Evidence map›Paper›PMID 19915634›Full record

Trial reportBone marrow transplantation2010

Extracorporeal photopheresis for the prevention of acute GVHD in patients undergoing standard myeloablative conditioning and allogeneic hematopoietic stem cell transplantation.

P J Shaughnessy, B J Bolwell, K van Besien, M Mistrik, A Grigg, A Dodds, H M Prince, S Durrant, O Ilhan, D Parenti and 6 more

Abstract readClinical Trial
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. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
1.2field-weighted citation impact, top 20% 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

13 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.

  1. Guidelines on the use of extracorporeal photopheresis.Journal of the European Academy of Dermatology and Venereology : JEADV · 2014
    Guideline
  2. Trial
  3. Article
  4. European dermatology forum - updated guidelines on the use of extracorporeal photopheresis 2020 - part 1.Journal of the European Academy of Dermatology and Venereology : JEADV · 2020
    Article
  5. Extracorporeal Photopheresis in Graft-versus-Host Disease.Transfusion medicine and hemotherapy : offizielles Organ der Deutschen Gesellschaft fur Transfusionsmedizin und Immunhamatologie · 2020
    Review
  6. Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Prevention of graft-vs.-host disease.Expert opinion on pharmacotherapy · 2012
    Review
  12. Review
  13. Extracorporeal photopheresis attenuates murine graft-versus-host disease via bone marrow-derived interleukin-10 and preserves responses to dendritic cell vaccination.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2011
    Article
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 at 13 institutions in 5 countries.

P J ShaughnessyTexas Transplant Institute, 7711 Louis Pasteur #708, San Antonio, TX 78229, USA. Paul.Shaughnessy@MHShealth.com
B J Bolwell
K van Besien
M Mistrik
A Grigg
A Dodds
H M Prince
S Durrant
O Ilhan
D Parenti
J Gallo
F Foss
J Apperley
M-J Zhang
M M Horowitz
S Abhyankar
Medical College of Wisconsin · USAnkara University · TRCHRISTUS Transplant Institute · USCleveland Clinic · USImperial College London · GBPeter MacCallum Cancer Centre · AURoyal Brisbane and Women's Hospital · AUSt Vincent's Hospital Sydney · AUThe Royal Melbourne Hospital · AUUniversity Hospital Bratislava · SKUniversity of Illinois Chicago · USUniversity of Kansas Medical Center · USYale Cancer Center · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA76518
6 · The paper itself

Abstract

GVHD is partly mediated by host APCs that activate donor T cells. Extracorporeal photopheresis (ECP) can modulate APC function and benefit some patients with GVHD. We report the results of a study using ECP administered before a standard myeloablative preparative regimen intended to prevent GVHD. Grades II-IV acute GVHD developed in 9 (30%) of 30 recipients of HLA-matched related transplants and 13 (41%) of 32 recipients of HLA-matched unrelated or HLA-mismatched related donor transplants. Actuarial estimates of overall survival (OS) at day 100 and 1-year post transplant were 89% (95% CI, 78-94%) and 77% (95% CI, 64-86%), respectively. There were no unexpected adverse effects of ECP. Historical controls receiving similar conditioning and GVHD prophylaxis regimens but no ECP were identified from the database of the Center for International Blood and Marrow Transplant Research and multivariate analysis indicated a lower risk of grades II-IV acute GVHD in patients receiving ECP (P=0.04). Adjusted OS at 1 year was 83% in the ECP study group and 67% in the historical control group (relative risk 0.44; 95% CI, 0.24-0.80) (P=0.007). These preliminary data may indicate a potential survival advantage with ECP for transplant recipients undergoing standard myeloablative hematopoietic cell transplantation.

Indexed as

Acute DiseaseAdolescentAdultFemaleGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHLA AntigensHumansMaleMiddle AgedMyeloablative AgonistsPhotopheresisSurvival RateTransplantation ConditioningTransplantation, HomologousHLA AntigensMyeloablative Agonists

Identifiers

PMID19915634
PMCPMC3376382
OpenAlexW2088905605

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.