Evidence map›Paper›PMID 27341180›Full record

ArticleBritish journal of haematology2016

Treatment of graft failure with TNI-based reconditioning and haploidentical stem cells in paediatric patients.

Heiko-Manuel Teltschik, Frank Heinzelmann, Bernd Gruhn, Tobias Feuchtinger, Patrick Schlegel, Michael Schumm, Bernhard Kremens, Ingo Müller, Martin Ebinger, Carl Philipp Schwarze and 4 more

Open access · hybridAbstract 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. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

17 citing papers in PubMed, 40 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. T-Cell-Replete VersusFrontiers in pediatrics · 2021
    Review
  16. Article
  17. 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

14 authors at 6 institutions in 1 country.

Heiko-Manuel TeltschikChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Frank HeinzelmannDepartment of Radiation Oncology, UH of Tuebingen, Tuebingen, Germany.
Bernd GruhnChildren's University Hospital, UH of Jena, Jena, Germany.
Tobias FeuchtingerDr. von Hauner'sches Kinderspital, Ludwig-Maximilians-Universität Munich, Munich, Germany.
Patrick SchlegelChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Michael SchummChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Bernhard KremensChildren's University Hospital, UH of Essen, Essen, Germany.
Ingo MüllerClinic for Paediatric Haematology and Oncology, University Medical Centre Hamburg-Eppendorf, Hamburg, Germany.
Martin EbingerChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Carl Philipp SchwarzeChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Hellmut OttingerDepartment of Bone Marrow Transplantation, UH of Essen, Essen, Germany.
Daniel ZipsDepartment of Radiation Oncology, UH of Tuebingen, Tuebingen, Germany.
Rupert HandgretingerChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany.
Peter LangChildren's University Hospital, University Hospital (UH) of Tuebingen, Tuebingen, Germany. peter.lang@med.uni-tuebingen.de.
University Children's Hospital Tübingen · DEEssen University Hospital · DEUniversity of Tübingen · DEJena University Hospital · DELudwig-Maximilians-Universität München · DEUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft failure is a life-threatening complication after allogeneic haematopoietic stem cell transplantation (HSCT). We report a cohort of 19 consecutive patients (median age: 8·5 years) with acute leukaemias (n = 14) and non-malignant diseases (n = 5) who experienced graft failure after previous HSCT from matched (n = 3) or haploidentical donors (n = 16) between 2003 and 2012. After total nodal irradiation (TNI)-based reconditioning combined with fludarabine, thiotepa and anti-T cell serotherapy, all patients received T cell-depleted peripheral blood stem cell grafts from a second, haploidentical donor. Median time between graft failure and retransplantation was 14 d (range 7-40). Sustained engraftment (median: 10 d, range 9-32) and complete donor chimerism was observed in all evaluable patients. 5 patients additionally received donor lymphocyte infusions. Graft-versus-host disease (GvHD) grade II and III occurred in 1 patient each (22%); no GvHD grade IV was observed. 2 patients had transient chronic GvHD. The regimen was well tolerated with transient interstitial pneumonitis in one patient. Treatment-related mortality after one year was 11%. Event-free survival and overall survival 3 years after retransplantation were 63% and 68%. Thus, a TNI-based reconditioning regimen followed by transplantation of haploidentical stem cells is an option to rescue patients with graft failure within a short time span and with low toxicity.

Indexed as

HaplotypesHematopoietic Stem Cell TransplantationTransplantation ConditioningAdolescentAdultChildChild, PreschoolFemaleGraft RejectionGraft SurvivalGraft vs Host DiseaseHematologic DiseasesHematopoietic Stem Cell MobilizationHLA AntigensHumansInfantHLA Antigenschildrengraft failureHaploidenticalstem cell transplantationT cell depletion

Identifiers

PMID27341180
PMCPMC5132112
OpenAlexW2464174114

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.