Evidence map›Paper›PMID 27030315›Full record

ArticleBritish journal of haematology2016

Post-transplant bendamustine reduces GvHD while preserving GvL in experimental haploidentical bone marrow transplantation.

Jessica Stokes, Emely A Hoffman, Yi Zeng, Nicolas Larmonier, Emmanuel Katsanis

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in British journal of haematology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02799147 (Dose-escalation Study of Graft-versus-host Disease Prophylaxis With High-dose Post-transplantation Bendamustine in Patients With Refractory Acute Leukemia), which is not on this map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
1.6field-weighted citation impact, top 16% 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.

NCT02799147 phase1 / phase2completednot on this map

Dose-escalation Study of Graft-versus-host Disease Prophylaxis With High-dose Post-transplantation Bendamustine in Patients With Refractory Acute Leukemia

TypeinterventionalSponsorSt. Petersburg State Pavlov Medical UniversityRan2016 to 2020Enrolled27ConditionsLeukemia, Acute Lymphoblastic, Acute Myeloid Leukemia, Mixed-Lineage Acute LeukemiasArmsAllogeneic stem cell transplantation, Fludarabine monophosphate, Busulfan, Bendamustine
3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 33 citations in OpenAlex.

  1. Haploidentical Bone Marrow Transplantation with Post-Transplant Cyclophosphamide/Bendamustine in Pediatric and Young Adult Patients with Hematologic Malignancies.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
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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

5 authors at 2 institutions in 1 country.

Jessica StokesDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Emely A HoffmanDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Yi ZengDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Nicolas LarmonierDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
Emmanuel KatsanisDepartment of Pediatrics, University of Arizona, Tucson, Arizona.
University of Arizona Cancer CenterUniversity of Arizona · US

Funding

VITAMIN AP30CA023074 · NCI · UNIVERSITY OF ARIZONA · PI Dan Theodorescu · 1985 to 2026
$110.2M
Immunotherapy for Chronic Myelogenous LeukemiaR01CA104926 · NCI · UNIVERSITY OF ARIZONA · PI KATSANIS, EMMANUEL · 2004 to 2013
$2.4M
NCI NIH HHS P30 CA023074NCI NIH HHS R01 CA104926
6 · The paper itself

Abstract

Advances in haploidentical bone marrow transplantation (h-BMT) have drastically broadened the treatment options for patients requiring BMT. The possibility of significantly reducing the complications resulting from graft-versus-host disease (GvHD) with the administration of post-transplant cyclophosphamide (PT-CY) has substantially improved the efficacy and applicability of T cell-replete h-BMT. However, higher frequency of disease recurrence remains a major challenge in h-BMT with PT-CY. There is a critical need to identify novel strategies to prevent GvHD while sparing the graft-versus-leukaemia (GvL) effect in h-BMT. To this end, we evaluated the impact of bendamustine (BEN), given post-transplant, on GvHD and GvL using clinically relevant murine h-BMT models. We provide results indicating that post-transplant bendamustine (PT-BEN) alleviates GvHD, significantly improving survival, while preserving engraftment and GvL effects. We further document that PT-BEN can mitigate GvHD even in the absence of Treg. Our results also indicate that PT-BEN is less myelosuppressive than PT-CY, significantly increasing the number and proportion of CD11b(+) Gr-1(hi) cells, while decreasing lymphoid cells. In vitro we observed that BEN enhances the suppressive function of myeloid-derived suppressor cells (MDSCs) while impairing the proliferation of T- and B-cells. These results advocate for the consideration of PT-BEN as a new therapeutic platform for clinical implementation in h-BMT.

Indexed as

AnimalsBendamustine HydrochlorideBone Marrow TransplantationCyclophosphamideGraft vs Host DiseaseGraft vs Leukemia EffectHistocompatibilityImmunosuppression TherapyMiceTransplantation, HomologousBendamustine HydrochlorideCyclophosphamidebendamustinebone marrow transplantationcyclophosphamidegraft-versus-host diseasegraft-versus-leukaemia

Identifiers

PMID27030315
PMCPMC4917459
OpenAlexW2330778915

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.