Evidence map›Paper›PMID 21946381›Full record

ArticleBone marrow transplantation2012

Effect of acute and chronic GVHD on relapse and survival after reduced-intensity conditioning allogeneic transplantation for myeloma.

O Ringdén, S Shrestha, G T da Silva, M-J Zhang, A Dispenzieri, M Remberger, R Kamble, C O Freytes, R P Gale, J Gibson and 9 more

Registry-linked trialAbstract 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 NCT02338232 (Pilot Study of Telmisartan), 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
2.1field-weighted citation impact, top 13% 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.

NCT02338232 naterminatednot on this mapstarted 2015, after this paper: background citation

Pilot Study of Telmisartan (Micardis) For the Prevention of Acute Graft vs. Host Disease Post Allogeneic Hematopoietic Stem Cell Transplantation

TypeinterventionalSponsorHackensack Meridian HealthRan2015 to 2023Enrolled32ConditionsGVHDArmsTelmisartan
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 35 citations in OpenAlex.

  1. Pooled it
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  3. Trial
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  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
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  11. Article
  12. Allogeneic Blood or Marrow Transplantation with Post-Transplantation Cyclophosphamide as Graft-versus-Host Disease Prophylaxis in Multiple Myeloma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Treatment with a rho kinase inhibitor improves survival from graft-versus-host disease in mice after MHC-haploidentical hematopoietic cell transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2014
    Article
  18. Cellular immunotherapy for plasma cell myeloma.Bone marrow transplantation · 2013
    Review
  19. Article
  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

19 authors at 15 institutions in 8 countries.

O RingdénDepartment of Clinical Immunology, Karolinska University Hospital, Stockholm, Sweden.
S Shrestha
G T da Silva
M-J Zhang
A Dispenzieri
M Remberger
R Kamble
C O Freytes
R P Gale
J Gibson
V Gupta
L Holmberg
H Lazarus
P McCarthy
K Meehan
H Schouten
G A Milone
S Lonial
P N Hari
Medical College of Wisconsin · USKarolinska Institutet · SEBaylor College of Medicine · USBristol-Myers Squibb (Switzerland) · CHCase Western Reserve University · USDartmouth–Hitchcock Medical Center · USEmory University · USFred Hutch Cancer Center · USFundación para el Desarrollo de la Ecología · BOMaastricht University · NLMayo Clinic · USRoswell Park Comprehensive Cancer Center · USRoyal Prince Alfred Hospital · AUUniversidade de São Paulo · BRUniversity Health Network · CA

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
PB vs. BMU01HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2001 to 2010
$63.3M
NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA76518NHLBI NIH HHS 5U01HL069294NHLBI NIH HHS U01 HL069294PHS HHS HHSH234200637015C
6 · The paper itself

Abstract

We evaluated the effect of acute and chronic GVHD on relapse and survival after allogeneic hematopoietic SCT (HSCT) for multiple myeloma using non-myeloablative conditioning (NMA) and reduced-intensity conditioning (RIC). The outcomes of 177 HLA-identical sibling HSCT recipients between 1997 and 2005, following NMA (n=98) or RIC (n=79) were analyzed. In 105 patients, autografting was followed by planned NMA/RIC allogeneic transplantation. The impact of GVHD was assessed as a time-dependent covariate using Cox models. The incidence of acute GVHD (aGVHD; grades I-IV) was 42% (95% confidence interval (CI), 35-49%) and of chronic GVHD (cGVHD) at 5 years was 59% (95% CI, 49-69%), with 70% developing extensive cGVHD. In multivariate analysis, aGVHD (≥ grade I) was associated with an increased risk of TRM (relative risk (RR)=2.42, P=0.016), whereas limited cGVHD significantly decreased the risk of myeloma relapse (RR=0.35, P=0.035) and was associated with superior EFS (RR=0.40, P=0.027). aGVHD had a detrimental effect on survival, especially in those receiving autologous followed by allogeneic HSCT (RR=3.52, P=0.001). The reduction in relapse risk associated with cGVHD is consistent with a beneficial graft-vs-myeloma effect, but this did not translate into a survival advantage.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningAcute DiseaseAdultAgedChronic DiseaseDisease-Free SurvivalFemaleGraft vs Host DiseaseGraft vs Tumor EffectHumansMaleMiddle AgedMultiple MyelomaRetrospective StudiesRisk Factors

Identifiers

PMID21946381
PMCPMC3369112
OpenAlexW2034022870

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.