Evidence map›Paper›PMID 25243624›Full record

Trial reportBone marrow transplantation2015

Equivalent outcomes using reduced intensity or conventional myeloablative conditioning transplantation for patients aged 35 years and over with AML.

M Sébert, R Porcher, M Robin, L Adès, N Boissel, E Raffoux, A Xhaard, N Dhedin, J Larghero, C Himberlin and 5 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

13 citing papers in PubMed.

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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

15 authors.

M Sébert1] Service d'Hématologie Sénior, Hôpital Saint Louis, Paris, France [2] Service d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.
R PorcherDépartement de Biostatistiques et d'Informatique Médicale, Hôpital Saint Louis, Paris, France.
M RobinService d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.
L Adès1] Service d'Hématologie Sénior, Hôpital Saint Louis, Paris, France [2] Service d'Hématologie Clinique, Hôpital Avicenne, Bobigny, France.
N BoisselService d'Hématologie Clinique, Hôpital Saint Louis, Paris, France.
E RaffouxService d'Hématologie Clinique, Hôpital Saint Louis, Paris, France.
A XhaardService d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.
N DhedinService d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.
J Larghero1] AP-HP, Hôpital Saintl-Louis, Unité de Thérapie Cellulaire et CIC de biothérapies, Paris, France [2] Université Paris Diderot, Paris, France.
C HimberlinService d'Hématologie Clinique, Reims, France.
A DelmerService d'Hématologie Clinique, Reims, France.
P Fenaux1] Service d'Hématologie Sénior, Hôpital Saint Louis, Paris, France [2] Service d'Hématologie Clinique, Hôpital Avicenne, Bobigny, France.
H DombretService d'Hématologie Clinique, Hôpital Saint Louis, Paris, France.
G SociéService d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.
R P de LatourService d'Hématologie Greffe, Hôpital Saint Louis, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation provides the best chance of long-term survival for patients with AML, but is associated with an unpredictable risk of treatment-related mortality. From January 2000 to December 2010, we compared the outcomes for patients with AML aged 35 and over using reduced-intensity conditioning (RIC, N=60) or conventional myeloablative conditioning (MAC) regimen (N=72) transplantation. The median follow-up was 47 months (10-134). The 4-year cumulative incidence of non-relapse mortality was 21%. After adjusting for cytogenetic risk, gender donor/recipient mismatch and CD34+ cells, non-relapse mortality was significantly lower with the RIC regimen (P=0.027). The 4-year cumulative incidence of relapse was 38% and no difference was observed in the adjusted relapse rate between the two groups. The 4-year OS rate was 46%. Using both Cox regression and inverse probability-of-treatment weighted (IPTW) method, a similar OS rate was found with both regimens (adjusted hazard ratios for conventional vs reduced of 1.14 (95% CI 0.67-1.93, P=0.64) with Cox regression, and 1.14 (95% CI 0.55-2.34, P=0.73) with IPTW). Until prospective trials are completed, this study supports the use of a reduced-intensity regimen prior to transplantation for patients with AML aged 35 and over.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningAdultAgedAge FactorsAllograftsDisease-Free SurvivalFollow-Up StudiesHumansLeukemia, Myeloid, AcuteMaleMiddle AgedSex FactorsSurvival Rate

Identifiers

PMID25243624

What OpenQuestion holds

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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.