Evidence map›Paper›PMID 26367221›Full record

ArticleBone marrow transplantation2015

Second allogeneic transplantation for relapse of malignant disease: retrospective analysis of outcome and predictive factors by the EBMT.

T Ruutu, L C de Wreede, A van Biezen, R Brand, M Mohty, P Dreger, R Duarte, C Peters, L Garderet, S Schönland and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article 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 59 papers.

0numbers the graph read from it
0cells of the map it votes in
59citing papers in PubMed
5.3field-weighted citation impact, top 4% 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

59 citing papers in PubMed, 113 citations in OpenAlex.

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  5. Outcomes after Second Hematopoietic Cell Transplantation in Children and Young Adults with Relapsed Acute Leukemia.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
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  7. Second Allogeneic Stem Cell Transplantation for Acute Leukemia Using a Chemotherapy-Only Cytoreduction with Clofarabine, Melphalan, and Thiotepa.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2016
    Trial
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  16. Maintenance strategies for relapse prevention and treatment.Hematology. American Society of Hematology. Education Program · 2024
    Review
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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

15 authors at 10 institutions in 7 countries.

T RuutuComprehensive Cancer Center, Helsinki University Hospital, Helsinki, Finland.
L C de WreedeDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center/EBMT Statistical Unit, Leiden, The Netherlands.
A van BiezenEBMT Data Office Leiden, Department of Medical Statistics and Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
R BrandDepartment of Medical Statistics and Bioinformatics, Leiden University Medical Center/EBMT Statistical Unit, Leiden, The Netherlands.
M MohtyHôpital Saint Antoine, Service d'Hématologie Clinique et de Thérapie Cellulaire; Université Pierre et Marie Curie; INSERM, Paris, France.
P DregerDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
R DuarteInstitut Català d'Oncologia, L'Hospitalet de Llobregat, Barcelona, Spain.
C PetersDepartment of Pediatrics, Stem Cell Transplantation Unit, St Anna Children's Hospital, Vienna, Austria.ORCID http://orcid.org/0000-0003-0369-8515
L GarderetHôpital Saint Antoine, Service d'Hématologie Clinique et de Thérapie Cellulaire; Université Pierre et Marie Curie; INSERM, Paris, France.
S SchönlandMedizinische Klinik und Poliklinik V, University of Heidelberg, Heidelberg, Germany.
A GratwohlHematology, Medical Faculty, University of Basel, Basel, Switzerland.
D NiederwieserDepartment of Hematology/Oncology and Hemostasiology, University of Leipzig, Leipzig, Germany.
T de WitteDepartment of Tumor Immunology, Nijmegen Centre for Molecular Life Sciences, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
N KrögerDepartment of Stem Cell Transplantation, University Cancer Centre Hamburg, Hamburg, Germany.
European Society for Blood and Marrow Transplantation (EBMT)
Leiden University Medical Center · NLHeidelberg University · DEInserm · FRHelsinki University Hospital · FIInstitut Català d'Oncologia · ESLeipzig University · DERadboud University Nijmegen · NLSt Anna Children's Hospital · ATUniversity Cancer Center Hamburg · DEUniversity of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In patients treated with allogeneic stem cell transplantation (SCT) for malignant disease who suffer from a relapse after the transplantation, the role of second allogeneic SCT is often uncertain. In a retrospective analysis, 2632 second allogeneic transplantations carried out for a relapse after the first transplantation were analyzed to define indications and identify predictive factors. Fifteen percent of the patients remained relapse-free until 5 years after the second SCT. Patients with CML had a better survival than patients with other diseases. In a multivariate analysis, factors associated with better survival were low disease burden, longer remission duration after the first transplantation, longer interval between the transplantations, younger age, absence of grade II-IV acute GvHD or chronic GvHD after the first transplantation, and later year of transplantation. The European Society for Blood and Marrow Transplantation risk score predicted the outcome. Using the same donor as in the first transplantation vs another donor had no predictive value for survival. Sibling donor was a favorable predictive factor. In conclusion, second allogeneic SCT offers a reasonable option especially for young patients with a long remission after the first transplantation and a low disease burden. The present findings do not support the usefulness of changing the donor for the second transplantation.

Indexed as

Stem Cell TransplantationAcute DiseaseAdolescentAdultAllograftsChronic DiseaseDisease-Free SurvivalFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHumansMiddle AgedSurvival Rate

Identifiers

PMID26367221
OpenAlexW2402799752

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.