Evidence map›Paper›PMID 23206845›Full record

ReviewSeminars in oncology2012

Post-transplantation cyclophosphamide for tolerance induction in HLA-haploidentical bone marrow transplantation.

Leo Luznik, Paul V O'Donnell, Ephraim J Fuchs

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Seminars in oncology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07214688 (A Phase 2 Study of Fludarabine and Intermediate-dose Total Body Irradiation), which is not on this map. Cited by 187 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
187citing papers in PubMed, 1 pooled it
10.3field-weighted citation impact, top 1% 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.

NCT07214688 phase2recruitingnot on this mapstarted 2026, after this paper: background citation

A Phase 2 Study of Fludarabine and Intermediate-dose Total Body Irradiation (800 cGy) Followed by Post-transplant Cyclophosphamide in Patients Aged 18-65 Undergoing Allogeneic Stem Cell Transplant for Hematologic Malignancies

TypeinterventionalSponsorHackensack Meridian HealthRan2026 to 2032Enrolled209ConditionsAllogeneic Stem Cell Transplant RecipientArmsFludarabine, Intermediate-dose Total Body Irradiation (TBI), Post-transplant Cyclophosphamide (PTCy), Tacrolimus, Mycophenolate mofetil (MMF)
3 · Its place in the literature

Who cites it

187 citing papers in PubMed, 1 synthesis or guideline pooled it, 328 citations in OpenAlex.

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127 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

3 authors at 2 institutions in 1 country.

Leo LuznikSidney Kimmel Comprehensive Cancer Center, Baltimore, MD, USA. luznile@jhmi.edu
Paul V O'Donnell
Ephraim J Fuchs
Sidney Kimmel Comprehensive Cancer Center · USFred Hutch Cancer Center · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Geoffrey Roger HILL · 1985 to 2026
$128.4M
TUMOR VACCINESP01CA015396 · NCI · JOHNS HOPKINS UNIVERSITY · PI JONES, RICHARD J · 1985 to 2016
$38.1M
MECHANISMS OF GVHD PREVENTION WITH POST-TRANSPLANT CYCLOPHOSPHAMIDER01HL110907 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI LUZNIK, LEO, WARREN, EDUS HOUSTON · 2012 to 2015
$1.7M
Augmenting Antitumor Immunity after AllograftingR01CA122779 · NCI · JOHNS HOPKINS UNIVERSITY · PI LUZNIK, LEO · 2008 to 2012
$1.5M
TUMOR VACCINES AFTER NON MYELOABLATIVE ALLOGRAFTINGK08CA089546 · NCI · JOHNS HOPKINS UNIVERSITY · PI LUZNIK, LEO · 2001 to 2006
$684k
NCI NIH HHS CA015396NCI NIH HHS CA15704NCI NIH HHS CA18029NCI NIH HHS K08 CA089546NCI NIH HHS P01 CA015396NCI NIH HHS P01 CA018029NCI NIH HHS R01 CA122779NHLBI NIH HHS HL10024NHLBI NIH HHS R01 HL110907
6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (alloSCT) is a potentially curative therapy for many hematologic and immunologic diseases. Further, partial or full donor hematopoietic chimerism following alloSCT may be sufficient to guarantee immunologic tolerance to solid organs from the same donor, obviating any requirement for prolonged pharmacologic immunosuppression. Despite alloSCT's potential, the procedure is beset by two major limitations. The first relates to the procedure's toxicity, including conditioning regimen toxicity, graft-versus-host disease (GVHD), and infection. The second limitation is the lack of histocompatible donors. A human leukocyte antigen (HLA)-matched sibling or unrelated donor cannot be identified expeditiously for up to 40% of patients. Historically, alloSCT from partially HLA-mismatched, or HLA-haploidentical, relatives has been complicated by unacceptably high incidences of graft rejection, severe GVHD, and non-relapse mortality. Recently, our groups have developed a method to selectively deplete alloreactive cells in vivo by administering high doses of cyclophosphamide in a narrow window after transplantation. Using high-dose, post-transplantation cyclophosphamide (PT/Cy), crossing the HLA barrier in alloSCT is now feasible and donors can be found for nearly all patients. This review discusses the history of HLA-haploidentical SCT, recent clinical results, and immunologic mechanisms of action of high-dose PT/Cy for prevention of graft rejection and GVHD.

Indexed as

AnimalsCyclophosphamideGraft vs Host DiseaseHaplotypesHematopoietic Stem Cell TransplantationHLA AntigensHumansImmune ToleranceImmunosuppressive AgentsTransplantation ConditioningTransplantation, HomologousTransplantation ImmunologyCyclophosphamideHLA AntigensImmunosuppressive Agents

Identifiers

PMID23206845
PMCPMC3808078
OpenAlexW2066886754

What OpenQuestion holds

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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.