Evidence map›Paper›PMID 21976674›Full record

Trial reportBlood2011

Reduced-intensity conditioning with combined haploidentical and cord blood transplantation results in rapid engraftment, low GVHD, and durable remissions.

Hongtao Liu, Elizabeth S Rich, Lucy Godley, Olatoyosi Odenike, Loren Joseph, Susana Marino, Justin Kline, Vu Nguyen, John Cunningham, Richard A Larson and 7 more

2 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2011. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 75 papers.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed
–field-weighted citation impact
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.

NCT00943800 nacompletednot on this map

Combined Haploidentical-Cord Blood Transplantation for Adults and Children

TypeinterventionalSponsorUniversity of ChicagoRan2006 to 2018Enrolled87ConditionsLeukemia, Myelodysplastic Syndrome, Multiple Myeloma, LymphomaArmsFludarabine-Melphalan & Rabbit antithymocyte globulin (r-ATG), Stem Cell Transplant, Stem Cells Collections, Fludarabine, Thiotepa, Antithymocyte globulin (ATG), and Total Body Irradiation (TBI), Fludarabine, Busulfan, and ATG
NCT02328885 phase1 / phase2completednot on this mapstarted 2014, after this paper: background citation

Prophylactic Infusion of Donor Lymphocytes in Cord Blood Transplantation

TypeinterventionalSponsorBanc de Sang i TeixitsRan2014 to 2017Enrolled17ConditionsLeukemiaArmsDLI of the 20 fraction of the UCBT
3 · Its place in the literature

Who cites it

75 citing papers in PubMed.

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  5. Prospective Evaluation of Unrelated Donor Cord Blood and Haploidentical Donor Access Reveals Graft Availability Varies by Patient Ancestry: Practical Implications for Donor Selection.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
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  10. Complement fragment 3a priming of umbilical cord blood progenitors: safety profile.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2013
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  14. Review
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15 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.

Hongtao LiuSection of Hematology/Oncology, Department of Medicine, University of Chicago, Chicago, IL, USA.
Elizabeth S Rich
Lucy Godley
Olatoyosi Odenike
Loren Joseph
Susana Marino
Justin Kline
Vu Nguyen
John Cunningham
Richard A Larson
Paula del Cerro
Linda Schroeder
Lisa Pape
Wendy Stock
Amittha Wickrema
Andrew S Artz
Koen van Besien

Funding

Immunologic and pharmacologic studies in allotransplantK24CA116471 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI VAN BESIEN, KOEN WALTER · 2007 to 2011
$882k
NCI NIH HHS K24 CA 116471NCI NIH HHS K24 CA116471
6 · The paper itself

Abstract

We conducted a 45 patient prospective study of reduced-intensity conditioning (RIC) and transplantation of unrelated umbilical cord blood (UCB) and CD34(+) stem cells from a haploidentical family member. Median age was 50 years; weight was 80 kg. Fifty-eight percent had active disease. Neutrophil engraftment occurred at 11 days (interquartile range [IQR], 9-15) and platelet engraftment at 19 days (IQR, 15-33). In the majority of patients, early haploidentical engraftment was replaced by durable engraftment of UCB by 100 days, with regular persistence of minor host and/or haplo-hematopoiesis. Percentage of haplochimerism at day 100 correlated with the haplo-CD34 dose (P = .003). Cumulative incidence of acute GVHD (aGVHD) was 25% and chronic GVHD (cGVHD) was 5%. Actuarial survival at 1 year was 55%, progression-free survival (PFS) was 42%, nonrelapse mortality (NRM) was 28%, and relapse was 30%. RIC and haplo-cord transplantation results in fast engraftment of neutrophils and platelets, low incidences of aGVHD and cGVHD, low frequency of delayed opportunistic infections, reduced transfusion requirements, shortened length of hospital stay, and promising long-term outcomes. UCB cell dose had no impact on time to hematopoietic recovery. Therefore, UCB selection can prioritize matching, and better matched donors can be identified rapidly for most patients. This study is registered at http://clinicaltrials.gov as NCI clinical trial no. NCT00943800.

Indexed as

Cord Blood Stem Cell TransplantationGraft SurvivalPeripheral Blood Stem Cell TransplantationTransplantation ConditioningAdultAdult Stem CellsAgedAntigens, CD34FemaleGraft vs Host DiseaseHaplotypesHumansIllinoisIncidenceMaleMiddle AgedAntigens, CD34

Identifiers

PMID21976674
PMCPMC3236125

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.