Evidence map›Paper›PMID 25170121›Full record

Trial reportBlood2014

Phase 3 clinical trial of steroids/mycophenolate mofetil vs steroids/placebo as therapy for acute GVHD: BMT CTN 0802.

Javier Bolaños-Meade, Brent R Logan, Amin M Alousi, Joseph H Antin, Kate Barowski, Shelly L Carter, Steven C Goldstein, Elizabeth O Hexner, Mary M Horowitz, Stephanie J Lee and 9 more

Registry-linked trialOpen access · bronzeAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled 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. It is linked to trial NCT01002742 (A Multi-Center, Randomized, Double Blind, Phase III Trial Evaluating Corticosteroids With Mycophenolate Mofetil vs. Corticosteroids With Placebo as Initial Systemic Treatment of Acute Graft-Vs-Host-Disease), which is not on this map. Cited by 60 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 1 pooled it
7.2field-weighted citation impact, top 2% 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.

NCT01002742 phase3completednot on this map

A Multi-Center, Randomized, Double Blind, Phase III Trial Evaluating Corticosteroids With Mycophenolate Mofetil vs. Corticosteroids With Placebo as Initial Systemic Treatment of Acute Graft-Vs-Host-Disease (BMT CTN #0802)

TypeinterventionalSponsorMedical College of WisconsinRan2010 to 2013Enrolled236ConditionsGraft-versus-Host Disease, Immune System DisordersArmsMycophenolate Mofetil, Placebo
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 1 synthesis or guideline pooled it, 114 citations in OpenAlex.

  1. Steroids Versus Steroids Plus Additional Agent in Frontline Treatment of Acute Graft-versus-Host Disease: A Systematic Review and Meta-Analysis of Randomized Trials.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
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  8. Analysis of the Whole CDR3 T Cell Receptor Repertoire after Hematopoietic Stem Cell Transplantation in 2 Clinical Cohorts.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

19 authors at 11 institutions in 1 country.

Javier Bolaños-MeadeBone Marrow Transplant Program, The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins, Baltimore, MD; Department of Medical Oncology, Johns Hopkins University School of Medicine, Baltimore, MD;
Brent R LoganDivision of Biostatistics, Medical College of Wisconsin, Milwaukee, WI;
Amin M AlousiDepartment of Stem Cell Transplant and Cellular Therapies, MD Anderson Cancer Center, Houston, TX;
Joseph H AntinDana-Farber Cancer Institute, Department of Medical Oncology, Boston, MA;
Kate BarowskiThe Emmes Corporation, Rockville, MD;
Shelly L CarterThe Emmes Corporation, Rockville, MD;
Steven C GoldsteinBlood and Marrow Transplant Program, University of Michigan, Ann Arbor, MI;
Elizabeth O HexnerDepartment of Medicine, Abramson Cancer Center of the University of Pennsylvania, Philadelphia, PA;
Mary M HorowitzDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI;
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; Department Medicine, University of Washington School of Medicine, Seattle, WA;
John E LevineBlood and Marrow Transplant Program, University of Michigan, Ann Arbor, MI;
Margaret L MacMillanBlood and Marrow Transplant Program, Department of Pediatrics, University of Minnesota, Minneapolis, MN;
Paul J MartinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, WA; Department Medicine, University of Washington School of Medicine, Seattle, WA;
Adam M MendizabalThe Emmes Corporation, Rockville, MD;
Ryotaro NakamuraDepartment of Hematology/Hematopoietic Cell Transplantation, City of Hope National Medical Center, Duarte, CA;
Marcelo C PasquiniDepartment of Medicine, Medical College of Wisconsin, Milwaukee, WI;
Daniel J WeisdorfBlood and Marrow Transplant Program, Department of Medicine, University of Minnesota, Minneapolis, MN; and.
Peter WesterveltDepartment of Medicine, Washington University School of Medicine, St. Louis, MO.
Vincent T HoDana-Farber Cancer Institute, Department of Medical Oncology, Boston, MA;
Emmes (United States) · USMedical College of Wisconsin · USDana-Farber Cancer Institute · USFred Hutch Cancer Center · USUniversity of Michigan–Ann Arbor · USUniversity of Minnesota · USCity Of Hope National Medical Center · USJohns Hopkins Medicine · USThe University of Texas MD Anderson Cancer Center · USUniversity of Pennsylvania · USWashington University in St. Louis · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
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
City of Hope Core Clinical Center for the Blood and Marrow Transplant Clinical Trials NetworkUG1HL069278 · NHLBI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI RYOTARO NAKAMURA · 2017 to 2026
$2.2M
BMT CTN Core- University of Pennsylvania Abramson Cancer CenterUG1HL069286 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI Edward A Stadtmauer · 2017 to 2026
$2.0M
Blood & Marrow Clinical Trials Network - Hutchinson Center Core Clinical SitU10HL069246 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI APPELBAUM, FREDERICK · 2011 to 2016
$1.1M
A Randomized Trial of Tac/MTX/bortezomib vs Tac/MTXplacebo in Allogeneic HSCTU10HL069249 · NHLBI · DANA-FARBER CANCER INST · PI ANTIN, JOSEPH H · 2011 to 2016
$1.1M
Blood and Marrow Transplant Clinical Research NetworkU10HL069278 · NHLBI · BECKMAN RESEARCH INSTITUTE/CITY OF HOPE · PI NAKAMURA, RYOTARO · 2011 to 2016
$1.0M
Bone Marrow Transplant Clinical NetworkU10HL069286 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI STADTMAUER, EDWARD A · 2011 to 2016
$986k
Improving the Outcomes of Stem Cell TransplantationU10HL069334 · NHLBI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ALOUSI, AMIN MAJID · 2011 to 2016
$974k
University of Michigan Core Clinical Center for BMT Research NetworkU10HL069330 · NHLBI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI YANIK, GREGORY A · 2011 to 2016
$959k
Sargrastim and Plerixafor vs. Filgrastim for Allogeneic Stem Cell MobilizationU10HL109137 · NHLBI · WASHINGTON UNIVERSITY · PI WESTERVELT, PETER · 2011 to 2016
$937k
NCI NIH HHS P30 CA016672NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069246NHLBI NIH HHS U10 HL069249NHLBI NIH HHS U10 HL069278NHLBI NIH HHS U10 HL069286NHLBI NIH HHS U10 HL069290NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U10HL069294NHLBI NIH HHS U10 HL069310NHLBI NIH HHS U10 HL069330NHLBI NIH HHS U10 HL069334NHLBI NIH HHS U10 HL109137NHLBI NIH HHS U10 HL109526NHLBI NIH HHS UG1 HL069278NHLBI NIH HHS UG1 HL069286
6 · The paper itself

Abstract

Corticosteroids are the accepted primary therapy for acute graft-versus-host disease (GVHD), but durable responses are seen in only about half of the patients. Blood and Marrow Transplant Clinical Trials Network (BMT CTN) 0802, a phase 3 multicenter randomized double-blinded trial, was designed to test whether mycophenolate mofetil (MMF) plus corticosteroids was superior to corticosteroids alone as initial therapy for acute GVHD. Patients with newly diagnosed acute GVHD were eligible if they required systemic therapy. Patients were randomized to receive prednisone with either MMF or placebo. The primary end point was acute or chronic GVHD-free survival at day 56 after initiation of therapy. A futility rule for GVHD-free survival at day 56 was met at a planned interim analysis after 235 patients (of 372) were enrolled: 116 MMF, 119 placebo. Baseline characteristics were well balanced between treatment groups including grade and organ distribution of GVHD. GVHD-free survival at day 56, cumulative incidence of chronic GVHD at 12 months, overall survival, Epstein-Barr virus reactivation, severe, life-threatening infections, relapse at 12 months, and quality of life were similar. The addition of MMF to corticosteroids as initial therapy for acute GVHD does not improve GVHD-free survival compared with corticosteroids alone. This trial was registered at www.clinicaltrials.gov as #NCT01002742.

Indexed as

Acute DiseaseAdolescentAdrenal Cortex HormonesAdultAgedBone Marrow TransplantationChildFemaleGraft RejectionGraft vs Host DiseaseHumansImmunosuppressive AgentsMaleMiddle AgedMycophenolic AcidPlacebosAdrenal Cortex HormonesImmunosuppressive AgentsMycophenolic AcidPlacebosPrednisone

Identifiers

PMID25170121
PMCPMC4239331
OpenAlexW2037163385

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.