Evidence map›Paper›PMID 21460867›Full record

Trial reportBone marrow transplantation2012

In vivo B-cell depletion with rituximab for alternative donor hemopoietic SCT.

A Dominietto, E Tedone, M Soracco, B Bruno, A M Raiola, M T Van Lint, S Geroldi, T Lamparelli, B Galano, F Gualandi and 2 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed
3.0field-weighted citation impact, top 8% 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

38 citing papers in PubMed, 94 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Optimal GVHD Prophylaxis.Advances in experimental medicine and biology · 2025
    Review
  4. Article
  5. Article
  6. Review
  7. Article
  8. Review
  9. Article
  10. Prevention of OncogenicTransplant international : official journal of the European Society for Organ Transplantation · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Association of antiviral prophylaxis and rituximab use with posttransplant lymphoproliferative disorders (PTLDs): A nationwide cohort study.American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons · 2021
    Article
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  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

12 authors at 1 institution in 1 country.

A DominiettoDivisione Ematologia e Trapianto di Midollo Osseo, Ospedale San Martino, Genova, Italy.
E Tedone
M Soracco
B Bruno
A M Raiola
M T Van Lint
S Geroldi
T Lamparelli
B Galano
F Gualandi
F Frassoni
A Bacigalupo
Ospedale Policlinico San Martino · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We retrospectively analyzed 55 patients given a fixed dose of rituximab (200 mg) on day+5 after an alternative donor transplant, to prevent EBV DNA-emia; 68 alternative transplants who did not receive prophylactic rituximab served as controls. The two groups were comparable for donor type, and all patients received anti-thymocyte globulin in the conditioning regimen. Rituximab patients had a significantly lower rate of EBV DNA-emia 56 vs 85% (P=0.0004), a lower number of maximum median EBV copies (91 vs 1321/10(5) cells, P=0.003) and a significantly lower risk of exceeding 1000 EBV copies per 10(5)cells (14 vs 49%, P=0.0001). Leukocyte and lymphocyte counts were lower on day +50 and+100 in rituximab patients, whereas Ig levels were comparable. The cumulative incidence of grade II-IV acute GvHD was significantly reduced in rituximab patients (20 vs 38%, P=0.02). Chronic GvHD was comparable. There was a trend for a survival advantage for patients receiving rituximab (46 vs 40%, P=0.1), mainly because of lower transplant mortality (25 vs 37%, P=0.1). Despite the drawback of a retrospective study, these data suggest that a fixed dose of rituximab on day +5 reduces the risk of a high EBV load, and also reduces acute GvHD.

Indexed as

Hematopoietic Stem Cell TransplantationHerpesvirus 4, HumanTissue DonorsAcute DiseaseAdolescentAdultAgedAntibodies, Monoclonal, Murine-DerivedAntibodies, ViralAntilymphocyte SerumB-LymphocytesChronic DiseaseDisease-Free SurvivalDNA, ViralEpstein-Barr Virus InfectionsFemaleAntibodies, Monoclonal, Murine-DerivedAntibodies, ViralAntilymphocyte SerumDNA, ViralImmunoglobulin GImmunologic FactorsRituximab

Identifiers

PMID21460867
OpenAlexW2008513538

What OpenQuestion holds

Textmetadata
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.