Evidence map›Paper›PMID 24321745›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2014

Does total body irradiation conditioning improve outcomes of myeloablative human leukocyte antigen-identical sibling transplantations for chronic lymphocytic leukemia?

Mitchell Sabloff, Ronald M Sobecks, Kwang Woo Ahn, Xiaochun Zhu, Marcos de Lima, Jennifer R Brown, Yoshihiro Inamoto, H Kent Holland, Mahmoud D Aljurf, Mary J Laughlin and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

10 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Review
  5. Article
  6. Article
  7. Assessment of Impact of HLA Type on Outcomes of Allogeneic Hematopoietic Stem Cell Transplantation for Chronic Lymphocytic Leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  8. Review
  9. Review
  10. Article
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

22 authors at 18 institutions in 5 countries.

Mitchell SabloffDivision of Hematology, Department of Medicine, University of Ottawa and The Ottawa Hospital Research Institute, Ottawa, Ontario, Canada. Electronic address: msabloff@ottawahospital.on.ca.
Ronald M SobecksDivision of Hematologic Oncology and Blood Disorders, Cleveland Clinic Foundation, Cleveland, Ohio.
Kwang Woo AhnDivision of Biostatistics, Medical College of Wisconsin, Milwaukee, Wisconsin.
Xiaochun ZhuCenter for International Blood & Marrow Transplantation Research, Medical College of Wisconsin, Milwaukee, Wisconsin.
Marcos de LimaDivision of Hematologic Malignancies and Stem Cell Transplantation, Seidman Cancer Center, University Hospitals Case Medical Center, Cleveland, Ohio.
Jennifer R BrownDivision of Hematologic Malignancies, Dana Farber Cancer Institute, Boston, Massachusetts.
Yoshihiro InamotoDivision of Clinical Research, Fred Hutchinson Cancer Research Center, Seattle, Washington.
H Kent HollandDivision of Oncology and Hematology, The Blood and Marrow Transplant Program at Northside Hospital, Atlanta, Georgia.
Mahmoud D AljurfDepartment of Oncology, King Faisal Specialist Hospital Center & Research, Riyadh, Saudi Arabia.
Mary J LaughlinHematopoietic Cell Transplantation Program, University Hospitals Case Medical Center, University of Virginia Health System, Charlottesville, Virginia.
Rammurti T KambleDivision of Hematology and Oncology, Baylor College of Medicine Center for Cell and Gene Therapy, Houston, Texas.
Jack W HsuDivision of Hematology and Oncology, Department of Medicine, Shands Healthcare & University of Florida, Gainesville, Florida.
Baldeep M WirkDivision of Hematology and Oncology, Stony Brook University Medical Center, Stony Brook, New York.
Matthew SeftelDepartment of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Ontario, Canada.
Ian D LewisHaematology and Bone Marrow Transplant Unit, Royal Adelaide Hospital, Adelaide, SA, Australia.
Mukta AroraDivision of Hematology, Oncology and Transplant, University of Minnesota Medical Center, Fairview, Minneapolis, Minneapolis.
Edwin P AlyeaDivision of Hematologic Malignancies, Dana Farber Cancer Institute, Boston, Massachusetts.
Matt E KalaycioDivision of Hematologic Oncology and Blood Disorders, Cleveland Clinic Foundation, Cleveland, Ohio.
Jorge CortesDepartment of Leukemia, MD Anderson Cancer Center, Houston, Texas.
Richard T MaziarzCenter for Hematologic Malignancies, OHSU Knight Cancer Institute, Oregon Health and Science University, Portland, Oregon.
Robert Peter GaleSection of Hematology, Division of Experimental Medicine, Department of Medicine, Imperial College, London, United Kingdom.
Wael SaberCenter for International Blood & Marrow Transplantation Research, Medical College of Wisconsin, Milwaukee, Wisconsin.
Medical College of Wisconsin · USCleveland Clinic · USDana-Farber Cancer Institute · USBaylor College of Medicine · USFred Hutch Cancer Center · USImperial College London · GBKing Faisal Specialist Hospital & Research Centre · SANorthside Hospital · USOregon Health & Science University · USOttawa Hospital · CAPrincess Margaret Cancer Centre · CARoyal Adelaide Hospital · AUStony Brook University Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity Hospitals Cleveland Medical Center · USUniversity of Florida Health · USUniversity of Minnesota Medical Center · USUniversity of Virginia Health System · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
RESEARCH TRAINING IN HEMATOLOGYT32HL007899 · NHLBI · UNIVERSITY OF WISCONSIN-MADISON · PI Jane Ellen Churpek · 1998 to 2026
$8.2M
NCI NIH HHS U24 CA076518NHLBI NIH HHS T32 HL007899NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

An allogeneic hematopoietic cell transplantation from an HLA-identical donor after high-dose (myeloablative) pretransplantation conditioning is an effective therapy for some people with chronic lymphocytic leukemia (CLL). Because CLL is a highly radiosensitive cancer, we hypothesized that total body irradiation (TBI) conditioning regimens may be associated with better outcomes than those without TBI. To answer this, we analyzed data from 180 subjects with CLL receiving myeloablative doses of TBI (n = 126) or not (n = 54), who received transplants from an HLA-identical sibling donor between 1995 and 2007 and reported to the Center for International Blood & Marrow Transplant Research. At 5 years, treatment-related mortality was 48% (95% confidence interval [CI], 39% to 57%) versus 50% (95% CI, 36% to 64%); P = NS. Relapse rates were 17% (95% CI, 11% to 25%) versus 22% (95% CI, 11% to 35%); P = NS. Five-year progression-free survival and overall survival were 34% (95% CI, 26% to 43%) versus 28% (95% CI, 15% to 42%); P = NS and 42% (95% CI, 33% to 51%) versus 33% (95% CI, 19% to 48%); P = NS, respectively. The single most common cause of death in both cohorts was recurrent/progressive CLL. No variable tested in the multivariate analysis was found to significantly affect these outcomes, including having failed fludarabine. Within the limitations of this study, we found no difference in HLA-identical sibling transplantation outcomes between myeloablative TBI and chemotherapy pretransplantation conditioning in persons with CLL.

Indexed as

Hematopoietic Stem Cell TransplantationAdultFemaleHLA AntigensHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedMyeloablative AgonistsRecurrenceSiblingsSurvival AnalysisTransplantation ConditioningTransplantation, IsogeneicTreatment OutcomeVidarabinefludarabineHLA AntigensMyeloablative AgonistsVidarabineChronic lymphocytic leukemiaConditioningMyeloablativeTotal body irradiation

Identifiers

PMID24321745
PMCPMC4026353
OpenAlexW2036050286

What OpenQuestion holds

Textmetadata
LicenceTDM
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.