Evidence map›Paper›PMID 26569091›Full record

Trial reportBone marrow transplantation2016

The safety and feasibility of probiotics in children and adolescents undergoing hematopoietic cell transplantation.

E J Ladas, M Bhatia, L Chen, E Sandler, A Petrovic, D M Berman, F Hamblin, M Gates, R Hawks, L Sung and 1 more

Abstract 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 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
11.8field-weighted citation impact, top 1% 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

61 citing papers in PubMed, 131 citations in OpenAlex.

  1. Trial
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  9. Review
  10. Review
  11. Article
  12. Impact of ExogenousAntibiotics (Basel, Switzerland) · 2024
    Article
  13. Review
  14. The Microbiome and Pediatric Transplantation.Journal of the Pediatric Infectious Diseases Society · 2024
    Review
  15. Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review

1 more citing papers are in PubMed but not listed here.

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 7 institutions in 2 countries.

E J LadasDivision of Pediatric Hematology/Oncology/Stem Cell Transplant, Columbia University Medical Center, New York, NY, USA.
M BhatiaDivision of Pediatric Hematology/Oncology/Stem Cell Transplant, Columbia University Medical Center, New York, NY, USA.
L ChenChildren's Oncology Group, Acadia, CA, USA.
E SandlerDivision of Hematology/Oncology, Nemours Children's Health System, Jacksonville, FL, USA.
A PetrovicBlood and Bone Marrow Transplantation, All Children's Hospital John Hopkins Medicine, St Petersburg, FL, USA.
D M BermanDivision of Pediatric Infectious Diseases, All Children's Hospital, John Hopkins Medicine, St Petersburg, FL, USA.
F HamblinAll Children's Hospital, John Hopkins Medicine, St Petersburg, FL, USA.
M GatesAll Children's Hospital, John Hopkins Medicine, St Petersburg, FL, USA.
R HawksDivision of Pediatric Hematology/Oncology/Stem Cell Transplant, Columbia University Medical Center, New York, NY, USA.
L SungDivision of Haematology/Oncology, The Hospital for Sick Kids, Toronto, Ontario, Canada.
M NiederDepartment of Blood and Marrow Transplantation, Moffitt Cancer Center, Tampa, FL, USA.
Columbia University Irving Medical Center · USJohns Hopkins University · USHospital for Sick Children · CAJohns Hopkins All Children's Hospital · USMoffitt Cancer Center · USNemours Children's Health System · USUniversity of Southern California · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematopoietic cell transplantation (HCT) has become a standard treatment for many adult and pediatric conditions. Emerging evidence suggests that perturbations in the microbiota diversity increase recipients' susceptibilities to gut-mediated conditions such as diarrhea, infection and acute GvHD. Probiotics preserve the microbiota and may minimize the risk of developing a gut-mediated condition; however, their safety has not been evaluated in the setting of HCT. We evaluated the safety and feasibility of the probiotic, Lactobacillus plantarum (LBP), in children and adolescents undergoing allogeneic HCT. Participants received once-daily supplementation with LBP beginning on day -8 or -7 and continued until day +14. Outcomes were compliance with daily administration and incidence of LBP bacteremia. Administration of LBP was feasible with 97% (30/31, 95% confidence interval (CI) 83-100%) of children receiving at least 50% of the probiotic dose (median 97%; range 50-100%). We did not observe any case of LBP bacteremia (0% (0/30) with 95% CI 0-12%). There were not any unexpected adverse events related to LBP. Our study provides preliminary evidence that administration of LBP is safe and feasible in children and adolescents undergoing HCT. Future steps include the conduct of an approved randomized, controlled trial through Children's Oncology Group.

Indexed as

Hematopoietic Stem Cell TransplantationLactiplantibacillus plantarumAdolescentAdultAllograftsChildChild, PreschoolDiarrheaFemaleGraft vs Host DiseaseHumansInfantIntestinal DiseasesMalePilot ProjectsProbiotics

Identifiers

PMID26569091
OpenAlexW2339583198

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.