Evidence map›Paper›PMID 25196857›Full record

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

Treosulfan-based conditioning and hematopoietic cell transplantation for nonmalignant diseases: a prospective multicenter trial.

Lauri M Burroughs, Eneida R Nemecek, Troy R Torgerson, Barry E Storer, Julie-An Talano, Jennifer Domm, Roger H Giller, Akiko Shimamura, Colleen Delaney, Suzanne Skoda-Smith and 8 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report 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. It is linked to trial NCT03538899 (Phase I/II Safety and Efficacy Study of Gene Transfer for Artemis-Deficient Severe Combined Immunodeficiency), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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.

NCT03538899 phase1 / phase2recruitingnot on this mapstarted 2018, after this paper: background citation

Phase I/II Safety and Efficacy Study of Gene Transfer for Artemis-Deficient Severe Combined Immunodeficiency (ART-SCID) in Newly Diagnosed Patients Using Self-Inactivating Lentiviral Vector (AProArt) to Transduce Autologous CD34 Hematopoietic Cells

TypeinterventionalSponsorUniversity of California, San FranciscoRan2018 to 2038Enrolled24ConditionsSevere Combined ImmunodeficiencyArmsAProArt-CD34, CliniMACS® CD34 Reagent System cell sorter device, Busulfan
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 61 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Trial
  4. Allogeneic Hematopoietic Cell Transplantation Using Treosulfan-Based Conditioning for Treatment of Marrow Failure Disorders.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Trial
  5. Trial
  6. Article
  7. Article
  8. New age HCT conditioning regimens: what works and why?Hematology. American Society of Hematology. Education Program · 2025
    Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Treosulfan-based conditioning for inborn errors of immunity.Therapeutic advances in hematology · 2021
    Review
  15. Review
  16. Allogeneic hematopoietic stem cell transplantation in adults with primary immunodeficiency.Hematology. American Society of Hematology. Education Program · 2020
    Review
  17. Article
  18. Priorities for Improving Outcomes for Nonmalignant Blood Diseases: A Report from the Blood and Marrow Transplant Clinical Trials Network.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2020
    Article
  19. Review
  20. 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

18 authors at 7 institutions in 1 country.

Lauri M BurroughsFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington. Electronic address: lburroug@fhcrc.org.
Eneida R NemecekOregon Health & Science University, Portland, Oregon.
Troy R TorgersonUniversity of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Barry E StorerFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington.
Julie-An TalanoMedical College of Wisconsin, Milwaukee, Wisconsin.
Jennifer DommVanderbilt University, Nashville, Tennessee.
Roger H GillerChildren's Hospital Colorado, Aurora, Colorado.
Akiko ShimamuraFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Colleen DelaneyFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Suzanne Skoda-SmithUniversity of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Monica S ThakarMedical College of Wisconsin, Milwaukee, Wisconsin.
K Scott BakerFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
David J RawlingsUniversity of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Janet A EnglundUniversity of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Mary E D FlowersFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington.
H Joachim DeegFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington.
Rainer StorbFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington.
Ann E WoolfreyFred Hutchinson Cancer Research Center, Seattle, Washington; University of Washington School of Medicine, Seattle, Washington; Seattle Children's Hospital, Seattle, Washington.
Fred Hutch Cancer Center · USUniversity of Washington · USMedical College of Wisconsin · USChildren's Hospital Colorado · USOregon Health & Science University · USSeattle Children's Hospital · USVanderbilt University · US

Funding

Translational Bioimaging Core Shared ResourceP30CA015704 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI Marian Esvelt · 1985 to 2026
$296.4M
UNRELATED AND HLA-MISMATCHED RELATED DONOR TRANSPLANTSP01HL036444 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI KIEM, HANS-PETER · 1986 to 2010
$25.9M
Nonmyeloablative Allografting for Immunodeficiency & Other Nonmalignant DisordersK23HL085288 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI BURROUGHS, LAURI M. · 2007 to 2010
$546k
NCI NIH HHS P30 CA015704NHLBI NIH HHS K23 HL085288NHLBI NIH HHS P01 HL036444
6 · The paper itself

Abstract

Hematopoietic cell transplantation is an effective treatment for patients with nonmalignant diseases and for many is the only known cure. Conventional myeloablative regimens have been associated with unacceptably high early transplant-related mortality (TRM), particularly in patients with comorbid conditions. This prospective multicenter trial was designed to determine the safety and engraftment efficacy of treosulfan-based conditioning in patients with nonmalignant diseases. Thirty-one patients received HLA-matched related (n = 4) or unrelated (n = 27) grafts after conditioning with treosulfan (total dose, 42 g/m(2)), fludarabine (total dose, 150 mg/m(2)), ± thymoglobulin (6 mg/kg; n = 22). Graft-versus-host disease (GVHD) prophylaxis consisted of tacrolimus and methotrexate. All patients engrafted. Day-100 TRM was 0%. With a median follow-up of 2 years, the 2-year survival was 90%. Three patients died of GVHD, recurrent hemophagocytic lymphohistiocytosis, and a surgical complication, respectively. The cumulative incidences of grades II to IV and III to IV acute GVHD at day 100 and chronic GVHD at 2 years were 62%, 10%, and 21%, respectively. Patients who received thymoglobulin had a significantly lower incidence of grades III to IV acute GVHD (0% versus 33%; P = .005). These results indicate that the combination of treosulfan, fludarabine, and thymoglobulin is effective at establishing donor engraftment with low toxicity and improved survival in patients with nonmalignant diseases and support the need for future disease-specific clinical trials.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningUnrelated DonorsAdolescentAdultAnemia, AplasticAntilymphocyte SerumAntineoplastic Agents, AlkylatingBusulfanChildChild, PreschoolFanconi AnemiaFemaleGraft vs Host DiseaseHumansImmunosuppressive AgentsAntilymphocyte SerumAntineoplastic Agents, AlkylatingBusulfanfludarabineImmunosuppressive AgentsMethotrexateMyeloablative AgonistsTacrolimusthymoglobulintreosulfanVidarabineAllo-transplantationClinical results in inherited disordersConditioning regimenNonmalignant diseasesReduced-intensity conditioning

Identifiers

PMID25196857
PMCPMC4324724
OpenAlexW2153229010

What OpenQuestion holds

Textmetadata
LicenceTDM
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.