Evidence map›Paper›PMID 27250025›Full record

ArticleOncotarget2016

RIC versus MAC UCBT in adults with AML: A report from Eurocord, the ALWP and the CTIWP of the EBMT.

Frédéric Baron, Annalisa Ruggeri, Eric Beohou, Myriam Labopin, Guillermo Sanz, Noel Milpied, Mauricette Michallet, Andrea Bacigalupo, Didier Blaise, Jorge Sierra and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Oncotarget, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
–field-weighted citation impact
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

14 citing papers in PubMed.

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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

21 authors.

Frédéric BaronUniversity of Liege, Liege, Belgium.
Annalisa RuggeriEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, Paris, France.
Eric BeohouEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Myriam LabopinEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Guillermo SanzHospital Universitario La Fe, Servicio de Hematologia, Valencia, Spain.
Noel MilpiedCHU Bordeaux, Hématologie Clinique et Thérapie Cellulaire-Hôpital Haut-leveque, Bordeaux, France.
Mauricette MichalletService d' Hematologie du Centre Hospitalier de Lyon Sud, Pierre-Bénite, France.
Andrea BacigalupoOspedale San Martino, Department of Haematology II, Genova, Italy.
Didier BlaiseInstitut Paoli Calmettes (IPC), Aix Marseille University (AMU), UM105, Centre de Recherche en Cancerologie (CRCM), Inserm U1068, CNRS UMR7258 Marseille, Marseille, France.
Jorge SierraHospital Santa Creu i Sant Pau, Hematology Department, Barcelona, Spain.
Gérard SociéAP-HP, Hematology Transplantation, Hospital Saint-Louis, Paris, France.
Jan J CornelissenErasmus Medical Center-Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Christoph SchmidKlinikum Augsburg, Department of Hematology and Oncology, University of Munich, Augsburg, Germany.
Sebastian GiebelMaria Sklodowska-Curie Cancer Center and Institute of Oncology, Gliwice Branch, Gliwice, Poland.
Norbert-Claude GorinAP-HP, Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, Paris, France.
Jordi EsteveDeptartment of Hematology, Hospital Clinic, Barcelona, Spain.
Fabio CiceriDepartment of Hematology, Ospedale San Raffaele, Università degli Studi, Milano, Italy.
Bipin N SavaniLong Term Transplant Clinic, Vanderbilt University Medical Center, Nashville, TN, USA.
Mohamad MohtyAP-HP, Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, Paris, France.
Eliane GluckmanEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Monacord, Centre Scientifique de Monaco, Monaco.
Arnon NaglerEBMT Paris Office, Hospital Saint Antoine, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonrelapse mortality (NRM) is the first cause of treatment failure after unrelated cord blood transplantation (UCBT) following myeloablative conditioning (MAC). In the last decade, reduced-intensity conditioning (RIC) regimens have been developed with the aim of reducing NRM and allowing older patients and those with medical comorbidities to benefit from UCBT. The aim of the current retrospective study was to compare transplantation outcomes of acute myeloid leukemia (AML) patients given UCBT after either RIC or MAC. Data from 894 adults with AML receiving a single or double UCBT as first allograft from 2004 to 2013 at EBMT centers were included in this study. 415 patients were given UCBT after RIC while 479 patients following a MAC. In comparison to MAC recipients, RIC recipients had a similar incidence of neutrophil engraftment and of acute and chronic graft-versus-host disease (GVHD). However, RIC recipients had a higher incidence of disease relapse and a lower NRM, translating to comparable leukemia-free (LFS), GVHD-free, relapse-free survival (GRFS) and overall survival (OS). These observations remained qualitatively similar after adjusting for differences between groups in multivariate analyses. In conclusion, these data suggest that LFS and OS are similar with RIC or with MAC in adults AML patients transplanted with UCBT. These observations could serve as basis for a future prospective randomized study.

Indexed as

Research ReportAcute DiseaseAdolescentAdultAgedAllograftsCord Blood Stem Cell TransplantationDisease-Free SurvivalFemaleGraft vs Host DiseaseHumansLeukemia, MyeloidMaleMiddle AgedMultivariate AnalysisRetrospective StudiesAMLmyeloablativereduced-intensitytransplantationunrelated cord blood

Identifiers

PMID27250025
PMCPMC5190005

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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.