clinical-Translational Perspective.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  13. Article
  14. Review
  15. Review
  16. Review
  17. Article
  18. Review
  19. Graft-versus-Host Disease Modulation by Innate T Cells.International journal of molecular sciences · 2023
    Review
  20. Article

34 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

15 authors at 2 institutions in 2 countries.

Holbrook E KohrtDepartment of Medicine, Stanford University School of Medicine, CA 94305, USA.
Brit B Turnbull
Kartoosh Heydari
Judith A Shizuru
Ginna G Laport
David B Miklos
Laura J Johnston
Sally Arai
Wen-Kai Weng
Richard T Hoppe
Philip W Lavori
Karl G Blume
Robert S Negrin
Samuel Strober
Robert Lowsky
Institute of Health Services and Policy Research · CAStanford University · US

Funding

TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
TLI/ATG CONDTIONING: KIDNEY/BLOOD STEM CELL TRANSPLANTSP01HL075462 · NHLBI · STANFORD UNIVERSITY · PI ENGLEMAN, EDGAR G. · 2004 to 2020
$27.9M
NCI NIH HHS 1P030CA124435-01NCI NIH HHS P01 CA049605NCI NIH HHS P30 CA124435NHLBI NIH HHS P01 HL075462
6 · The paper itself

Abstract

A hematopoietic cell transplantation regimen was adapted from a preclinical model that used reduced-intensity conditioning (RIC) and protected against graft-versus-host disease (GVHD) by skewing residual host T-cell subsets to favor regulatory natural killer T cells. One hundred eleven patients with lymphoid (64) and myeloid (47) malignancies received RIC using total lymphoid irradiation (TLI) and antithymocyte globulin (ATG) followed by the infusion of granulocyte colony-stimulating factor-mobilized grafts. Included were 34 patients at least 60 years of age, 32 patients at high risk of lymphoma relapse after disease recurrence following prior autologous transplantation, and 51 patients at high risk of developing GVHD due to lack of a fully human leukocyte antigen (HLA)-matched related donor. Durable chimerism was achieved in 97% of patients. Cumulative probabilities of acute GVHD (grades II-IV) were 2 and 10% of patients receiving related and unrelated donor grafts. Nonrelapse mortality (NRM) at 1 year was less than 4%. Cumulative incidence of chronic GVHD was 27%. The 36-month probability of overall and event-free survival was 60% and 40%, respectively. Disease status at start of conditioning and the level of chimerism achieved after transplantation significantly impacted clinical outcome. The high incidence of sustained remission among patients with active disease at time of transplantation suggests retained graft-versus-tumor reactions. Active trial registration currently at clinicaltrials.gov under IDs of NCT00185640 and NCT00186615.

Indexed as

Hematopoietic Stem Cell TransplantationLiving DonorsLymphatic IrradiationAdultAgedAnti-Infective AgentsAntilymphocyte SerumCyclosporineDisease-Free SurvivalFamilyFemaleGraft vs Host DiseaseGranulocyte Colony-Stimulating FactorHematologic NeoplasmsHumansImmunosuppressive AgentsAnti-Infective AgentsAntilymphocyte SerumCyclosporineGranulocyte Colony-Stimulating FactorImmunosuppressive AgentsMycophenolic Acid

Identifiers

PMID19423725
PMCPMC2721787
OpenAlexW2066519436

What OpenQuestion holds

Textmetadata
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.