Evidence map›Paper›PMID 23892047›Full record

Trial reportBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2013

Complement fragment 3a priming of umbilical cord blood progenitors: safety profile.

Claudio G Brunstein, David H McKenna, Todd E DeFor, Darin Sumstad, Philip Paul, Daniel J Weisdorf, Mariusz Ratajczak, Mary J Laughlin, John E Wagner

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.5field-weighted citation impact, top 7% 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

24 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Umbilical cord blood: The promise and the uncertainty.Stem cells translational medicine · 2020
    Review
  7. Review
  8. Clinical Advancement and Challenges ofClinical hematology international · 2020
    Review
  9. Review
  10. Review
  11. Review
  12. Optimizing cord blood selection.Hematology. American Society of Hematology. Education Program · 2019
    Review
  13. Review
  14. Review
  15. Article
  16. Review
  17. How to Improve Cord Blood Engraftment?Frontiers in medicine · 2016
    Review
  18. Article
  19. Review
  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

9 authors at 3 institutions in 1 country.

Claudio G BrunsteinBlood and Marrow Transplantation Program, University of Minnesota, Minneapolis, Minnesota. Electronic address: bruns072@umn.edu.
David H McKenna
Todd E DeFor
Darin Sumstad
Philip Paul
Daniel J Weisdorf
Mariusz Ratajczak
Mary J Laughlin
John E Wagner
University of Minnesota · USCleveland Cord Blood Center · USUniversity of Louisville · US

Funding

Novel mechanisms involving complement cascade in stem cell traffickingR01DK074720 · NIDDK · UNIVERSITY OF LOUISVILLE · PI RATAJCZAK, MARIUSZ Z · 2007 to 2020
$4.1M
Stem Cell Priming to Enhance EngraftmentRC1HL099447 · NHLBI · UNIVERSITY OF VIRGINIA · PI LAUGHLIN, MARY J. · 2009 to 2010
$998k
NHLBI NIH HHS 1RC1HL099447-01NHLBI NIH HHS HHSN268201000008CNHLBI NIH HHS RC1 HL099447NIDDK NIH HHS R01 DK074720
6 · The paper itself

Abstract

Preclinical data showed that priming CD34(+) hematopoietic progenitor cells with complement fragment 3a (C3a) improved homing and engraftment. Thus, we hypothesized that priming of umbilical cord blood (UCB) hematopoietic progenitors with C3a would facilitate homing and could potentially be used to address the need for improved engraftment after UCB transplantation. We primed 1 of 2 UCB units for double UCB transplantation after nonmyeloablative conditioning. This design provided adequate safety and the potential to observe skewed long-term chimerism in favor of the C3a-primed unit as a surrogate measure of efficacy. C3a priming of 1 UCB unit did not result in infusional toxicity. Increased grades 1 to 3 hypertension were the only infusional adverse events observed in 9 (30%) patients. We observed no activation of inflammatory or coagulation pathways downstream of C3a. As tested, C3a priming did not impair engraftment, but did not skew chimerism toward the treated unit. As compared with historical controls, mortality and survival were not adversely affected. Thus, before any additional clinical studies, C3a priming to promote engraftment will require further preclinical optimization.

Indexed as

AdultAgedComplement C3aCord Blood Stem Cell TransplantationFemaleFetal BloodHematopoietic Stem CellsHumansMaleMiddle AgedYoung AdultComplement C3aChimerismEngraftmentPrimingUmbilical cord blood

Identifiers

PMID23892047
PMCPMC4638116
OpenAlexW2171537284

What OpenQuestion holds

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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.