Evidence map›Paper›PMID 27625358›Full record

Trial reportBlood2016

A trial of unrelated donor marrow transplantation for children with severe sickle cell disease.

Shalini Shenoy, Mary Eapen, Julie A Panepinto, Brent R Logan, Juan Wu, Allistair Abraham, Joel Brochstein, Sonali Chaudhury, Kamar Godder, Ann E Haight and 19 more

2 registry-linked trialsOpen access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2016. 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 91 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
91citing papers in PubMed, 3 pooled it
14.7field-weighted citation impact, top 1% 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.

NCT00745420 phase2completednot on this map

Unrelated Donor Reduced Intensity Bone Marrow Transplant for Children With Severe Sickle Cell Disease (BMT CTN #0601)

TypeinterventionalSponsorMedical College of WisconsinRan2008 to 2016Enrolled30ConditionsSickle Cell DiseaseArmsHematopoietic Stem Cell Transplantation
NCT04523376 nacompletednot on this mapstarted 2020, after this paper: background citation

Closely Matched Unrelated Donor Peripheral Blood Stem Cell Transplantation With TCRαβ+ T Cell and B Cell Depletion For Patients With Sickle Cell Disease and Thalassemia Major

TypeinterventionalSponsorTimothy OlsonRan2020 to 2025Enrolled8ConditionsSickle Cell Disease, Thalassemia MajorArmsCliniMACS
3 · Its place in the literature

Who cites it

91 citing papers in PubMed, 3 syntheses or guidelines pooled it, 207 citations in OpenAlex.

  1. Guideline
  2. Hematopoietic stem cell transplantation for people with sickle cell disease.The Cochrane database of systematic reviews · 2020
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Post-Transcriptional Genetic Silencing ofThe New England journal of medicine · 2021
    Trial
  9. Trial
  10. Trial
  11. Trial
  12. Trial
  13. Unrelated Donor Transplantation in Children with Thalassemia using Reduced-Intensity Conditioning: The URTH Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  14. Article
  15. Review
  16. Review
  17. Review
  18. Article
  19. Article
  20. Review

31 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

29 authors at 20 institutions in 1 country.

Shalini ShenoyDepartment of Pediatrics, Washington University School of Medicine, St. Louis Children's Hospital, St. Louis, MO.
Mary EapenDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Julie A PanepintoDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Brent R LoganDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Juan WuThe Emmes Corporation, Rockville, MD.
Allistair AbrahamChildren's National Medical Center, Washington, DC.
Joel BrochsteinSteven and Alexandra Cohen Children's Medical Center, New Hyde Park, NY.
Sonali ChaudhuryAnn & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL.
Kamar GodderDepartment of Pediatrics, Virginia Commonwealth University, Richmond, VA.
Ann E HaightDepartment of Pediatrics, Children's Healthcare of Atlanta, Emory University School of Medicine, Atlanta, GA.
Kimberly A KasowDepartment of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC.
Kathryn LeungDepartment of Pediatrics, Baylor College of Medicine, Houston, TX.
Martin AndreanskyDepartment of Pediatrics, University of Miami, Miami, FL.
Monica BhatiaColumbia University Medical Center, New York, NY.
Jignesh DalalChildren's Mercy Hospital and Clinics, Kansas City, KS.
Hilary HainesDepartment of Pediatrics, University of Alabama, Birmingham, AL.
Jennifer JaroscakDepartment of Pediatrics, Medical University of South Carolina, Charleston, SC.
Hillard M LazarusDepartment of Internal Medicine, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH.
John E LevineDepartments of Internal Medicine and Pediatrics, University of Michigan, Ann Arbor, MI.
Lakshmanan KrishnamurtiChildren's Hospital of Pittsburgh, Pittsburgh, PA.
David MargolisChildren's Hospital of Wisconsin, Milwaukee, WI.
Gail C MegasonUniversity of Mississippi Medical Center, Jackson, MS.
Lolie C YuLouisiana State University Medical Center, Children's Hospital of New Orleans, New Orleans, LA.
Michael A PulsipherPediatric Blood and Marrow Transplant Consortium, Salt Lake City, UT.
Iris GerstenThe Emmes Corporation, Rockville, MD.
Nancy DiFronzoNational Heart, Lung, and Blood Institute, Bethesda, MD.
Mary M HorowitzDepartment of Pediatrics, Medical College of Wisconsin, Milwaukee, WI.
Mark C WaltersUCSF Benioff Children's Hospital, Oakland, CA; and.
Naynesh KamaniAABB Center for Cellular Therapies, Bethesda, MD.
Medical College of Wisconsin · USChildren's Hospital of Wisconsin · USEmmes (United States) · USAmerican Association of Blood Banks · USBaylor College of Medicine · USCase Western Reserve University · USChildren's Healthcare of Atlanta · USChildren's Hospital of Pittsburgh · USChildren's Mercy Hospital · USChildren's National · USCohen Children's Medical Center · USColumbia University Irving Medical Center · USLouisiana State University · USLurie Children's Hospital · USMedical University of South Carolina · USNational Heart Lung and Blood Institute · USSt. Louis Children's Hospital · USUCSF Benioff Children's Hospital · USUniversity of Alabama at Birmingham · USUniversity of Miami · US

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
Child Health Research Career Development Award (CHRCDA) Program at Children's NationalK12HD001399 · NICHD · CHILDREN'S RESEARCH INSTITUTE · PI NATHAN KUPPERMANN · 2001 to 2026
$9.1M
Sargrastim and Plerixafor vs. Filgrastim for Allogeneic Stem Cell MobilizationU10HL109137 · NHLBI · WASHINGTON UNIVERSITY · PI WESTERVELT, PETER · 2011 to 2016
$937k
Blood and Marrow Transplant Clinical Trials NetworkU10HL069254 · NHLBI · UNIVERSITY OF UTAH · PI PULSIPHER, MICHAEL A · 2011 to 2016
$839k
NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069254NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U10 HL109137NICHD NIH HHS K12 HD001399
6 · The paper itself

Abstract

Children with sickle cell disease experience organ damage, impaired quality of life, and premature mortality. Allogeneic bone marrow transplant from an HLA-matched sibling can halt disease progression but is limited by donor availability. A Blood and Marrow Transplant Clinical Trials Network (BMT CTN) phase 2 trial conducted from 2008 to 2014 enrolled 30 children aged 4 to 19 years; 29 were eligible for evaluation. The primary objective was 1-year event-free survival (EFS) after HLA allele-matched (at HLA-A, -B, -C, and -DRB1 loci) unrelated donor transplant. The conditioning regimen included alemtuzumab, fludarabine, and melphalan. Graft-versus-host disease (GVHD) prophylaxis included calcineurin inhibitor, short-course methotrexate, and methylprednisolone. Transplant indications included stroke (n = 12), transcranial Doppler velocity >200 cm/s (n = 2), ≥3 vaso-occlusive pain crises per year (n = 12), or ≥2 acute chest syndrome episodes (n = 4) in the 2 years preceding enrollment. Median follow-up was 26 months (range, 12-62 months); graft rejection was 10%. The 1- and 2-year EFS rates were 76% and 69%, respectively. The corresponding rates for overall survival were 86% and 79%. The day 100 incidence rate of grade II-IV acute GVHD was 28%, and the 1-year incidence rate of chronic GVHD was 62%; 38% classified as extensive. There were 7 GVHD-related deaths. A 34% incidence of posterior reversible encephalopathy syndrome was noted in the first 6 months. Although the 1-year EFS met the prespecified target of ≥75%, this regimen cannot be considered sufficiently safe for widespread adoption without modifications to achieve more effective GVHD prophylaxis. The BMT CTN #0601 trial was registered at www.clinicaltrials.gov as #NCT00745420.

Indexed as

Bone Marrow TransplantationUnrelated DonorsAdolescentAllograftsAnemia, Sickle CellCalcineurin InhibitorsChildDisease-Free SurvivalFemaleFollow-Up StudiesGraft vs Host DiseaseHumansMaleSurvival RateCalcineurin Inhibitors

Identifiers

PMID27625358
PMCPMC5123194
OpenAlexW2552002719

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.