Evidence map›Paper›PMID 27376453›Full record

ArticleBone marrow transplantation2017

Clinical separation of cGvHD and GvL and better GvHD-free/relapse-free survival (GRFS) after unrelated cord blood transplantation for AML.

C-C Zheng, X-Y Zhu, B-L Tang, X-H Zhang, L Zhang, L-Q Geng, H-L Liu, Z-M Sun

2 registry-linked trialsOpen access · bronzeAbstract readComparative Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
3.2field-weighted citation impact, top 8% 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.

NCT05929092 naunknown statusnot on this mapstarted 2023, after this paper: background citation

Total Body Irradiation/ Fludarabine/ Busulfan/ Cyclophosphamide (TFBC) Combined With Umbilical Cord Blood Transplantation (UCBT) in the Treatment of High-risk Malignant Hematological Diseases

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled40ConditionsHematopoietic Stem Cell Transplantation, Malignant Hematological DiseasesArmsUmbilical Cord Blood Transplantation
NCT06125483 narecruitingnot on this mapstarted 2023, after this paper: background citation

A Clinical Study of Low-dose Total Body Irradiation and Fludarabine/Busulfan/Melphalan as a Conditioning Regimen for Secondary Umbilical Cord Blood Transplantation in Patients With Hematological Malignancies Who Relapsed After Allo-HSCT

TypeinterventionalSponsorThe First Affiliated Hospital of Soochow UniversityRan2023 to 2026Enrolled38ConditionsHematopoietic Malignancy, Relapse/Recurrence, Hematopoietic Stem Cell TransplantationArmsUmbilical Cord Blood Transplantation
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 46 citations in OpenAlex.

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  11. LPSFrontiers in immunology · 2021
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  13. Graft-Versus-Tumor Effect in Major Histocompatibility Complex-Mismatched Mouse Liver Transplantation.Liver transplantation : official publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society · 2019
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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

8 authors at 2 institutions in 1 country.

C-C ZhengDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
X-Y ZhuDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
B-L TangDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
X-H ZhangDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
L ZhangDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
L-Q GengDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
H-L LiuDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
Z-M SunDepartment of Hematology, Anhui Provincial Hospital, Anhui Medical University, Hefei, China.
Anhui Provincial Hospital · CNAnhui Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Few studies have presented a comparison of myeloablative cord blood transplantation (CBT) and HLA-identical sibling hematopoietic cell transplantation (HCT) for AML in a disease-specific analysis, and the evaluation of GvHD-free and relapse-free survival (GRFS) in AML patients after unrelated CBT has not been reported. A total of 162 consecutive AML patients receiving intensified myeloablative unrelated CBT (n=107) or allogeneic PBSC transplantation (allo-PBSCT) or bone marrow transplantation (BMT) from an HLA-identical sibling donor (n=55) were investigated. Neutrophil or platelet engraftment was slower in the CBT cohort compared with that in the allo-PBSCT/BMT cohort. The incidence of grade II-IV or grade III-IV acute GvHD (aGvHD) and transplant-related mortality (TRM) were not significantly different in the two cohorts. Compared with the allo-PBSCT/BMT cohort, the CBT cohort had a significantly lower rate of chronic GvHD (cGvHD) (13.7% vs 28.3%; P=0.047) or extensive cGvHD (9.9% vs 24.1%; hazard ratio (HR)=2.06, P=0.039). The incidence of relapse at 5 years in the CBT cohort was significantly lower than that in the allo-PBSCT/BMT cohort (15.3% vs 36.1%; HR=4.62, P=0.009). The probabilities of overall survival and leukemia-free survival were similar between the two cohorts. The adjusted 5-year probability of GRFS was higher after CBT than that after allo-PBSCT/BMT (55.4% vs 39.2%; HR=1.63, P=0.042). The present study suggests that, for AML patients, intensified myeloablative unrelated CBT is associated with less cGvHD and a lower risk of relapse. In addition, these patients do not experience excessive TRM or severe aGvHD that translates into better GRFS compared with those patients who undergo HLA-identical sibling allo-PBSCT/BMT; this observation may reflect the clinical separation between cGvHD and GvL within our CBT protocol.

Indexed as

Cord Blood Stem Cell TransplantationGraft vs Leukemia EffectUnrelated DonorsAdolescentAdultAllograftsBone Marrow TransplantationChildChild, PreschoolDisease-Free SurvivalFemaleGraft vs Host DiseaseHumansLeukemia, Myeloid, AcuteMalePeripheral Blood Stem Cell Transplantation

Identifiers

PMID27376453
OpenAlexW2474261728

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.