Evidence map›Paper›PMID 28057639›Full record

Trial reportBlood2017

Clinical and immunologic impact of CCR5 blockade in graft-versus-host disease prophylaxis.

Ryan H Moy, Austin P Huffman, Lee P Richman, Lisa Crisalli, Ximi K Wang, James A Hoxie, Rosemarie Mick, Stephen G Emerson, Yi Zhang, Robert H Vonderheide and 2 more

Open access · bronzeAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Blood, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed, 1 pooled it
6.8field-weighted citation impact, top 3% 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

43 citing papers in PubMed, 1 synthesis or guideline pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Trial
  4. Extended CCR5 Blockade for Graft-versus-Host Disease Prophylaxis Improves Outcomes of Reduced-Intensity Unrelated Donor Hematopoietic Cell Transplantation: A Phase II Clinical Trial.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  5. Trial
  6. Pharmacodynamic Monitoring Predicts Outcomes of CCR5 Blockade as Graft-versus-Host Disease Prophylaxis.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2018
    Trial
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Graft-Versus-Host Disease Mouse Models: A Clinical-Translational Perspective.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. CCR5 promotes the migration of CD8bioRxiv : the preprint server for biology · 2023
    Article
  20. Article
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

12 authors at 5 institutions in 1 country.

Ryan H MoyAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Austin P HuffmanAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Lee P RichmanAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Lisa CrisalliAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Ximi K WangDivision of Hematology/Oncology and.
James A HoxieAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Rosemarie MickAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Stephen G EmersonHerbert Irving Comprehensive Cancer Center, Columbia University, New York, NY; and.
Yi ZhangDepartment of Microbiology and Immunology, Temple University, Philadelphia, PA.
Robert H VonderheideAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
David L PorterAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
Ran ReshefAbramson Cancer Center, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA.
University of Pennsylvania · USColumbia University Irving Medical Center · USCornell University · USPalmetto Hematology Oncology · USTemple University · US

Funding

UNIVERSITY OF PENNSYLVANIA CAN CTR SUPPORT GRANTP30CA016520 · NCI · UNIVERSITY OF PENNSYLVANIA · PI Robert H. Vonderheide · 1985 to 2026
$222.3M
Ezh2-mediated Epigenetic Effects and AlloimmunityR01HL127351 · NHLBI · TEMPLE UNIV OF THE COMMONWEALTH · PI ZHANG, YI · 2016 to 2019
$2.4M
Bone Marrow Transplant Clinical NetworkU01HL069286 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI STADTMAUER, EDWARD A · 2001 to 2010
$2.1M
Lymphocyte trafficking blockade in allogeneic stem-cell transplantationK23CA178202 · NCI · UNIVERSITY OF PENNSYLVANIA · PI RESHEF, RAN · 2013 to 2015
$520k
NCI NIH HHS K23 CA178202NCI NIH HHS P30 CA016520NHLBI NIH HHS R01 HL127351NHLBI NIH HHS U01 HL069286
6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) is a major cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation (allo-HSCT). Lymphocyte trafficking via chemokine receptors such as CCR5 plays a critical role in alloreactive responses, and previous data suggest that CCR5 blockade with maraviroc results in a low incidence of visceral GVHD. However, the full scope of clinical and immunologic effects of CCR5 blockade in HSCT has not been described. We compared a cohort of patients enrolled on a trial of reduced-intensity allo-HSCT with standard GVHD prophylaxis plus maraviroc to a contemporary control cohort receiving standard GVHD prophylaxis alone. Maraviroc treatment was associated with a lower incidence of acute GVHD without increased risk of disease relapse, as well as reduced levels of gut-specific markers. At day 30, maraviroc treatment increased CCR5 expression on T cells and dampened T-cell activation in peripheral blood without impairing early immune reconstitution or increasing risk for infections. Patients who developed acute GVHD despite maraviroc prophylaxis showed increased T-cell activation, naive T-cell skewing, and elevated serum CXCL9 and CXCL10 levels. Collectively, these data suggest that maraviroc effectively protects against GVHD by modulating alloreactive donor T-cell responses, and that CXCR3 signaling may be an important resistance mechanism to CCR5 blockade in GVHD.

Indexed as

AdultAgedAntigens, NeoplasmBiomarkers, TumorCCR5 Receptor AntagonistsFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansImmunity, CellularInterleukin-15Lectins, C-TypeLymphocyte ActivationMaleMiddle AgedPancreatitis-Associated ProteinsAntigens, NeoplasmBiomarkers, TumorCCR5 protein, humanCCR5 Receptor AntagonistsInterleukin-15Lectins, C-TypePancreatitis-Associated ProteinsReceptors, CCR5REG3A protein, human

Identifiers

PMID28057639
PMCPMC5314813
OpenAlexW2569245659

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.