Evidence map›Paper›PMID 27467959›Full record

ArticleOncoimmunology2016

Rituximab-based treatments followed by adoptive cellular immunotherapy for biopsy-proven EBV-associated post-transplant lymphoproliferative disease in recipients of allogeneic hematopoietic stem cell transplantation.

Xinmiao Jiang, Lanping Xu, Yu Zhang, Fen Huang, Daihong Liu, Jin Sun, Chaoyang Song, Xinquan Liang, Zhiping Fan, Hongsheng Zhou and 8 more

Open access · goldAbstract read
In one paragraph

Article in Oncoimmunology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
1.6field-weighted citation impact, top 15% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

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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

18 authors at 6 institutions in 1 country.

Xinmiao JiangInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Lanping XuInstitution of Hematology, People's Hospital, Peking University , Beijing, China.
Yu ZhangInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Fen HuangInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Daihong LiuInstitution of Hematology, People's Hospital, Peking University , Beijing, China.
Jin SunInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Chaoyang SongInstitution of Hematology, Zhujiang Hospital, Southern Medical University , Guangzhou, China.
Xinquan LiangThe First People's Hospital of Chenzhou , Chenzhou, China.
Zhiping FanInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Hongsheng ZhouInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Min DaiInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Can LiuInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Qianli JiangInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Na XuInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Li XuanInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Meiqing WuInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Xiaojun HuangInstitution of Hematology, People's Hospital, Peking University , Beijing, China.
Qifa LiuInstitution of Hematology, Nanfang Hospital, Southern Medical University , Guangzhou, China.
Southern Medical University · CNNanfang Hospital · CNPeking University People's Hospital · CNChenzhou First People's Hospital · CNPeking University · CNZhujiang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To improve prognosis of post-transplant lymphoproliferative disease (PTLD), a sequential therapeutic strategy that rituximab-based treatments followed by donor lymphocyte infusion (DLI) or autologous EBV-specific cytotoxic T lymphocytes (EBV-CTL) for biopsy-proven EBV-associated PTLD in recipients of allogeneic hematopoietic stem cell transplantation was designed. 84 patients with EBV-PTLD were enrolled in this prospective study. After two cycles of the rituximab-based treatments, 68 of 84 patients (81% [95% CI 71-88]) responded and 52 (62% [51-72]) had CRs. This increased to 73 of 77 patients (95% [87-98]) with completion of sequential cell infusions, and 70 of 77 (91% [82-96]) achieved CRs after DLI or autologous EBV-CTL infusion. 22 patients experienced acute GVHD (aGVHD) (grade I in 5 and grade II in 13, grade III in 4) and 13 chronic GVHD (limited cGVHD in 7 and extensive cGVHD in 6) in 62 patients undergoing a median of three doses of DLI. The incidences of GVHD were similar between DLI and EBV-CTL group (aGVHD 35% vs. 33%, p = 0.876; cGVHD 21% vs. 13%; p = 0.503). EBV-CTL activity after the rituximab-based treatments did not change, while increased after cell infusions and reached its maximum in the 3rd or 6th month after EBV-CTL or DLI treatment, respectively. The 5-y cumulative incidence of PTLD relapse was 4.5% ± 3.3%. The 5-y overall survival (OS) and progression-free survival (PFS) after PTLD were 70.7% ± 5.2% and 68.9% ± 5.3%, respectively. Rituximab-based treatments combined with adoptive cellular immunotherapy might elevate CR rates and reduce relapse of PTLD after allo-HSCT.

Indexed as

Adoptive cellular immunotherapydonor lymphocyte infusionEBVEBV-CTLhematopoietic stem cell transplantationPTLDrelapserituximab

Identifiers

PMID27467959
PMCPMC4910706
OpenAlexW2336640949

What OpenQuestion holds

Textmetadata
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.