Evidence map›Paper›PMID 25817915›Full record

ArticleBritish journal of haematology2015

Haematopoietic stem cell transplantation for refractory Langerhans cell histiocytosis: outcome by intensity of conditioning.

Paul A Veys, Vasanta Nanduri, K Scott Baker, Wensheng He, Giuseppe Bandini, Andrea Biondi, Arnaud Dalissier, Jeffrey H Davis, Gretchen M Eames, R Maarten Egeler and 15 more

Open access · greenAbstract read
In one paragraph

Article in British journal of haematology, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
3.4field-weighted citation impact, top 8% 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

29 citing papers in PubMed, 77 citations in OpenAlex.

  1. Review
  2. Origin, diagnosis and treatment of periocular Histiocytic disorders- state-of-the-art review.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026
    Review
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
  11. Langerhans cell histiocytosis: promises and caveats of targeted therapies in high-risk and CNS disease.Hematology. American Society of Hematology. Education Program · 2023
    Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Case Report: Opposite Effects ofFrontiers in oncology · 2021
    Article
  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

25 authors at 20 institutions in 9 countries.

Paul A VeysGreat Ormond Street Hospital for Children NHS Trust, London, UK.
Vasanta NanduriWatford General Hospital, Watford, UK.
K Scott BakerFred Hutchinson Cancer Research Center, Seattle, WA, USA.
Wensheng HeCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Giuseppe BandiniInstitute of Haematology, St. Orsola University Hospital, Azienda Ospedaliero-Universitaria di Bologna, Bologna, Italy.
Andrea BiondiOspedale San Gerardo, Monza, Italy.
Arnaud DalissierEBMT Paediatric Disease Working Party, Paris, France.
Jeffrey H DavisBritish Columbia's Children's Hospital, Vancouver, BC, Canada.
Gretchen M EamesCook Children's Medical Center, Fort Worth, TX, USA.
R Maarten EgelerThe Hospital for Sick Children, Toronto, ON, Canada.
Alexandra H FilipovichCincinnati Children's Hospital Medical Center, Cincinnati, OH, USA.
Alain FischerHôpital Necker-Enfants malades, Paris, France.
Herbert JürgensKlinik/Poliklinik für Kinderheilkunde, Münster, Germany.
Robert KranceSection of Hematology-Oncology, Department of Pediatrics, Baylor College of Medicine and the Center for Cell and Gene Therapy, Houston, TX, USA.
Edoardo LaninoInstitute G. Gaslini, Genova, Italy.
Wing H LeungSt. Jude Children's Research Hospital, Memphis, TN, USA.
Susanne MatthesSt. Anna Kinderspital, Vienna, Austria.
Gérard MichelHôpital d'Enfants de la Timone, Marseille, France.
Paul J OrchardDepartment of Pediatrics, University of Minnesota Medical Center, Minneapolis, MN, USA.
Anna PieczonkaDepartment of Paediatric Oncology, Haematology & HSCT, Poznań, Poland.
Olle RingdénDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Paul G SchlegelDepartment of Paediatric Haematology, Oncology, Paediatric Stem Cell Transplantation Program, University Children's Hospital Wuerzburg, Wuerzburg, Germany.
Anne SirventHôpital Arnaud de Villeneuve, CHRU Montpellier, Montpellier, France.
Kim VettenrantaUniversity of Helsinki, Helsinki, Finland.
Mary EapenCIBMTR® (Center for International Blood and Marrow Transplant Research), Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.
Medical College of Wisconsin · USAzienda Ospedaliera San Gerardo · ITBaylor College of Medicine · USBritish Columbia Children's Hospital · CACincinnati Children's Hospital Medical Center · USCook Children's Medical Center · USEuropean Society for Blood and Marrow Transplantation · FRFred Hutch Cancer Center · USGreat Ormond Street Hospital · GBHôpital Arnaud de Villeneuve · FRHôpital d'Enfants · FRHôpital Necker-Enfants Malades · FRHospital for Sick Children · CAIstituto Giannina Gaslini · ITKarolinska Institutet · SEPoliclinico S.Orsola-Malpighi · ITSt Anna Children's Hospital · ATSt. Jude Children's Research Hospital · USUniversitätsklinikum Würzburg · DEUniversity of Helsinki · FI

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA076518
6 · The paper itself

Abstract

Patients with Langerhans cell histiocytosis (LCH) refractory to conventional chemotherapy have a poor outcome. There are currently two promising treatment strategies for high-risk patients: the first involves the combination of 2-chlorodeoxyadenosine and cytarabine; the other approach is allogeneic haematopoietic stem cell transplantation (HSCT). Here we evaluated 87 patients with high-risk LCH who were transplanted between 1990 and 2013. Prior to the year 2000, most patients underwent HSCT following myeloablative conditioning (MAC): only 5 of 20 patients (25%) survived with a high rate (55%) of transplant-related mortality (TRM). After the year 2000 an increasing number of patients underwent HSCT with reduced intensity conditioning (RIC): 49/67 (73%) patients survived, however, the improved survival was not overtly achieved by the introduction of RIC regimens with similar 3-year probability of survival after MAC (77%) and RIC transplantation (71%). There was no significant difference in TRM by conditioning regimen intensity but relapse rates were higher after RIC compared to MAC regimens (28% vs. 8%, P = 0·02), although most patients relapsing after RIC transplantation could be salvaged with further chemotherapy. HSCT may be a curative approach in 3 out of 4 patients with high risk LCH refractory to chemotherapy: the optimal choice of HSCT conditioning remains uncertain.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningAdolescentAdultChildChild, PreschoolFemaleGraft vs Host DiseaseHistiocytosis, Langerhans-CellHumansInfantMaleRetrospective StudiesTransplantation, HomologousTreatment OutcomeYoung Adultallogeneic transplantationconditioning regimen intensityLangerhans cell histiocytosissurvivaltreatment failure

Identifiers

PMID25817915
PMCPMC4433436
OpenAlexW1992672718

What OpenQuestion holds

Textmetadata
LicenceTDM
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.