Evidence map›Paper›PMID 26250581›Full record

Trial reportHaematologica2015

Risks and benefits of sex-mismatched hematopoietic cell transplantation differ according to conditioning strategy.

Hideki Nakasone, Mats Remberger, Lu Tian, Petter Brodin, Bita Sahaf, Fang Wu, Jonas Mattsson, Robert Lowsky, Robert Negrin, David B Miklos and 1 more

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Haematologica, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06840756 (Effects of Donor-recipient Sex-matched Versus Sex-mismatched Red Blood Cell Transfusion on Outcomes in Critically Ill Adult Patients), which is not on this map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
2.1field-weighted citation impact, top 12% 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.

NCT06840756 phase4recruitingnot on this mapstarted 2025, after this paper: background citation

Effects of Donor-recipient Sex-matched Versus Sex-mismatched Red Blood Cell Transfusion on Outcomes in Critically Ill Adult Patients

TypeinterventionalSponsorMichelle ZellerRan2025 to 2029Enrolled11,082ConditionsRed Blood Cell Transfusions, Sex Differences, Health Services, Critically Ill Intensive Care Unit PatientsArmsSex-mismatched red blood cell transfusions, Sex-matched red blood cell transfusions
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 58 citations in OpenAlex.

  1. Trial
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  10. Review
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  12. Donor Characteristics Predict the Success of Allogeneic Hematopoietic Stem Cell Transplantation in Thalassemia Major: A Single-Center Analysis of 250 Patients.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2022
    Article
  13. Article
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  15. Review
  16. RecipientInternational journal of molecular sciences · 2019
    Article
  17. Development of an Unrelated Donor Selection Score Predictive of Survival after HCT: Donor Age Matters Most.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  18. Article
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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

11 authors at 3 institutions in 3 countries.

Hideki NakasoneDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA Division of Hematology, Saitama Medical Center, Jichi Medical University, Saitama, Japan.
Mats RembergerCenter for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Lu TianDepartment of Health Research and Policy, Stanford University School of Medicine, CA, USA.
Petter BrodinCenter for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden Science for Life Laboratory, Department of Medicine, Karolinska Institutet, Stockholm, Sweden.
Bita SahafDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA.
Fang WuDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA.
Jonas MattssonCenter for Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Karolinska Institutet, Stockholm, Sweden.
Robert LowskyDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA.
Robert NegrinDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA.
David B MiklosDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA.
Everett MeyerDivision of Blood and Marrow Transplantation, Stanford University School of Medicine, Stanford, CA, USA evmeyer@stanford.edu.
Stanford University · USKarolinska Institutet · SEKarolinska University Hospital · SE

Funding

TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Translational Oncology Research Program (Project-005)P30CA124435 · NCI · STANFORD UNIVERSITY · PI Melinda L. Telli · 2007 to 2026
$71.4M
T-cell monitoring and immunotherapy for treating graft-versus-host diseaseK08HL119590 · NHLBI · STANFORD UNIVERSITY · PI MEYER, EVERETT · 2014 to 2018
$767k
NCI NIH HHS 1P030CA124435-01NCI NIH HHS P01 CA049605NCI NIH HHS P30 CA124435NHLBI NIH HHS 1K08HL119590-01A1NHLBI NIH HHS K08 HL119590
6 · The paper itself

Abstract

Sex-mismatched hematopoietic cell transplantation is linked to increased graft-versus-host disease and mortality in myeloablative conditioning. Here we evaluated outcomes of 1,041 adult transplant recipients at two centers between 2006 and 2013 and investigated how the effect of sex-mismatching differed in myeloablative, reduced-intensity, and non-myeloablative total lymphoid irradiation with anti-thymocyte globulin conditioning. Among patients who underwent myeloablative conditioning, male recipients with female donors had increased chronic graft-versus-host disease (hazard ratio 1.83, P<0.01), increased non-relapse mortality (hazard ratio 1.84, P=0.022) and inferior overall survival (hazard ratio 1.59, P=0.018). In contrast, among patients who received reduced-intensity conditioning, male recipients with female donors had increased acute graft-versus-host disease (hazard ratio 1.96, P<0.01) but no difference in non-relapse mortality or overall survival. Among the patients who underwent total lymphoid irradiation with anti-thymocyte globulin, male recipients with female donors showed no increase in graft-versus-host disease or non-relapse mortality. Notably, only in the cohort receiving total lymphoid irradiation with anti-thymocyte globulin were male recipients with female donors significantly associated with reduced relapse (hazard ratio 0.64, P<0.01), and allo-antibody responses against H-Y antigens were predictive of reduced relapse. In the cohort given total lymphoid irradiation with anti-thymocyte globulin, the graft-versus-leukemia effect resulted in superior overall survival in recipients of sex-mismatched grafts (HR 0.69, P=0.037). In addition, only in the cohort treated with total lymphoid irradiation with anti-thymocyte globulin were female recipients with male donors associated with reduced relapse (hazard ratio 0.59, P<0.01) and superior survival (hazard ratio 0.61, P=0.014) compared with sex-matched pairs. We conclude that the risks and benefits of sex-mismatched transplants appear to differ according to conditioning strategy and this could affect donor selection.

Indexed as

Peripheral Blood Stem Cell TransplantationTransplantation ConditioningUnrelated DonorsAdultDisease-Free SurvivalFemaleGraft vs Host DiseaseHematologic NeoplasmsHumansMaleSex FactorsSurvival Rate

Identifiers

PMID26250581
PMCPMC4825314
OpenAlexW2178512140

What OpenQuestion holds

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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.