Evidence map›Paper›PMID 24876566›Full record

Trial reportBlood2014

Failure-free survival after initial systemic treatment of chronic graft-versus-host disease.

Yoshihiro Inamoto, Mary E D Flowers, Brenda M Sandmaier, Sahika Z Aki, Paul A Carpenter, Stephanie J Lee, Barry E Storer, Paul J Martin

Abstract readClinical Trial
In one paragraph

Trial report in Blood, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 61 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed, 1 pooled it
–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.

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

61 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. A Multicenter Phase II Trial of Ruxolitinib for Treatment of Corticosteroid Refractory Sclerotic Chronic Graft-Versus-Host Disease.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
  3. Ibrutinib for First-Line Treatment of Chronic Graft-Versus-Host Disease: Results From the Randomized Phase III iNTEGRATE Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Trial
  4. Axatilimab for Chronic Graft-Versus-Host Disease After Failure of at Least Two Prior Systemic Therapies: Results of a Phase I/II Study.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2023
    Trial
  5. Trial
  6. Trial
  7. ROCK2 Inhibition With Belumosudil (KD025) for the Treatment of Chronic Graft-Versus-Host Disease.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2021
    Trial
  8. Trial
  9. Trial
  10. Trial
  11. Imatinib mesylate for the treatment of steroid-refractory sclerotic-type cutaneous chronic graft-versus-host disease.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2015
    Trial
  12. Article
  13. Observational
  14. Observational
  15. Article
  16. Article
  17. Advances in treatment of chronic graft-versus-host disease.International journal of hematology · 2026
    Review
  18. Review
  19. Article
  20. Article

1 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.

Yoshihiro InamotoClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and.ORCID http://orcid.org/0000-0003-4881-0427
Mary E D FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Departments of Medicine.ORCID http://orcid.org/0000-0003-1631-0911
Brenda M SandmaierClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Departments of Medicine.ORCID http://orcid.org/0000-0002-9767-9739
Sahika Z AkiClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and.
Paul A CarpenterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Pediatrics, and.ORCID http://orcid.org/0000-0001-9810-1798
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Departments of Medicine.ORCID http://orcid.org/0000-0003-2600-6390
Barry E StorerClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Biostatistics, University of Washington School of Medicine, Seattle, WA.ORCID http://orcid.org/0000-0003-1565-435X
Paul J MartinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; and Departments of Medicine.ORCID http://orcid.org/0000-0001-9051-1215

Funding

VIRUS-MEDIATED MYELOSUPPRESSIONP01CA018029 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Geoffrey Roger HILL · 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
Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
Training and Career Development CoreU54CA163438 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2014
$3.7M
Improving Outcomes Assessment in Chronic GVHDU01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2007 to 2010
$3.1M
NCI NIH HHS CA118953NCI NIH HHS CA163438NCI NIH HHS CA18029NCI NIH HHS CA78902NCI NIH HHS P01 CA018029NCI NIH HHS P01 CA078902NCI NIH HHS R01 CA118953NCI NIH HHS U01 CA118953NCI NIH HHS U54 CA163438
6 · The paper itself

Abstract

This study was designed to characterize failure-free survival (FFS) as a novel end point for clinical trials of chronic graft-versus-host disease (GVHD). The study cohort included 400 consecutive patients who received initial systemic treatment of chronic GVHD at our center. FFS was defined by the absence of second-line treatment, nonrelapse mortality, and recurrent malignancy during initial treatment. The FFS rate was 68% at 6 months and 54% at 12 months after initial treatment. Multivariate analysis identified 4 risk factors associated with treatment failure: time interval <12 months from transplantation to initial treatment, patient age ≥60 years, severe involvement of the gastrointestinal tract, liver, or lungs, and Karnofsky score <80% at initial treatment. Initial steroid doses and the type of initial treatment were not associated with risk of treatment failure. Lower steroid doses after 12 months of initial treatment were associated with long-term success in withdrawing all systemic treatment. FFS offers a potentially useful basis for interpreting results of initial treatment of chronic GVHD. Incorporation of steroid doses at 12 months would increase clinical benefit associated with the end point. Studies using FFS as the primary end point should measure changes in GVHD-related symptoms, activity, damage, and disability as secondary end points.

Indexed as

Stem Cell TransplantationAdolescentAdultAgedAllograftsChildChild, PreschoolChronic DiseaseDisease-Free SurvivalFemaleFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHumansInfantMaleSteroids

Identifiers

PMID24876566
PMCPMC4141518

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.