Evidence map›Paper›PMID 25310304›Full record

ArticleBone marrow transplantation2015

DLI after haploidentical BMT with post-transplant CY.

A Ghiso, A M Raiola, F Gualandi, A Dominietto, R Varaldo, M T Van Lint, S Bregante, C Di Grazia, T Lamparelli, F Galaverna and 6 more

Registry-linked trialAbstract read
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In one paragraph

Article in Bone marrow transplantation, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03821519 (Phase I/II Trial of Donor Derived Cytokine Induced Killer), which is not on this map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing 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.

NCT03821519 phase1 / phase2unknown statusnot on this mapstarted 2019, after this paper: background citation

Phase I/II Trial of Donor Derived Cytokine Induced Killer (CIK) Cells Infusion for Relapsed Hematologic Malignancy After Haploidentical Stem Cell Transplantation

TypeinterventionalSponsorA.O. Ospedale Papa Giovanni XXIIIRan2019 to 2023Enrolled20ConditionsRelapsed Hematologic MalignancyArmsdonor-derived CIK cells
3 · Its place in the literature

Who cites it

36 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

16 authors.

A GhisoDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
A M RaiolaDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
F GualandiDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
A DominiettoDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
R VaraldoDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
M T Van LintDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
S BreganteDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
C Di GraziaDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
T LamparelliDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
F GalavernaDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
A StasiaDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
S LuchettiDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
S GeroldiDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.
R GrassoClinica Ematologica, IRCSS San Martino, Genova, Italy.
N ColomboClinica Ematologica, IRCSS San Martino, Genova, Italy.
A BacigalupoDivisione Ematologia e Trapianto di Midollo, IRCCS San Martino, Genova, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forty-two patients relapsing after an unmanipulated haploidentical BM transplant and post-transplant CY (PT-CY), were given 108 DLI, with median interval from transplant of 266 days (range, 67-1372). DLI were given at escalating doses, expressed as CD3+ cells/kg, without GVHD prophylaxis, and ranged from 1 × 10(3) to 1 × 10(7) cells/kg (median 5 × 10(5) cells/kg). The average number of DLI per patient was 2.6 (range, 1-6). The diagnosis was leukemias (n=32) grafted with a myeloablative regimen and Hodgkin's disease (n=10), grafted with a nonmyeloablative regimen. Leukemic patients with molecular relapse (n=20), received DLI alone (n=17) or in association with azacytidine (n=3); leukemic patients with hematologic relapse (n=12) received chemotherapy followed by DLI (n=11) or DLI alone (n=1); Hodgkin patients received DLI following 1-3 courses of chemotherapy. In these three groups the incidence of acute GVHD II-III was 15%, 17% and 10%; response rate was 45%, 33% and 70%; 2-year actuarial survival was 43%, 19% and 80% respectively. This study confirms that escalating doses of DLI can be given in the haploidentical setting with PT-CY, with a relatively low risk of acute GVHD. Response rates and survival are dependent on the underlying disease.

Indexed as

Bone Marrow TransplantationHodgkin DiseaseLeukemiaLymphocyte TransfusionAdolescentAdultAgedAllograftsAntimetabolites, AntineoplasticAzacitidineDisease-Free SurvivalGraft vs Host DiseaseHumansLiving DonorsMiddle AgedRecurrenceAntimetabolites, AntineoplasticAzacitidine

Identifiers

PMID25310304

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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.