Evidence map›Paper›PMID 27819687›Full record

ArticleBone marrow transplantation2017

Impact of drug development on the use of stem cell transplantation: a report by the European Society for Blood and Marrow Transplantation (EBMT).

J R Passweg, H Baldomero, P Bader, C Bonini, S Cesaro, P Dreger, R F Duarte, C Dufour, J Kuball, D Farge-Bancel and 6 more

Abstract readMulticenter 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. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
4.8field-weighted citation impact, top 4% 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

13 citing papers in PubMed, 39 citations in OpenAlex.

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  7. The CD34Clinical hematology international · 2020
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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

16 authors at 14 institutions in 9 countries.

J R PasswegEBMT Activity Survey Office, Division of Hematology, Department of Medicine, University Hospital, Basel, Switzerland.
H BaldomeroEBMT Activity Survey Office, Division of Hematology, Department of Medicine, University Hospital, Basel, Switzerland.
P BaderUniversitätsklinikum Frankfurt, Goethe-Universität, Frankfurt am Main, Germany.
C BoniniUniversità Vita-Salute San Raffaele, Milan, Italy.
S CesaroPediatric Haematology and Oncology, Policlinico GB Rossi, Verona, Italy.
P DregerMedizinische Klinik V, University of Heidelberg, Heidelberg, Germany.
R F DuarteHematology Department, Hospital Universitario Puerta de Hierro Majadahonda, Madrid, Spain.
C DufourHematology Unit, G Gaslini Children's Institute, Genova, Italy.
J KuballDepartment of Hematology, University Medical Centre, Utrecht, The Netherlands.
D Farge-BancelService de Médecine Interne, Maladies auto-immunes et pathologie vasculaire, Hôpital St Louis, Paris, France.
A GenneryInstitute of Cellular Medicine, Newcastle University, Newcastle-Upon-Tyne, UK.
N KrögerUniversity Hospital Eppendorf, Hamburg, Germany.
F LanzaHematology and BMT Unit, University Hospital of Ravenna, Ravenna, Italy.
A NaglerChaim Sheba Medical Center, Tel-Hashomer, Israel.
A SuredaHematology Department, Institut Català d'Oncologia-Hospital Duran I Reynals, Barcelona, Spain.
M MohtyHospital Saint Antoine, Paris, France.
University Hospital of Basel · CHChildren’s Institute · USHeidelberg University · DEHôpital Saint-Antoine · FRHôpital Saint-Louis · FRHospital Universitario Puerta de Hierro Majadahonda · ESInstitut Català d'Oncologia · ESNewcastle University · GBOspedale "Santa Maria delle Croci" di Ravenna · ITSheba Medical Center · ILUniversity Hospital Frankfurt · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity Medical Center Utrecht · NLVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematopoietic stem cell transplantation (HSCT) is used with increasing frequency in Europe with 40 000 transplants reported in 2014. Transplant-related mortality remains high in allogeneic HSCT (10-20%); high-dose chemotherapy is toxic and demanding for patients. Drug development is accelerating and with limited toxicity of some targeted drugs may replace HSCT, whereas others may function as a 'bridge to transplant'. We analyzed HSCT reported to the activity survey for selected diseases in which major advances in drug development have been made. Tyrosine kinase inhibitors markedly changed the number of allogeneic HSCT in early CML. In myelodysplastic syndromes, hypomethylating agents show no effect on HSCT activity and Janus kinase inhibitors for myeloproliferative neoplasm appear to have only a temporary effect. For CLL autologous HSCT decreased after publication of trials showing improved PFS but no overall survival advantage and allogeneic rates are dropping after the introduction of Bruton kinase and PI3K Inhibitors. Whether these are 'game changers' as was imatinib for CML requires additional follow-up. For myeloma, proteasome inhibitors and new immunomodulatory drugs do not appear to impact transplant rates. Drug development data show different effects on HSCT use; highly effective drugs may replace HSCT, whereas other drugs may improve the patient's condition to allow for HSCT.

Indexed as

Drug DiscoveryHematopoietic Stem Cell TransplantationAllograftsAntineoplastic AgentsEuropeFemaleHematologic NeoplasmsHumansMaleSocieties, MedicalAntineoplastic Agents

Identifiers

PMID27819687
OpenAlexW2552953753

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.