Evidence map›Paper›PMID 21552302›Full record

ArticleBone marrow transplantation2012

Sirolimus and mycophenolate mofetil as GVHD prophylaxis in myeloablative, matched-related donor hematopoietic cell transplantation.

L Johnston, M Florek, R Armstrong, J S McCune, S Arai, J Brown, G Laport, R Lowsky, D Miklos, J Shizuru and 3 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00350181 (Sirolimus and Mycophenolate Mofetil as GVHD Prophylaxis in Myeloablative, Matched Related Donor Hematopoietic Cell Transplantation), which is not on this map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 12% 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.

NCT00350181 phase2completednot on this map

Sirolimus and Mycophenolate Mofetil as GVHD Prophylaxis in Myeloablative, Matched Related Donor Hematopoietic Cell Transplantation

TypeinterventionalSponsorStanford UniversityRan2006 to 2010Enrolled11ConditionsLeukemia, Lymphoma, Non-Hodgkin, Hematologic Diseases, Acute GVHDArmsSirolimus, MMF, BCNU, VP-16, CY
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Sirolimus and Mycophenolate Mofetil as Calcineurin Inhibitor-Free Graft-versus-Host Disease Prophylaxis for Reduced-Intensity Conditioning Umbilical Cord Blood Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
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  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Review
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  17. Prevention of graft-versus-host disease by adoptive T regulatory therapy is associated with active repression of peripheral blood Toll-like receptor 5 mRNA expression.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Article
  18. Review
  19. Nonrelapse mortality and mycophenolic acid exposure in nonmyeloablative hematopoietic cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2013
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  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

13 authors at 2 institutions in 1 country.

L JohnstonDepartment of Medicine, Stanford University, Stanford, CA, USA. laura.johnston@stanford.edu
M Florek
R Armstrong
J S McCune
S Arai
J Brown
G Laport
R Lowsky
D Miklos
J Shizuru
K Sheehan
P Lavori
R Negrin
Stanford University · USStanford Health Care · US

Funding

TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Regulatory T cells in allogeneic transplantationR01HL114591 · NHLBI · STANFORD UNIVERSITY · PI NEGRIN, ROBERT S · 2012 to 2016
$2.6M
Imaging and Regulation of Immune Function in HCTR01CA231582 · NCI · STANFORD UNIVERSITY · PI NEGRIN, ROBERT S · 2018 to 2018
$369k
NCI NIH HHS P01 CA049605NCI NIH HHS P01CA49605NHLBI NIH HHS R01 HL114591
6 · The paper itself

Abstract

We investigated sirolimus and mycophenolate mofetil (MMF) as GVHD prophylaxis in patients with advanced hematological malignancies receiving myeloablative hematopoietic cell transplantation (HCT) from HLA-identical sibling donors. On the basis of pre-study stopping rules, the trial was closed to accrual after enrollment of 11 adult patients. In all, 7 of the 11 patients received BU-containing preparative regimens. Sirolimus was discontinued in three patients because of the toxicity-related events of severe sinusoidal obstructive syndrome, portal vein thrombosis, altered mental status and in one patient because of the risk of poor wound healing. In all, 6 of the 11 patients developed grade II-IV acute GVHD (AGVHD) a median of 15.5 days post HCT. Two of three patients with grade IV AGVHD had sirolimus discontinued by 9 days post HCT. All patients responded to AGVHD therapy without GVHD-related deaths. There were two non-relapse- and two relapse-related deaths. At a median follow-up of 38 months (2-47 months), 7 of 11 patients were alive without disease. MMF and sirolimus GVHD prophylaxis did not reduce the risk of AGVHD, however, there were no GVHD-related deaths. The severe toxicities in the patients receiving the BU-containing preparative regimens limited the continued use of sirolimus and MMF for the prevention of AGVHD.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningUnrelated DonorsAcute DiseaseAdolescentAdultChildChild, PreschoolFemaleFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHumansImmunosuppressive AgentsMaleMiddle AgedImmunosuppressive AgentsMycophenolic AcidSirolimus

Identifiers

PMID21552302
PMCPMC3163055
OpenAlexW2062117877

What OpenQuestion holds

Textmetadata
LicenceTDM
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.