Evidence map›Paper›PMID 19584827›Full record

Trial reportBone marrow transplantation2010

Brazilian experience with two conditioning regimens in patients with multiple sclerosis: BEAM/horse ATG and CY/rabbit ATG.

N Hamerschlak, M Rodrigues, D A Moraes, M C Oliveira, A B P L Stracieri, F Pieroni, G M N Barros, M I A Madeira, B P Simões, A A Barreira and 14 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05029206 (Hematopoietic Stem Cell Transplantation for Treatment of Multiple Sclerosis in Sweden - a Register-based Retrospective Observational Study), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 7% 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.

NCT05029206 completednot on this mapstarted 2021, after this paper: background citation

Hematopoietic Stem Cell Transplantation for Treatment of Multiple Sclerosis in Sweden - a Register-based Retrospective Observational Study

TypeobservationalSponsorUppsala UniversityRan2021 to 2022Enrolled174ConditionsMultiple Sclerosis, Multiple Sclerosis, Relapsing-RemittingArmsAutologous hematopoietic stem cell transplantation
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 84 citations in OpenAlex.

  1. Pooled it
  2. Efficacy and safety of autologous hematopoietic stem-cell transplantation in multiple sclerosis: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Pooled it
  3. Guideline
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Review
  12. Review
  13. Review
  14. Depletion-Resistant CD4 T Cells Enhance Thymopoiesis During Lymphopenia.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2017
    Article
  15. Review
  16. Review
  17. Article
  18. Autologous hematopoietic stem cell transplantation in multiple sclerosis: 20 years of experience.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2016
    Review
  19. Stem Cells Therapy in Multiple Sclerosis - A New Hope for Progressive Forms.Journal of stem cells & regenerative medicine · 2016
    Article
  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

24 authors at 7 institutions in 2 countries.

N HamerschlakHospital Israelita Albert Einstein, São Paulo, Brazil. hamer@einstein.br
M Rodrigues
D A Moraes
M C Oliveira
A B P L Stracieri
F Pieroni
G M N Barros
M I A Madeira
B P Simões
A A Barreira
D G Brum
A A F Ribeiro
J M Kutner
C P Tylberi
P P Porto
C L Santana
J Z Neto
J C Barros
A T Paes
R K Burt
E A Oliveira
A P Mastropietro
A C Santos
J C Voltarelli
Hospital Israelita Albert Einstein · BRUniversidade de São Paulo · BRClinics Hospital of Ribeirão Preto · BRFaculdade de Ciências Médicas da Santa Casa de São Paulo · BRHospital Araújo Jorge · BRHospital de Clínicas Universidade Federal do Paraná · BRNorthwestern University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Studies have shown that autologous hematopoietic SCT (HSCT) can be used as an intensive immunosuppressive therapy to treat refractory patients and to prevent the progression of multiple sclerosis (MS). This is a prospective multicentric Brazilian MS trial comparing two conditioning regimens: BEAM/horse ATG and CY/rabbit ATG. Most (80.4%) of the 41 subjects in the study had the secondary progressive MS subtype and the mean age was 42 years. The baseline EDSS score in 58.5% of the subjects was 6.5 and 78% had a score of 6.0 or higher, respectively. The complication rate during the intra-transplantation period was 56% for all patients: 71.4% of the patients in the BEAM/hATG group and 40% in the CY/rATG group (P=0.04). Three subjects (7.5%) died of cardiac toxicity, sepsis and alveolar hemorrhage, all of them in the BEAM/ATG group. EFS was 58.54% for all patients: 47% in the BEAM/hATG group and 70% in the CY/rATG group (P=0.288). In conclusion, the CY/rATG regimen seems to be associated with similar outcome results, but presented less toxicity when compared with the BEAM/hATG regimen. Long-term follow-up would be required to fully assess the differences in therapeutic effectiveness between the two regimens.

Indexed as

AdultAnimalsAntilymphocyte SerumAntineoplastic Combined Chemotherapy ProtocolsCarmustineCytarabineEtoposideFemaleGraft RejectionHematopoietic Stem Cell MobilizationHematopoietic Stem Cell TransplantationHorsesHumansMaleMelphalanMiddle AgedAntilymphocyte SerumCarmustineCytarabineEtoposideMelphalan

Identifiers

PMID19584827
OpenAlexW2085969759

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.