Evidence map›Paper›PMID 26551778›Full record

Trial reportBone marrow transplantation2016

T-replete haploidentical allogeneic transplantation using post-transplantation cyclophosphamide in advanced AML and myelodysplastic syndromes.

R Devillier, S Bramanti, S Fürst, B Sarina, J El-Cheikh, R Crocchiolo, A Granata, C Chabannon, L Morabito, S Harbi and 7 more

Open 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. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

9 citing papers in PubMed, 24 citations in OpenAlex.

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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

17 authors at 3 institutions in 2 countries.

R DevillierDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
S BramantiDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
S FürstDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
B SarinaDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
J El-CheikhDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
R CrocchioloDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
A GranataDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
C ChabannonAix-Marseille University, Medicine Faculty, Marseille, France.
L MorabitoDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
S HarbiDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
C FaucherDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
A SantoroDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
P-J WeillerDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
N VeyDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
C Carlo-StellaDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
L CastagnaDepartment of Hematology, Humanitas Cancer Center, Rozzano, Italy.
D BlaiseDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
Humanitas University · ITInstitut Paoli-Calmettes · FRAix-Marseille Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unmanipulated haploidentical transplantation (Haplo-SCT) using post-transplantation cyclophosphamide (PT-Cy) represents an alternative for patients with high-risk diseases lacking HLA-identical donor. Although it provides low incidences of GVHD, the efficacy of Haplo-SCT is still questioned, especially for patients with myeloid malignancies. Thus, we analyzed 60 consecutive patients with refractory (n=30) or high-risk CR (n=30) AML or myelodysplastic syndromes (MDSs) who underwent PT-Cy Haplo-SCT. The median age was 57 years (22-73 years), hematopoietic cell transplantation comorbidity index was ⩾3 in 38 patients (63%) and Haplo-SCT was the second allogeneic transplantation for 10 patients (17%). Although most of patients received PBSC as graft source (n=48, 80%), we found low incidences of grade 3-4 acute (2%) and severe chronic GVHD (4%). Among patients with high-risk CR diseases, 1-year non-relapse mortality, cumulative incidence of relapse, progression-free and overall survivals were 20%, 32%, 47% and 62%, respectively. In patients with refractory disease, corresponding results were 34%, 35%, 32% and 37%, respectively. We conclude that PT-Cy Haplo-SCT could provide promising anti-leukemic effect even in the setting of very advanced diseases. Thus, it represents a viable alternative for high-risk AML/MDS patients without HLA-identical donor.

Indexed as

Stem Cell TransplantationAcute DiseaseAdultAgedAllograftsChronic DiseaseCyclophosphamideFemaleGraft vs Host DiseaseHumansLeukemia, Myeloid, AcuteMaleMiddle AgedMyelodysplastic SyndromesCyclophosphamide

Identifiers

PMID26551778
OpenAlexW2206381879

What OpenQuestion holds

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Registered trials

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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.