Evidence map›Paper›PMID 26253007›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2015

Reduced-Intensity Allografting as First Transplantation Approach in Relapsed/Refractory Grades One and Two Follicular Lymphoma Provides Improved Outcomes in Long-Term Survivors.

Evgeny Klyuchnikov, Ulrike Bacher, Nicolaus M Kröger, Parameswaran N Hari, Kwang Woo Ahn, Jeanette Carreras, Veronika Bachanova, Asad Bashey, Jonathon B Cohen, Anita D'Souza and 21 more

Open access · hybridAbstract readMulticenter Study
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and 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, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Advancements in the Management of Follicular Lymphoma: A Comprehensive ReviewTurkish journal of haematology : official journal of Turkish Society of Haematology · 2024
    Review
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Where does transplant fit in the age of targeted therapies?Hematology. American Society of Hematology. Education Program · 2019
    Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Impact of HLA Alleles on Outcomes of Allogeneic Transplantation for B Cell Non-Hodgkin Lymphomas: A Center for International Blood and Marrow Transplant Research Analysis.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  18. Fludarabine and Busulfan versus Fludarabine, Cyclophosphamide, and Rituximab as Reduced-Intensity Conditioning for Allogeneic Transplantation in Follicular Lymphoma.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Article
  19. Article
  20. 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

31 authors at 20 institutions in 8 countries.

Evgeny KlyuchnikovDepartment for Stem Cell Transplantation, University Cancer Center Hamburg, Hamburg, Germany.
Ulrike BacherDepartment for Hematology and Internal Oncology, Georg August University Göttingen, Göttingen, Germany.
Nicolaus M KrögerDepartment for Stem Cell Transplantation, University Cancer Center Hamburg, Hamburg, Germany.
Parameswaran N HariCenter for International Blood and Marrow Transplant Research (CIBMTR), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Kwang Woo AhnCenter for International Blood and Marrow Transplant Research (CIBMTR), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Jeanette CarrerasCenter for International Blood and Marrow Transplant Research (CIBMTR), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Veronika BachanovaBone and Marrow Transplant Program, University of Minnesota Medical Center, Minneapolis, Minnesota.
Asad BasheyBlood and Marrow Transplant Program at Northside Hospital, Atlanta, Georgia.
Jonathon B CohenDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University School of Medicine, Atlanta, Georgia.
Anita D'SouzaCenter for International Blood and Marrow Transplant Research (CIBMTR), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
César O FreytesSouth Texas Veterans Health Care System and University of Texas Science Center San Antonio, San Antonio, San Antonio, Texas.
Robert Peter GaleHematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, United Kingdom.
Siddhartha GangulyBlood and Marrow Transplantation, Division of Hematology and Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Mark S HertzbergDepartment of Haematology, Prince of Wales Hospital, Randwick NSW, Australia.
Leona A HolmbergClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Mohamed A Kharfan-DabajaDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Andreas KleinDivison of Hematology/Oncology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
Grace H KuDivision of Blood and Marrow Transplantation, Department of Medicine, University of California, San Diego, San Diego, California.
Ginna G LaportDivision of Bone Marrow Transplantation, Stanford Hospital and Clinics, Stanford, California.
Hillard M LazarusSeidman Cancer Center, University Hospitals Case Medical Center, Cleveland, Ohio.
Alan M MillerDepartment of Oncology, Baylor University Medical Center, Dallas, Texas.
Alberto MussettiS.C. Ematologia e Trapianto Midollo Osseo, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy; Università degli Studi di Milano, Milan, Italy.
Richard F OlssonDivision of Therapeutic Immunology, Department of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden; Centre for Clinical Research Sörmland, Uppsala University, Uppsala, Sweden.
Shimon SlavinThe International Center for Cell Therapy and Cancer Immunotherapy, Tel Aviv, Israel.
Saad Z UsmaniDepartment of Hematology, Medical Oncology, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, North Carolina.
Ravi VijDivision of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri.
William A WoodDivision of Hematology/Oncology, Department of Medicine, University of North Carolina, Chapel Hill, North Carolina.
David G MaloneyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Anna M SuredaServei d'Hematologia, Institut Català d'Oncologia, Hospital Duran i Reynals, Barcelona, Spain; European Group for Blood and Marrow Transplantation.
Sonali M SmithSection of Hematology/Oncology, University of Chicago, Chicago, Illinois.
Mehdi HamadaniCenter for International Blood and Marrow Transplant Research (CIBMTR), Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin. Electronic address: mhamadani@mcw.edu.
Medical College of Wisconsin · USFred Hutch Cancer Center · USUniversity Cancer Center Hamburg · DEBaylor University Medical Center · USCarolinas Healthcare System · USEmory University · USEuropean Society for Blood and Marrow Transplantation · NLImperial College London · GBMoffitt Cancer Center · USNorthside Hospital · USPrince of Wales Hospital · AUSouth Texas Veterans Health Care System · USStanford Health Care · USTufts Medical Center · USUniversity Hospitals Cleveland Medical Center · USUniversity of California San Diego · USUniversity of Chicago · USUniversity of Göttingen · DEUniversity of Kansas Medical Center · USUniversity of Milan · IT

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
TUMOR SPECIFIC CYTOTOXIC T-LYMPHOCYTES IN BONE MARROW TRANSPLANTATIONP01CA049605 · NCI · STANFORD UNIVERSITY · PI David B. Miklos · 1989 to 2026
$73.3M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)UL1TR000114 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$35.0M
University of Minnesota Clinical and Translational Science Institute (UMN CTSI)KL2TR000113 · NCATS · UNIVERSITY OF MINNESOTA · PI BLAZAR, BRUCE R · 2012 to 2015
$5.4M
BMT Clinical Trial Network at StanfordU10HL069291 · NHLBI · STANFORD UNIVERSITY · PI LOWSKY, ROBERT · 2011 to 2016
$801k
NCATS NIH HHS KL2 TR000113NCATS NIH HHS UL1 TR000114NCI NIH HHS P01 CA049605NCI NIH HHS U24 CA076518NCI NIH HHS U24-CA076518NHLBI NIH HHS 5U10HL069294NHLBI NIH HHS U10 HL069291NHLBI NIH HHS U10 HL069294PHS HHS N00014-13-1-0039PHS HHS N00014-14-1-0028
6 · The paper itself

Abstract

This study was conducted to compare long-term outcomes in patients with refractory/relapsed grades 1 and 2 follicular lymphoma (FL) after allogeneic (allo) versus autologous (auto) hematopoietic cell transplantation (HCT) in the rituximab era. Adult patients with relapsed/refractory grades 1 and 2 FL undergoing first reduced-intensity allo-HCT or first autograft during 2000 to 2012 were evaluated. A total of 518 rituximab-treated patients were included. Allo-HCT patients were younger and more heavily pretreated, and more patients had advanced stage and chemoresistant disease. The 5-year adjusted probabilities, comparing auto-HCT versus allo-HCT groups for nonrelapse mortality (NRM) were 5% versus 26% (P < .0001); relapse/progression: 54% versus 20% (P < .0001); progression-free survival (PFS): 41% versus 58% (P < .001), and overall survival (OS): 74% versus 66% (P = .05). Auto-HCT was associated with a higher risk of relapse/progression beyond 5 months after HCT (relative risk [RR], 4.4; P < .0001) and worse PFS (RR, 2.9; P < .0001) beyond 11 months after HCT. In the first 24 months after HCT, auto-HCT was associated with improved OS (RR, .41; P < .0001), but beyond 24 months, it was associated with inferior OS (RR, 2.2; P = .006). A landmark analysis of patients alive and progression-free at 2 years after HCT confirmed these observations, showing no difference in further NRM between both groups, but there was significantly higher risk of relapse/progression (RR, 7.3; P < .0001) and inferior PFS (RR, 3.2; P < .0001) and OS (RR, 2.1; P = .04) after auto-HCT. The 10-year cumulative incidences of second hematological malignancies after allo-HCT and auto-HCT were 0% and 7%, respectively. Auto-HCT and reduced-intensity-conditioned allo-HCT as first transplantation approach can provide durable disease control in grades 1 and 2 FL patients. Continued disease relapse risk after auto-HCT translates into improved PFS and OS after allo-HCT in long-term survivors.

Indexed as

AdultAgedAntineoplastic AgentsDisease ProgressionDrug Resistance, NeoplasmFemaleHematopoietic Stem Cell TransplantationHumansLongitudinal StudiesLymphoma, FollicularMaleMiddle AgedMyeloablative AgonistsNeoplasm GradingRecurrenceRituximabAntineoplastic AgentsMyeloablative AgonistsRituximabAutologous hematopoietic cell transplantationGrade 1 and 2 follicular lymphomaLong-time survivalReduced-intensity allogeneic hematopoietic cell transplantation

Identifiers

PMID26253007
PMCPMC4639453
OpenAlexW2121651984

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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.