Evidence map›Paper›PMID 28087457›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2017

T Cell-Replete Peripheral Blood Haploidentical Hematopoietic Cell Transplantation with Post-Transplantation Cyclophosphamide Results in Outcomes Similar to Transplantation from Traditionally Matched Donors in Active Disease Acute Myeloid Leukemia.

Joan How, Michael Slade, Khoan Vu, John F DiPersio, Peter Westervelt, Geoffrey L Uy, Camille N Abboud, Ravi Vij, Mark A Schroeder, Todd A Fehniger and 1 more

Open access · greenAbstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
5.0field-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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 44 citations in OpenAlex.

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  5. Prospective Study of a Novel, Radiation-Free, Reduced-Intensity Bone Marrow Transplantation Platform for Primary Immunodeficiency Diseases.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 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

11 authors at 1 institution in 1 country.

Joan HowBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Michael SladeBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Khoan VuBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
John F DiPersioBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Peter WesterveltBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Geoffrey L UyBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Camille N AbboudBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Ravi VijBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Mark A SchroederBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Todd A FehnigerBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri.
Rizwan RomeeBMT and Leukemia Program, Department of Medicine, Washington University School of Medicine, St. Louis, Missouri. Electronic address: rromee@wustl.edu.
Washington University in St. Louis · US

Funding

Targeting the Bone Marrow Microenvironment In Acute Lymphocytic LeukemiaP50CA171963 · NCI · WASHINGTON UNIVERSITY · PI TODD A FEHNIGER · 2013 to 2026
$31.6M
Washington University Institute of Clinical and Translational SciencesTL1TR000449 · NCATS · WASHINGTON UNIVERSITY · PI EVANOFF, BRADLEY A · 2012 to 2016
$2.5M
NCATS NIH HHS TL1 TR000449NCI NIH HHS P50 CA171963
6 · The paper itself

Abstract

Outcomes for patients with acute myeloid leukemia (AML) who fail to achieve complete remission remain poor. Hematopoietic cell transplantation (HCT) has been shown to induce long-term survival in AML patients with active disease. HCT is largely performed with HLA-matched unrelated or HLA-matched related donors. Recently, HCT with HLA-haploidentical related donors has been identified as a feasible option when HLA-matched donors are not immediately available. However, there are little data comparing outcomes for AML patients with active disease who receive haploidentical versus traditionally matched HCT. We retrospectively analyzed data from 99 AML patients with active disease undergoing allogeneic HCT at a single institution. Forty-three patients received unrelated donor HCT, 32 patients received matched related donor HCT, and 24 patients received peripheral blood haploidentical HCT with post-transplantation cyclophosphamide. We found no significant differences between treatment groups in terms of overall survival (OS), event-free survival, transplantation-related mortality, cumulative incidence of relapse, and cumulative incidence of acute and chronic graft-versus-host disease (GVHD). We performed univariate regression analysis of variables that modified OS in all patients and found only younger age at transplantation and development of chronic GVHD significantly improved outcome. Although limited by our relatively small sample size, these results indicate that haploidentical HCT in active AML patients have comparable outcomes to HCT with traditionally matched donors. Haploidentical HCT can be considered in this population of high-risk patients when matched donors are unavailable or when wait times for transplantation are unacceptably long.

Indexed as

AdultAgedAge FactorsCyclophosphamideFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibilityHumansLeukemia, Myeloid, AcuteMaleMiddle AgedRetrospective StudiesRisk FactorsSurvival AnalysisTissue DonorsCyclophosphamideActive diseaseAcute myeloid leukemiaHaploidentical transplantation

Identifiers

PMID28087457
PMCPMC5514180
OpenAlexW2568866949

What OpenQuestion holds

Textmetadata
LicenceTDM
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.