Evidence map›Paper›PMID 26437057›Full record

Trial reportBone marrow transplantation2016

Second reduced intensity conditioning allogeneic transplant as a rescue strategy for acute leukaemia patients who relapse after an initial RIC allogeneic transplantation: analysis of risk factors and treatment outcomes.

R Vrhovac, M Labopin, F Ciceri, J Finke, E Holler, J Tischer, B Lioure, J Gribben, L Kanz, D Blaise and 6 more

Registry-linked trialOpen access · bronzeAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06125483 (A Clinical Study of Low-dose Total Body Irradiation and Fludarabine/Busulfan/Melphalan as a Conditioning Regimen for Secondary Umbilical Cord Blood Transplantation in Patients With Hematological Malignancies Who Relapsed After Allo-HSCT), which is not on this map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
4.2field-weighted citation impact, top 5% 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.

NCT06125483 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Clinical Study of Low-dose Total Body Irradiation and Fludarabine/Busulfan/Melphalan as a Conditioning Regimen for Secondary Umbilical Cord Blood Transplantation in Patients With Hematological Malignancies Who Relapsed After Allo-HSCT

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled38ConditionsHematopoietic Malignancy, Relapse/Recurrence, Hematopoietic Stem Cell TransplantationArmsUmbilical Cord Blood Transplantation
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Second allogeneic transplants in children: twelve years of experienceBiomedica : revista del Instituto Nacional de Salud · 2026
    Article
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  18. Review
  19. Major Histocompatibility Mismatch and Donor Choice for Second Allogeneic Bone Marrow Transplantation.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
  20. The role of second transplants for leukemia.Best practice & research. Clinical haematology · 2016
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors at 14 institutions in 5 countries.

R VrhovacDepartment of Hematology, University Hospital Centre Zagreb, University of Zagreb School of Medicine, Zagreb, Croatia.
M LabopinAP-HP, Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, Paris, France.
F CiceriHematology and Bone Marrow Transplantation, San Raffaele Scientific Institute, Milano, Italy.
J FinkeMedicine, Hematology and Oncology, University of Freiburg, Freiburg, Germany.
E HollerHematology and Oncology, University of Regensburg, Regensburg, Germany.
J TischerLudwig-Maximilians University Hospital of Munich-Grosshadern, Department of Internal Medicine III, Hematopoietic cell Transplantation, Munich, Germany.
B LioureHematology, Oncology and Bone Marrow Transplantation, CHU Hautepierre, Strasbourg, France.
J GribbenSt Bartholomew's and The Royal London NHS Trust, London, UK.
L KanzDepartment of Medicine, Tübingen University, Tübingen, Germany.
D BlaiseTransplantation and Cellular Therapy, Institut Paoli Calmettes, Marseille, France.
P DregerDepartment of Medicine V, University of Heidelberg, Heidelberg, Germany.
G HeldInternal Medicine, BMT Unit, University of Saarland, Homburg, Germany.
R ArnoldHematology and Oncology, Charite, Universitaetsmedizin, Berlin, Germany.
A NaglerEBMT ALWP Office, Hospital Saint Antoine, Paris, France.
M MohtyAP-HP, Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, Paris, France.
Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation (EBMT)
Assistance Publique – Hôpitaux de Paris · FRCharité - Universitätsmedizin Berlin · DEHeidelberg University · DEHôpital d'Hautepierre · FRHôpital Saint-Antoine · FRInstitut Paoli-Calmettes · FRLudwig-Maximilians-Universität München · DERoyal London Hospital · GBSaarland University · DESheba Medical Center · ILUniversity Hospital Centre Zagreb · HRUniversity of Freiburg · DEUniversity of Regensburg · DEUniversity of Tübingen · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited therapeutic options are available after relapse of acute leukaemia following first reduced intensity conditioning haematopoietic stem cell transplantation (RIC1). A retrospective study on European Society for Blood and Marrow Transplantation (EBMT) registry data was performed on 234 adult patients with acute leukaemia who received a second RIC transplantation (RIC2) from 2000 to 2012 as a salvage treatment for relapse following RIC1. At the time of RIC2, 167 patients (71.4%) had relapsed or refractory disease, 49 (20.9%) were in second CR and 18 (7.7%) in third or higher CR. With a median follow-up of 21 (1.5-79) months after RIC2, 51 patients are still alive. At 2 years, the cumulative incidence of non-relapse mortality (NRM), relapse incidence (RI), leukaemia-free survival (LFS) and overall survival (OS) were 22.4% (95% confidence interval (CI): 17-28.4), 63.9% (56.7-70.1), 14.6% (8.8-18.5) and 20.5% (14.9-26.1), respectively. In patients with acute myelogenous, biphenotypic and undifferentiated leukaemia (representing 89.8% of all patients), duration of remission following RIC1 >225 days, presence of CR at RIC2, patient's Karnofsky performance status >80 at RIC2 and non-myeloablative conditioning were found to be the strongest predictors of patients' favourable outcome.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemiaAcute DiseaseAdultAgedAllograftsDisease-Free SurvivalFemaleFollow-Up StudiesHumansMaleMiddle AgedRecurrenceRisk FactorsSurvival RateTransplantation Conditioning

Identifiers

PMID26437057
OpenAlexW2197986642

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.