Evidence map›Paper›PMID 20685259›Full record

Trial reportBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2011

Conditioning with treosulfan and fludarabine followed by allogeneic hematopoietic cell transplantation for high-risk hematologic malignancies.

Eneida R Nemecek, Katherine A Guthrie, Mohamed L Sorror, Brent L Wood, Kristine C Doney, Ralf A Hilger, Bart L Scott, Tibor J Kovacsovics, Richard T Maziarz, Ann E Woolfrey and 8 more

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 50 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
50citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 5% 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

50 citing papers in PubMed, 1 synthesis or guideline pooled it, 99 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Trial
  5. Allogeneic Hematopoietic Cell Transplantation Using Treosulfan-Based Conditioning for Treatment of Marrow Failure Disorders.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  6. Treosulfan-based conditioning and hematopoietic cell transplantation for nonmalignant diseases: a prospective multicenter trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Trial
  7. Trial
  8. Trial
  9. Trial
  10. Trial
  11. Trial
  12. Article
  13. Article
  14. Review
  15. New age HCT conditioning regimens: what works and why?Hematology. American Society of Hematology. Education Program · 2025
    Review
  16. Review
  17. Article
  18. Article
  19. Article
  20. 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

18 authors at 3 institutions in 1 country.

Eneida R NemecekOregon Health and Science University, Portland, Oregon 97239, USA. nemeceke@ohsu.edu
Katherine A Guthrie
Mohamed L Sorror
Brent L Wood
Kristine C Doney
Ralf A Hilger
Bart L Scott
Tibor J Kovacsovics
Richard T Maziarz
Ann E Woolfrey
Antonio Bedalov
Jean E Sanders
John M Pagel
Eileen J Sickle
Robert Witherspoon
Mary E Flowers
Frederick R Appelbaum
H Joachim Deeg
Fred Hutch Cancer Center · USUniversity of Washington · USOregon Health & Science University · US

Funding

UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STORB, RAINER F. · 1986 to 2010
$25.9M
Impact of Comorbidities on Outcomes of Allogeneic TransplantationR00HL088021 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SORROR, MOHAMED · 2011 to 2013
$735k
Improving Allogenic Transplant Outcomes in Myeloid MalignanciesK23HL084054 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SCOTT, BART L · 2007 to 2011
$682k
Radioimmunotherapy of Acute LeukemiaK23CA100394 · NCI · OREGON HEALTH & SCIENCE UNIVERSITY · PI NEMECEK, ENEIDA R · 2003 to 2007
$668k
Impact of Comorbidities on Outcomes of Allogeneic TransplantationK99HL088021 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SORROR, MOHAMED · 2007 to 2008
$178k
NCI NIH HHS CA100394NCI NIH HHS K23 CA100394NHLBI NIH HHS HL036444NHLBI NIH HHS HL088021NHLBI NIH HHS K23 HL084054NHLBI NIH HHS K99 HL088021NHLBI NIH HHS P01 HL036444NHLBI NIH HHS R00 HL088021
6 · The paper itself

Abstract

In this prospective study 60 patients of median age 46 (range: 5-60 years), with acute myelogenous leukemia (AML; n = 44), acute lymphoblastic leukemia (ALL; n = 3), or myelodysplastic syndrome (MDS; n = 13) were conditioned for allogeneic hematopoietic cell transplantation with a treosulfan/fludarabine (Flu) combination. Most patients were considered at high risk for relapse or nonrelapse mortality (NRM). Patients received intravenous treosulfan, 12 g/m(2)/day (n = 5) or 14 g/m(2)/day (n = 55) on days -6 to -4, and Flu (30 mg/m(2)/day) on days -6 to -2, followed by infusion of marrow (n = 7) or peripheral blood stem cells (n = 53) from HLA-identical siblings (n = 30) or unrelated donors (n = 30). All patients engrafted. NRM was 5% at day 100, and 8% at 2 years. With a median follow-up of 22 months, the 2-year relapse-free survival (RFS) for all patients was 58% and 88% for patients without high-risk cytogenetics. The 2-year cumulative incidence of relapse was 33% (15% for patients with MDS, 34% for AML in first remission, 50% for AML or ALL beyond first remission and 63% for AML in refractory relapse). Thus, a treosulfan/Flu regimen was well tolerated and yielded encouraging survival and disease control with minimal NRM. Further trials are warranted to compare treosulfan/Flu to other widely used regimens, and to study the impact of using this regimen in more narrowly defined groups of patients.

Indexed as

AdolescentAdultAntineoplastic AgentsAntineoplastic Agents, AlkylatingAntineoplastic Combined Chemotherapy ProtocolsBusulfanChildChild, PreschoolFemaleHematologic NeoplasmsHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMyelodysplastic SyndromesPrecursor Cell Lymphoblastic Leukemia-LymphomaAntineoplastic AgentsAntineoplastic Agents, AlkylatingBusulfanfludarabinetreosulfanVidarabine

Identifiers

PMID20685259
PMCPMC2974965
OpenAlexW2046152217

What OpenQuestion holds

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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.