Evidence map›Paper›PMID 26642342›Full record

Observational studyBone marrow transplantation2016

Immunoablation and autologous hematopoietic stem cell transplantation in the treatment of new-onset type 1 diabetes mellitus: long-term observations.

E Snarski, A Milczarczyk, K Hałaburda, T Torosian, M Paluszewska, E Urbanowska, M Król, P Boguradzki, K Jedynasty, E Franek and 1 more

Abstract readMulticenter StudyObservational Study
PubMed Publisher
In one paragraph

Observational study 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 27 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed, 1 pooled it
3.5field-weighted citation impact, top 7% 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

27 citing papers in PubMed, 1 synthesis or guideline pooled it, 47 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Review
  7. Review
  8. Review
  9. Article
  10. Review
  11. Review
  12. Review
  13. Review
  14. Review
  15. Therapeutic Advances in Diabetes, Autoimmune, and Neurological Diseases.International journal of molecular sciences · 2021
    Review
  16. Hematopoietic Stem Cells in Type 1 Diabetes.Frontiers in immunology · 2021
    Review
  17. C-peptide and residual β-cell function in pediatric diabetes - state of the art.Pediatric endocrinology, diabetes, and metabolism · 2021
    Review
  18. Article
  19. New Insights into Immunotherapy Strategies for Treating Autoimmune Diabetes.International journal of molecular sciences · 2019
    Review
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

11 authors at 2 institutions in 1 country.

E SnarskiDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.ORCID http://orcid.org/0000-0003-2700-7571
A MilczarczykDepartment of Internal Medicine, Diabetology and Endocrinology, Central Hospital, Ministry of Internal Affairs and Administration, Warszawa, Poland.
K HałaburdaDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
T TorosianDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
M PaluszewskaDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
E UrbanowskaDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
M KrólDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
P BoguradzkiDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
K JedynastyDepartment of Internal Medicine, Diabetology and Endocrinology, Central Hospital, Ministry of Internal Affairs and Administration, Warszawa, Poland.
E FranekDepartment of Internal Medicine, Diabetology and Endocrinology, Central Hospital, Ministry of Internal Affairs and Administration, Warszawa, Poland.
W Wiktor-JedrzejczakDepartment of Hematology, Oncology and Internal Medicine, Medical University of Warsaw, Warszawa, Poland.
Medical University of Warsaw · PLCentral Clinical Hospital · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The activity of the autoimmune mechanism underlying type 1 diabetes mellitus (T1DM) can be suppressed when immunoablation and autologous hematopoietic stem cell transplantation (AHSCT) are applied early in the course of the disease. We report here a single centre experience with this treatment modality. Twenty-four patients underwent a AHSCT preceded by immunoablative conditioning with high-dose cyclophosphamide and anti-thymocyte globulin. During the 52-month median time of follow-up 20 out of 23 patients (87%) remained for at least 9.5 months without the use of exogenous insulin. The median time of T1DM remission for these patients was 31 months (range of 9.5-80 months). Among the patients available for follow-up (n=20), four remain insulin free (for 80, 61, 42 and 34 months). The average glycated hemoglobin (HbA1c) concentrations were 10.9% at diagnosis, 5.9% at 1 year, 6.4% at 2 years, 6.8% at 3 years and 7.1% at 4 years after AHSCT. No severe complications of diabetes were seen, however one of the patients died of pseudomonas sepsis in the course of neutropenia after AHSCT. AHSCT leads to a remission of T1DM with good glycemic control in the vast majority of patients, with the period of remission lasting over 5 years in some patients.

Indexed as

Diabetes Mellitus, Type 1Hematopoietic Stem Cell TransplantationTransplantation ConditioningAdolescentAdultAutograftsFemaleFollow-Up StudiesGlycated HemoglobinHumansMaleRemission InductionTime FactorsGlycated Hemoglobinhemoglobin A1c protein, human

Identifiers

PMID26642342
OpenAlexW2193550628

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.