Evidence map›Paper›PMID 25017764›Full record

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

Prognostic biomarkers for acute graft-versus-host disease risk after cyclophosphamide-fludarabine nonmyeloablative allotransplantation.

Robert P Nelson, Muhammad Rizwan Khawaja, Susan M Perkins, Lindsey Elmore, Christen L Mumaw, Christie Orschell, Sophie Paczesny

Abstract 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 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
–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

21 citing papers in PubMed.

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  9. Inflammatory Cytokine Profile in Individuals with Inherited Chromosomally Integrated Human Herpesvirus 6.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article
  10. Biomarkers for Allogeneic HCT Outcomes.Frontiers in immunology · 2020
    Review
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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

7 authors.

Robert P NelsonDivision of Hematology/Oncology, Indiana University School of Medicine and the Melvin and Bren Simon Cancer Center, Indianapolis, Indiana; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Muhammad Rizwan KhawajaDivision of Hematology/Oncology, Indiana University School of Medicine and the Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Susan M PerkinsDepartment of Biostatistics, Indiana University School of Medicine, Indianapolis, Indiana.
Lindsey ElmoreDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Christen L MumawDepartment of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana.
Christie OrschellDivision of Hematology/Oncology, Indiana University School of Medicine and the Melvin and Bren Simon Cancer Center, Indianapolis, Indiana.
Sophie PaczesnyDivision of Hematology/Oncology, Indiana University School of Medicine and the Melvin and Bren Simon Cancer Center, Indianapolis, Indiana; Department of Pediatrics, Indiana University School of Medicine, Indianapolis, Indiana. Electronic address: sophpacz@iu.edu.

Funding

Tumor Microenvironment and Metastasis ProgramP30CA082709 · NCI · INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS · PI Jun Wan · 1999 to 2026
$59.3M
Quality Assurance and Quality Control Project Management: Improving Submissions and Study Conduct in the Human Subjects Research Prior Approval ProcessUL1TR002529 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI MOE, SHARON M, WIEHE, SARAH ELIZABETH · 2018 to 2022
$27.2M
Indiana Clinical and Translational Sciences InstituteUL1TR001108 · NCATS · INDIANA UNIVERSITY INDIANAPOLIS · PI DENNE, SCOTT C., SHEKHAR, ANANTHA · 2013 to 2017
$23.3M
Translating Novel Drug-Targetable Biomarkers to Treat Graft versus Host DiseaseR01CA168814 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI PACZESNY, SOPHIE · 2013 to 2024
$3.0M
High Throughput Screening (HTS) to Discover Graft-Versus-Host Disease InhibitorsR01CA174667 · NCI · INDIANA UNIVERSITY INDIANAPOLIS · PI PACZESNY, SOPHIE, YANG, CHAO-YIE · 2013 to 2015
$975k
NCATS NIH HHS UL1 TR001108NCI NIH HHS P30 CA082709NCI NIH HHS R01 CA168814NCI NIH HHS R01 CA174667NCI NIH HHS R01CA174667
6 · The paper itself

Abstract

Five candidate plasma biomarkers (suppression of tumorogenesis 2 [ST2], regenerating islet-derived-3α [REG3α], elafin, tumor necrosis factor receptor 1 [TNFR1], and soluble IL-2 receptor-alpha [sIL2Rα]) were measured at specific time points after cyclophosphamide/fludarabine-based nonmyeloablative allotransplantation (NMAT) in patients who did or did not develop acute graft-versus-host disease (aGVHD). Plasma samples from 34 patients were analyzed at days +7, +14, +21, and +30. At a median follow-up of 358 days, 17 patients had experienced aGVHD with a median time to onset at day +36. Risk of aGVHD was associated with elevated plasma ST2 concentrations at day +7 (c-statistic = .72, P = .03), day +14 (c-statistic = .74, P = .02), and day +21 (c-statistic = .75, P = .02); elevated plasma REG3α concentrations at day +14 (c-statistic = .73, P = .03), day +21 (c-statistic = .76, P = .01), and day +30 (c-statistic = .73, P = .03); and elevated elafin at day +14 (c-statistic = .71, P = .04). Plasma concentrations of TNFR1 and sIL2Rα were not associated with aGVHD risk at any of the time points studied. This study identified ST2, REG3α, and elafin as prognostic biomarkers to evaluate risk of aGVHD after cyclophosphamide/fludarabine-based NMAT. These results need to be confirmed in an independent validation cohort.

Indexed as

Acute DiseaseBiomarkers, TumorCyclophosphamideDisease-Free SurvivalFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMalePrognosisRisk FactorsSurvival AnalysisTransplantation ConditioningVidarabineBiomarkers, TumorCyclophosphamidefludarabineVidarabineAcute graft-versus-host-diseaseBiomarkersNonmyeloablative allotransplantation

Identifiers

PMID25017764
PMCPMC4194218

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Registered trials

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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.