Evidence map›Paper›PMID 27272446›Full record

ArticleBone marrow transplantation2016

Haploidentical hematopoietic stem cell transplantation in children with high-risk hematologic malignancies: outcomes with two different strategies for GvHD prevention. Ex vivo T-cell depletion and post-transplant cyclophosphamide: 10 years of experience at a single center.

G Dufort, L Castillo, S Pisano, M Castiglioni, P Carolina, I Andrea, E Simon, S Zuccolo, M Schelotto, F Morosini and 12 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article 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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. T-Cell-Replete VersusFrontiers in pediatrics · 2021
    Review
  11. Nonmyeloablative Haploidentical Bone Marrow Transplantation with Post-Transplantation Cyclophosphamide for Pediatric and Young Adult Patients with High-Risk Hematologic Malignancies.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2017
    Article
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

22 authors.

G DufortPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
L CastilloPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
S PisanoTransfusion Medicine Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
M CastiglioniPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
P CarolinaPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
I AndreaPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
E SimonPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
S ZuccoloPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
M SchelottoPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
F MorosiniPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
I PereiraPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
P AmarilloPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
A SilveiraStatistics Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
L GuerreroRadiotherapy Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
V FerreiraRadiotherapy Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
A TiscorniaTransfusion Medicine Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
R MezzanoTransfusion Medicine Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
F LemosTransfusion Medicine Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
B BoggiaTransfusion Medicine Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
A QuarnettiRadiotherapy Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.
J DecaroTransfusion Medicine Department, Asociación Española, Montevideo, Uruguay.
A DabeziesPediatric Hemato-Oncology Department, Centro Hospitalario Pereira Rosell, Montevideo, Uruguay.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Forty patients with high-risk hematologic malignancies, median age 9 years, underwent haploidentical-HSCT from April 2005 to April 2015. Seventeen patients were transplanted with CD3-depleted PBSCs by negative selection (TCD group) following a reduced-intensity conditioning regimen (RIC), and 23 patients received T-cell-replete PBSCs followed by post-transplantation cyclophosphamide (PT-Cy group) after myeloablative conditioning (n=16) or RIC (n=7). Outcomes are reported for the TCD and PT-Cy recipients, respectively. Engraftment was achieved in 88% versus 100%. Median time to neutrophils>500/μL was 10 days versus 15 days. Platelets>20 000/μL occurred at a median of 16 days versus 20 days, respectively. Transplant-related mortality (TRM) was 24% versus 26% at 1 year. The cumulative incidence (CI) of grade III-IV acute GvHD was 7% versus 5%, and chronic GvHD 9% versus 53% (P=0.029). Relapse at 2 years was 31% versus 24%. Actuarial overall survival rates at 2 years were 47% versus 48%. Causes of death were infections (n=3), sinusoidal obstructive syndrome (n=4), acute GvHD (n=2) and relapse (n=9). These results indicate that haploidentical-HSCT is feasible in Uruguay. The TRM rate is of concern and should be the focus of continuing attention. Chronic GvHD risk was higher in the PT-Cy approach, so modifications are justified.

Indexed as

Lymphocyte DepletionChildCyclophosphamideFemaleGraft SurvivalGraft vs Host DiseaseHematologic NeoplasmsHumansIncidenceMaleRecurrenceSurvival AnalysisTransplantation, HaploidenticalTreatment OutcomeUruguayCyclophosphamide

Identifiers

PMID27272446

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.