Evidence map›Paper›PMID 23744585›Full record

ArticleBlood2013

CMV reactivation after allogeneic HCT and relapse risk: evidence for early protection in acute myeloid leukemia.

Margaret L Green, Wendy M Leisenring, Hu Xie, Roland B Walter, Marco Mielcarek, Brenda M Sandmaier, Stanley R Riddell, Michael Boeckh

Abstract read
In one paragraph

Article in Blood, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 167 papers.

0numbers the graph read from it
0cells of the map it votes in
167citing papers in PubMed
19.7field-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.

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

167 citing papers in PubMed, 305 citations in OpenAlex.

  1. Trial
  2. Reduced-Intensity Conditioning Followed by Related and Unrelated Allografts for Hematologic Malignancies: Expanded Analysis and Long-Term Follow-Up.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Trial
  9. Trial
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. The immunomodulatory role of human cytomegalovirus in cancer in the era of checkpoint immunotherapy.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Review

107 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Margaret L GreenVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, WA, USA. mlgreen@fhcrc.org
Wendy M Leisenring
Hu Xie
Roland B Walter
Marco Mielcarek
Brenda M Sandmaier
Stanley R Riddell
Michael Boeckh
Fred Hutch Cancer Center · USUniversity of Washington · 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 Ted A Gooley · 1985 to 2026
$128.4M
Project 3: Stem Cell Allografts for Lymphoid MalignanciesP01CA078902 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI SANDMAIER, BRENDA MARIE · 1999 to 2025
$46.1M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAWLINGS, DAVID J · 1986 to 2010
$25.9M
Targeted therapy of B cell malignances with CAR-T cells of defined compositionR01CA136551 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI JENSEN, MICHAEL C, RIDDELL, STANLEY R. · 2009 to 2018
$5.5M
CD8+ T Cell Immunity to CytomegalovirusR01AI053193 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RIDDELL, STANLEY R. · 2003 to 2013
$4.6M
Statins for Prevention of GVHDR01HL108307 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI MIELCAREK, MARCO B · 2011 to 2015
$2.2M
Infections in Hematopoietic Cell Transplant RecipientsK24HL093294 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BOECKH, MICHAEL J · 2009 to 2019
$1.5M
CMV Entry-Specific Neutralizing Antibody in Primary Infection in TransplantationK23AI097234 · NIAID · FRED HUTCHINSON CANCER RESEARCH CENTER · PI GREEN, MARGARET L · 2012 to 2016
$653k
NCI NIH HHS CA136551NCI NIH HHS CA18029NCI NIH HHS CA78902NCI NIH HHS P01 CA018029NCI NIH HHS P01 CA078902NCI NIH HHS P30 CA015704NCI NIH HHS P30CA015704-35S6NCI NIH HHS R01 CA136551NHLBI NIH HHS HL108307NHLBI NIH HHS HL36444NHLBI NIH HHS K24 HL093294NHLBI NIH HHS K24HL093294NHLBI NIH HHS P01 HL036444NHLBI NIH HHS R01 HL108307NIAID NIH HHS AI053193NIAID NIH HHS K23 AI097234NIAID NIH HHS K23AI097234NIAID NIH HHS R01 AI053193
6 · The paper itself

Abstract

The association between cytomegalovirus (CMV) reactivation and relapse was evaluated in a large cohort of patients with acute myeloid leukemia (AML) (n = 761), acute lymphoblastic leukemia (ALL) (n = 322), chronic myeloid leukemia (CML) (n = 646), lymphoma (n = 254), and myelodysplastic syndrome (MDS) (n = 371) who underwent allogeneic hematopoietic cell transplantation (HCT) between 1995 and 2005. In multivariable models, CMV pp65 antigenemia was associated with a decreased risk of relapse by day 100 among patients with AML (hazard ratio [HR] = 0.56; 95% confidence interval [CI], 0.3-0.9) but not in patients with ALL, lymphoma, CML, or MDS. The effect appeared to be independent of CMV viral load, acute graft-versus-host disease, or ganciclovir-associated neutropenia. At 1 year after HCT, early CMV reactivation was associated with reduced risk of relapse in all patients, but this did not reach significance for any disease subgroup. Furthermore, CMV reactivation was associated with increased nonrelapse mortality (HR = 1.31; 95% CI, 1.1-1.6) and no difference in overall mortality (HR = 1.05; 95% CI, 0.9-1.3). This report demonstrates a modest reduction in early relapse risk after HCT associated with CMV reactivation in a large cohort of patients without a benefit in overall survival.

Indexed as

Virus ActivationAdolescentAdultChildChild, PreschoolCytomegalovirusCytomegalovirus InfectionsFemaleFollow-Up StudiesGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansInfantInfant, NewbornLeukemia, Myelogenous, Chronic, BCR-ABL PositiveLeukemia, Myeloid, Acutecytomegalovirus matrix protein 65kDaPhosphoproteinsViral Matrix Proteins

Identifiers

PMID23744585
PMCPMC3744995
OpenAlexW2000653963

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.