Evidence map›Paper›PMID 27343716›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2016

Infection Rates among Acute Leukemia Patients Receiving Alternative Donor Hematopoietic Cell Transplantation.

Karen Ballen, Kwang Woo Ahn, Min Chen, Hisham Abdel-Azim, Ibrahim Ahmed, Mahmoud Aljurf, Joseph Antin, Ami S Bhatt, Michael Boeckh, George Chen and 27 more

3 registry-linked trialsAbstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 44 papers.

0numbers the graph read from it
0cells of the map it votes in
44citing 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.

NCT07670468 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Single-Center, Open-Label, Phase 1/2 Clinical Trial to Evaluate the Safety and Efficacy of LB-DTK-MV in Patients Diagnosed With Antiviral-Resistant CMV, BKV, or EBV Infection or Associated Diseases Following Anticancer Therapy or Allogeneic Hematopoietic Stem Cell Transplantation.

TypeinterventionalSponsorLucasBioRan2025 to 2027Enrolled27ConditionsBKV Infection, EBV Infection, CMV InfectionArmsLB-DTK-MV
NCT07679412 narecruitingnot on this mapstarted 2026, after this paper: background citation

An Exploratory Clinical Study of Autologous LB-DTK-CMV in Patients With Antiviral-Resistant and Refractory Cytomegalovirus Retinitis.

TypeinterventionalSponsorLucasBioRan2026 to 2027Enrolled5ConditionsCMV RetinitisArmsLB-DTK-CMV
NCT07685457 narecruitingnot on this mapstarted 2026, after this paper: background citation

A Prospective Clinical Study to Evaluate the Safety and Efficacy of Virus Specific T-Cell Administration in Pediatric Patients With Systemic Viral Infection Following Allogeneic Hematopoietic Stem Cell Transplantation.

TypeinterventionalSponsorLucasBioRan2026 to 2027Enrolled6ConditionsBKV Infection, CMV Infection, EBV InfectionArmsLB-DTK-MV
3 · Its place in the literature

Who cites it

44 citing papers in PubMed.

  1. Trial
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  5. A Modified Intensive Strategy to Prevent Cytomegalovirus Disease in Seropositive Umbilical Cord Blood Transplantation Recipients.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  6. Article
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  8. Article
  9. Review
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  15. Invasive Pulmonary Aspergillosis.Journal of fungi (Basel, Switzerland) · 2023
    Review
  16. Article
  17. Article
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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

37 authors.

Karen BallenDivision of Hematology/Oncology, Massachusetts General Hospital, Boston, Massachusetts. Electronic address: kballen@partners.org.
Kwang Woo AhnCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin; Division of Biostatistics, Institute for Health and Society, Medical College of Wisconsin, Milwaukee, Wisconsin.
Min ChenCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Hisham Abdel-AzimDivision of Hematology, Oncology, and Blood and Marrow Transplantation, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, California.
Ibrahim AhmedDepartment of Hematology, Oncology and Bone Marrow Transplantation, The Children's Mercy Hospitals and Clinics, Kansas City, Missouri.
Mahmoud AljurfDepartment of Oncology, King Faisal Specialist Hospital Center and Research, Riyadh, Saudi Arabia.
Joseph AntinCenter for Hematologic Oncology, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
Ami S BhattStanford University School of Medicine, Stanford, California.
Michael BoeckhVaccine and Infectious Disease Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
George ChenDepartment of Medicine, Roswell Park Cancer Institute, Buffalo, New York.
Christopher DandoyCincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Biju GeorgeChristian Medical College, Vellore, India.
Mary J LaughlinMedical Director, Cleveland Cord Blood Center, Cleveland, Ohio.
Hillard M LazarusSeidman Cancer Center, University Hospitals Case Medical Center, Cleveland, Ohio.
Margaret L MacMillanDivision of Blood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
David A MargolisSection of Hematology, Oncology and BMT, Department of Pediatrics, Medical College of Wisconsin, Milwaukee, Wisconsin.
David I MarksPediatric Bone Marrow Transplant, University Hospitals Bristol NHS Trust, Bristol, United Kingdom.
Maxim NorkinDivision of Hematology/Oncology, University of Florida College of Medicine, Gainesville, Florida.
Joseph RosenthalCity of Hope National Medical Center, Duarte, California.
Ayman SaadDivision of Hematology/Oncology Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Bipin SavaniDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.
Harry C SchoutenDepartment of Hematology, Academische Ziekenhuis, Maastricht, Netherlands.
Jan StorekDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Paul SzabolcsDivision of Blood and Marrow Transplantation, Children's National Health System, Washington, District of Columbia.
Celalettin UstunDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota.
Michael R VernerisDivision of Blood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Edmund K WallerDepartment of Hematology and Medical Oncology, Winship Cancer Institute, Emory University, Atlanta, Georgia.
Daniel J WeisdorfDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, Minnesota.
Kirsten M WilliamsExperimental Transplantation and Immunology Branch, National Cancer Institute, National Institute of Health, Bethesda, Maryland.
John R WingardDivision of Hematology/Oncology, University of Florida College of Medicine, Gainesville, Florida.
Baldeep WirkDivision of Bone Marrow Transplant, Seattle Cancer Care Alliance, Seattle, Washington.
Tom WolfsDivision of Pediatrics, Wilhelmina Children's Hospital, Utrecht, Netherlands.
Jo-Anne H YoungDivision of Blood and Marrow Transplantation, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota.
Jeffrey AulettaHost Defense Program, Divisions of Hematology/Oncology/Bone Marrow Transplant and Infectious Diseases, Nationwide Children's Hospital, Columbus, Ohio.
Krishna V KomanduriAdult Stem Cell Transplantation Program, University of Miami, Miami, Florida.
Caroline LindemansPediatric Blood and Marrow Transplantation Program, University Medical Center Utrecht, Utrecht, Netherlands.
Marcie L RichesDivision of Hematology/Oncology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
PB vs. BMU01HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2001 to 2010
$63.3M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
LCenter for Clinical and Translational Science and TrainingUL1TR001425 · NCATS · UNIVERSITY OF CINCINNATI · PI MEINZEN-DERR, JAREEN, STRAWN, JEFFREY ROBERT · 2015 to 2024
$37.5M
Sequence-based pathogen discovery in post-stem cell transplantation syndromesK08CA184420 · NCI · STANFORD UNIVERSITY · PI BHATT, AMI SIDDHARTH · 2014 to 2017
$524k
NCATS NIH HHS UL1 TR001425NCI NIH HHS K08 CA184420NCI NIH HHS U24 CA076518NHLBI NIH HHS U01 HL069294NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

Alternative graft sources (umbilical cord blood [UCB], matched unrelated donors [MUD], or mismatched unrelated donors [MMUD]) enable patients without a matched sibling donor to receive potentially curative hematopoietic cell transplantation (HCT). Retrospective studies demonstrate comparable outcomes among different graft sources. However, the risk and types of infections have not been compared among graft sources. Such information may influence the choice of a particular graft source. We compared the incidence of bacterial, viral, and fungal infections in 1781 adults with acute leukemia who received alternative donor HCT (UCB, n= 568; MUD, n = 930; MMUD, n = 283) between 2008 and 2011. The incidences of bacterial infection at 1 year were 72%, 59%, and 65% (P < .0001) for UCB, MUD, and MMUD, respectively. Incidences of viral infection at 1 year were 68%, 45%, and 53% (P < .0001) for UCB, MUD, and MMUD, respectively. In multivariable analysis, bacterial, fungal, and viral infections were more common after either UCB or MMUD than after MUD (P < .0001). Bacterial and viral but not fungal infections were more common after UCB than MMUD (P = .0009 and <.0001, respectively). The presence of viral infection was not associated with an increased mortality. Overall survival (OS) was comparable among UCB and MMUD patients with Karnofsky performance status (KPS) ≥ 90% but was inferior for UCB for patients with KPS < 90%. Bacterial and fungal infections were associated with poorer OS. Future strategies focusing on infection prevention and treatment are indicated to improve HCT outcomes.

Indexed as

Acute DiseaseAdolescentAdultAgedCord Blood Stem Cell TransplantationFemaleHematopoietic Stem Cell TransplantationHistocompatibilityHumansIncidenceInfectionsLeukemiaMaleMiddle AgedRetrospective StudiesSurvival AnalysisInfectionLeukemiaUmbilical cord blood

Identifiers

PMID27343716
PMCPMC5008458

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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.