Evidence map›Paper›PMID 20124511›Full record

Trial reportBlood2010

High-dose cyclophosphamide as single-agent, short-course prophylaxis of graft-versus-host disease.

Leo Luznik, Javier Bolaños-Meade, Marianna Zahurak, Allen R Chen, B Douglas Smith, Robert Brodsky, Carol Ann Huff, Ivan Borrello, William Matsui, Jonathan D Powell and 7 more

5 registry-linked trialsOpen access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 230 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
230citing papers in PubMed, 4 pooled it
8.5field-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.

NCT00134017 phase2completednot on this map

HLA Matched Related and Unrelated Bone Marrow Transplantation With Busulfan/Cyclophosphamide and Post Transplantation Cyclophosphamide for Hematological Malignancies

TypeinterventionalSponsorSidney Kimmel Comprehensive Cancer Center at Johns HopkinsRan2004 to 2010Enrolled142ConditionsChronic Myeloproliferative Disorders, Leukemia, Lymphoma, Multiple Myeloma and Plasma Cell NeoplasmArmsBusulfan, Cyclophosphamide
NCT01244906 phase2completednot on this map

A Phase II Trial of Post-Transplant Cyclophosphamide and Sirolimus for Graft-versus-host Disease (GVHD) Prophylaxis Following Reduced Intensity Allogeneic Hematopoietic Stem Cell Transplantation

TypeinterventionalSponsorNorthside Hospital, Inc.Ran2010 to 2014Enrolled26ConditionsHematologic NeoplasmsArmsAllogeneic Hematopoietic Stem Cell Transplantation
NCT01719341 unknown statusnot on this mapstarted 2012, after this paper: background citation

Study of Non-Myeloablative Haplo-identical Haematopoietic Stem Cell Transplantation in Patients With Haematological Malignancies or Acquired Aplastic Anaemia

TypeobservationalSponsorNational University Hospital, SingaporeRan2012Enrolled21ConditionsHaematological Malignancies, Acquired Aplastic Anaemia
NCT01749111 phase3terminatednot on this mapstarted 2012, after this paper: background citation

Randomized Study to Compare Post Bone Marrow Transplant Cyclophosphamide With the Combination of Methotrexate Plus Calcineurin Inhibitor for Graft Versus Host Disease Prophylaxis

TypeinterventionalSponsorHospital Israelita Albert EinsteinRan2012 to 2016Enrolled3ConditionsAcute Myelogenous Leukemia, Acute Lymphoid Leukemia, Myeloproliferative Disease, Myelodysplastic SyndromeArmsARM A Cyclophosphamide, ARM B Calcineurin inhibitor and methotrexate
NCT02193880 nacompletednot on this mapstarted 2014, after this paper: background citation

Safety of Post-transplant Alpha-beta Depleted T-cell Infusion Following Haploidentical Stem Cell Transplant (Haplo SCT)

TypeinterventionalSponsorAyman SaadRan2014 to 2018Enrolled7ConditionsHematologic Neoplasms, Graft-Versus-Host DiseaseArmsAlpha-beta depleted T-cell infusion after post-transplant cyclophosphamide.
3 · Its place in the literature

Who cites it

230 citing papers in PubMed, 4 syntheses or guidelines pooled it, 399 citations in OpenAlex.

  1. Post-transplant cyclophosphamideFrontiers in oncology · 2023
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  20. Reduced-Intensity Conditioning Followed by Related and Unrelated Allografts for Hematologic Malignancies: Expanded Analysis and Long-Term Follow-Up.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
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170 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

17 authors at 3 institutions in 1 country.

Leo LuznikSidney Kimmel Comprehensive Cancer Center and Department of Oncology, Johns Hopkins University School of Medicine, Baltimore, MD 21231, USA. luznile@jhmi.edu
Javier Bolaños-Meade
Marianna Zahurak
Allen R Chen
B Douglas Smith
Robert Brodsky
Carol Ann Huff
Ivan Borrello
William Matsui
Jonathan D Powell
Yvette Kasamon
Steven N Goodman
Allan Hess
Hyam I Levitsky
Richard F Ambinder
Richard J Jones
Ephraim J Fuchs
Sidney Kimmel Comprehensive Cancer Center · USJohns Hopkins University · USJohns Hopkins Medicine · US

Funding

TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI HESS, ALLAN D · 1985 to 2016
$38.1M
Cancer Stem Cell Targeting in Multiple MyelomaR01CA127574 · NCI · JOHNS HOPKINS UNIVERSITY · PI MATSUI, WILLIAM H · 2008 to 2012
$1.6M
NCI NIH HHS P01 CA015396NCI NIH HHS R01 CA127574
6 · The paper itself

Abstract

Because of its potent immunosuppressive yet stem cell-sparing activity, high-dose cyclophosphamide was tested as sole prophylaxis of graft-versus-host disease (GVHD) after myeloablative allogeneic bone marrow transplantation (alloBMT). We treated 117 patients (median age, 50 years; range, 21-66 years) with advanced hematologic malignancies; 78 had human leukocyte antigen (HLA)-matched related donors and 39 had HLA-matched unrelated donors. All patients received conventional myeloablation with busulfan/cyclophosphamide (BuCy) and T cell-replete bone marrow followed by 50 mg/kg/d of cyclophosphamide on days 3 and 4 after transplantation. The incidences of acute grades II through IV and grades III through IV GVHD for all patients were 43% and 10%, respectively. The nonrelapse mortality at day 100 and 2 years after transplantation were 9% and 17%, respectively. The actuarial overall survival and event-free survivals at 2 years after transplantation were 55% and 39%, respectively, for all patients and 63% and 54%, respectively, for patients who underwent transplantation while in remission. With a median follow-up of 26.3 months among surviving patients, the cumulative incidence of chronic GVHD is 10%. These results suggest that high-dose posttransplantation cyclophosphamide is an effective single-agent prophylaxis of acute and chronic GVHD after BuCy conditioning and HLA-matched BMT (clinicaltrials.gov no. NCT00134017).

Indexed as

AdultAgedBone Marrow TransplantationCyclophosphamideDisease-Free SurvivalDose-Response Relationship, DrugFemaleGraft vs Host DiseaseHematologic NeoplasmsHumansImmunosuppressive AgentsKaplan-Meier EstimateMaleMiddle AgedTransplantation ConditioningTransplantation, HomologousCyclophosphamideImmunosuppressive Agents

Identifiers

PMID20124511
PMCPMC2858487
OpenAlexW2055553511

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.