Evidence map›Paper›PMID 25330221›Full record

Trial reportBone marrow transplantation2015

Impact of rabbit ATG-containing myeloablative conditioning regimens on the outcome of patients undergoing unrelated single-unit cord blood transplantation for hematological malignancies.

L Pascal, M Mohty, A Ruggeri, L Tucunduva, N Milpied, P Chevallier, R Tabrizi, M Labalette, E Gluckman, M Labopin and 1 more

Abstract readClinical TrialMulticenter Study
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 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.7field-weighted citation impact, top 6% 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.

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

26 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Clinical Advancement and Challenges ofClinical hematology international · 2020
    Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Optimal Practices in Unrelated Donor Cord Blood Transplantation for Hematologic Malignancies.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Review
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

11 authors at 8 institutions in 1 country.

L Pascal1] Onco-hématologie, Université Catholique de Lille, Lille, France [2] EA2686, Laboratoire d'Immunologie HLA, CHRU de Lille, Lille, France.
M Mohty1] Service d'Hématologie Clinique et de Thérapie Cellulaire, Hôpital Saint Antoine, APHP, Paris, France [2] Université Pierre et Marie Curie, Paris, France [3] INSERM, UMRs 938, Paris, France [4] Centre Hospitalier et Universitaire de Nantes, Hématologie Clinique, Nantes, France.
A RuggeriEurocord, Hôpital Saint Louis APHP, Université Paris-Diderot, Paris, France.
L TucunduvaEurocord, Hôpital Saint Louis APHP, Université Paris-Diderot, Paris, France.
N MilpiedHôpital Haut-Lévèque, Avenue de Magellan, Pessac, France.
P ChevallierCentre Hospitalier et Universitaire de Nantes, Hématologie Clinique, Nantes, France.
R TabriziHôpital Haut-Lévèque, Avenue de Magellan, Pessac, France.
M LabaletteEA2686, Laboratoire d'Immunologie HLA, CHRU de Lille, Lille, France.
E GluckmanEurocord, Hôpital Saint Louis APHP, Université Paris-Diderot, Paris, France.
M LabopinCentre International greffes and Acute Leukemia Working Party (ALWP), EBMT Paris Office, Hôpital Saint Antoine, Paris, France.
I Yakoub-Agha1] EA2686, Laboratoire d'Immunologie HLA, CHRU de Lille, Lille, France [2] UAM Allogreffe de CSH, Centre Hospitalier et Universitaire de Lille, Lille, France.
Centre Hospitalier Universitaire de Lille · FRHôpital Cardiologique du Haut-Lévêque · FRHôpital Saint-Louis · FRAssistance Publique – Hôpitaux de Paris · FRCentre Hospitalier Universitaire de Nantes · FRHôpital Saint-Antoine · FRSorbonne Université · FRUniversité Catholique de Lille · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aimed to assess the impact of antithymocyte globulin (ATG) on patient outcome in a retrospective series of 91 patients (median age: 12 years) who underwent unrelated single-unit cord blood transplantation (allo-CBT) following a myeloablative conditioning regimen. Cord blood units were HLA-matched (6/6, n=18; 21%), one-Ag mismatched (n=30, 35%) or two-Ag mismatched (n=38; 44%). In this series, the OS, nonrelapse mortality (NRM) and cumulative incidence of relapse were 47±6%, 23±4% and 48±5%, respectively. Among 46 patients who received ATG as part of the conditioning regimen, the incidence of acute and chronic GVHD was lower than that in the group of 45 patients who did not receive ATG (20% vs 43%; P=0.03). However, multivariate statistical analysis revealed that the ATG use was associated with decreased OS and EFS rates and a high incidence of NRM (hazard ratio (HR)=1.99, 95% confidence interval (CI): 1.11-3.59, P=0.02), (HR=1.83, 95% CI: 1.08-3.10, P=0.02) and (HR=2.54, 95% CI: 1.03-6.26, P=0.04), respectively. Therefore, our results do not support the use of ATG as part of a myeloablative-conditioning regimen before single-unit allo-CBT in younger patients with hematological malignancies.

Indexed as

Cord Blood Stem Cell TransplantationTransplantation ConditioningAdolescentAdultAge FactorsAllograftsAnimalsAntilymphocyte SerumChildChild, PreschoolDisease-Free SurvivalFemaleHematologic NeoplasmsHumansImmunosuppressive AgentsInfantAntilymphocyte SerumImmunosuppressive Agents

Identifiers

PMID25330221
OpenAlexW1992581699

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.