Evidence map›Paper›PMID 25730184›Full record

Trial reportBone marrow transplantation2015

Haploidentical BMT and post-transplant Cy for severe aplastic anemia: a multicenter retrospective study.

I Esteves, C Bonfim, R Pasquini, V Funke, N F Pereira, V Rocha, Y Novis, C Arrais, V Colturato, M P de Souza and 6 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 62 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
62citing papers in PubMed, 3 pooled it
12.0field-weighted citation impact, top 1% 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

62 citing papers in PubMed, 3 syntheses or guidelines pooled it, 147 citations in OpenAlex.

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  9. Future directions in transplantation for aplastic anemia.Hematology. American Society of Hematology. Education Program · 2025
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  11. Towards graft-Haematologica · 2025
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2 more citing papers are in PubMed but not listed here.

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 at 4 institutions in 1 country.

I EstevesCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
C BonfimHospital das Clínicas do Parana, Curitiba, Brazil.
R PasquiniHospital das Clínicas do Parana, Curitiba, Brazil.
V FunkeHospital das Clínicas do Parana, Curitiba, Brazil.
N F PereiraHospital das Clínicas do Parana, Curitiba, Brazil.
V RochaHospital Sírio Libanês, São Paulo, Brazil.
Y NovisHospital Sírio Libanês, São Paulo, Brazil.
C ArraisHospital Sírio Libanês, São Paulo, Brazil.
V ColturatoHospital Amaral Carvalho, Jau, Brazil.
M P de SouzaHospital Amaral Carvalho, Jau, Brazil.
M TorresCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
J F FernandesCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
F R KerbauyCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
A A F RibeiroCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
F P S SantosCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
N HamerschlakCentro de Oncologia e Hematologia Familia Dayan-Daycoval, Hospital Israelita Albert Einstein, São Paulo, Brazil.
Hospital Israelita Albert Einstein · BRHospital de Clínicas Universidade Federal do Paraná · BRHospital Sírio-Libanês · BRHospital Amaral Carvalho · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with refractory severe aplastic anemia (SAA) who lack a matched sibling or unrelated donor need new therapeutic approaches. Hematopoietic SCT (HSCT) using mismatched or haploidentical related donors has been used in the past, but was associated with a significant risk of GVHD and mortality. Recently, the use of post-transplant cyclophosphamide (Cy) has been shown to be an effective strategy to prevent GVHD in recipients of haploidentical HSCT, but the majority of reports have focused on patients with hematology malignancies. We describe the outcome of 16 patients who underwent haploidentical transplantation using a reduced-intensity conditioning regimen with post-transplant Cy. Stem cell sources were BM (N=13) or PBSCs (N=3). The rate of neutrophil engraftment was 94% and of platelet engraftment was 75%. Two patients had secondary graft failure and were successfully salvaged with another transplant. Three patients developed acute GVHD being grades 2-4 in two. Five patients have died and the 1-year OS was 67.1% (95% confidence interval: 36.5-86.4%). In our small series, the use of a reduced-intensity conditioning with post-transplant Cy in haploidentical BMT was associated with high rates of engraftment and low risk of GVHD in patients with relapsed/refractory SAA.

Indexed as

Bone Marrow TransplantationTransplantation ConditioningAcute DiseaseAdolescentAdultAnemia, AplasticChildChild, PreschoolCyclophosphamideFemaleGraft vs Host DiseaseHumansImmunosuppressive AgentsMaleMiddle AgedRetrospective StudiesCyclophosphamideImmunosuppressive Agents

Identifiers

PMID25730184
OpenAlexW2055865422

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.