Evidence map›Paper›PMID 28103944›Full record

ArticleJournal of hematology & oncology2017

A comparison between allogeneic stem cell transplantation from unmanipulated haploidentical and unrelated donors in acute leukemia.

Simona Piemontese, F Ciceri, M Labopin, W Arcese, S Kyrcz-Krzemien, S Santarone, H Huang, D Beelen, N C Gorin, C Craddock and 5 more

Open access · goldAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Journal of hematology & oncology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
9.9field-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.

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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 83 citations in OpenAlex.

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  11. Weight loss post-allogeneic stem cell transplant is associated with increased transplant-related mortality.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
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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

15 authors at 10 institutions in 9 countries.

Simona PiemonteseHematology and Bone Marrow Transplant Unit, San Raffaele Scientific Institute, Milan, Italy.ORCID 0000-0002-5908-0792
F CiceriHematology and Bone Marrow Transplant Unit, San Raffaele Scientific Institute, Milan, Italy.
M LabopinEBMT ALWP Office, Hospital Saint Antoine, Paris, France.
W ArceseStem Cell Transplant Unit, Fondazione Policlinico Tor Vergata, Tor Vergata University, Rome, Italy.
S Kyrcz-KrzemienUniversity Department of Hematology and BMT, Medical University of Silesia, Katowice, Poland.
S SantaroneDepartment of Hematology, Ospedale Civile, Pescara, Italy.
H HuangBone Marrow Transplantation Center, The First Affiliated Hospital, Zhejiang University School of Medicine, 79 Qingchun Road, Hangzhou, 310003, China.
D BeelenDepartment of Bone Marrow Transplantation, University Hospital, Essen, Germany.
N C GorinEBMT ALWP Office, Hospital Saint Antoine, Paris, France.
C CraddockCenter for Clinical Hematology, Queen Elizabeth Hospital, Birmingham, UK.
Z GulbasBone Marrow Transplantation Department, Anadolu Medical Center Hospital, Gebze, Turkey.
A BacigalupoDivision of Hematology II, IRCCS, San Martino University Hospital IST, Genoa, Italy.
M MohtyEBMT ALWP Office, Hospital Saint Antoine, Paris, France.
A NaglerEBMT ALWP Office, Hospital Saint Antoine, Paris, France.
Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation (EBMT)
Anadolu University · TRInserm · FRMedical University of Silesia · PLSan Raffaele University of Rome · ITSorbonne Université · FRFirst Affiliated Hospital Zhejiang University · CNMartin University · USSheba Medical Center · ILUniversity of Rome Tor Vergata · ITZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the absence of a HLA-matched related or matched unrelated donor, allogeneic stem cell transplantation (allo-SCT) from mismatched unrelated donors or haploidentical donors are potential alternatives for patients with acute leukemia with an indication to allo-SCT. The objective of this study was to compare the outcome of allo-SCT from T cell-replete haploidentical (Haplo) versus matched (MUD 10/10) or mismatched unrelated donor at a single HLA-locus (MMUD 9/10) for patients with acute leukemia in remission.

methodsTwo hundred sixty-five adult patients with de novo acute leukemia in first or second remission that received a Haplo-SCT between January 2007 and December 2013 were compared with 2490 patients receiving a MUD 10/10 and 813 receiving a MMUD 9/10. Propensity score weighted analysis was conducted in order to control for disease risk imbalances between the groups.

resultsThe weighted 3-year non-relapse mortality and relapse incidence were 29 and 30% for Haplo, 21 and 29% for MUD 10/10, and 29 and 25% for MMUD 9/10, respectively. The weighted 3-year leukemia-free survival (LFS) and overall survival (OS) were 41 and 46% for Haplo, 50 and 56% for MUD 10/10, and 46 and 48% for MMUD 9/10, respectively. Using weighted Cox model, both LFS and OS were significantly higher in transplants from MUD 10/10 compared from those in Haplo but not different between transplants from MMUD 9/10 and Haplo. The type of donor was not significantly associated with neither acute nor chronic graft-versus-host disease.

conclusionsPatients with acute leukemia in remission have better outcomes if transplanted from a MUD 10/10. We did not find any significant difference in outcome between transplants from MMUD 9/10 and Haplo, suggesting that both can be equally used in the absence of a 10/10 MUD. KEY POINT 1: Better outcomes using fully (10/10) matched unrelated donor for allo-SCT in acute leukemia in remission. KEY POINT 2: Similar outcomes after allo-SCT from unmanipulated haploidentical graft or mismatched (9/10) unrelated donor in acute leukemia in remission.

Indexed as

Bone Marrow TransplantationPeripheral Blood Stem Cell TransplantationUnrelated DonorsAcute DiseaseAdolescentAdultAgedAllograftsDisease-Free SurvivalFemaleGraft vs Host DiseaseHistocompatibility TestingHLA AntigensHumansKaplan-Meier EstimateLeukemiaHLA Antigens

Identifiers

PMID28103944
PMCPMC5248464
OpenAlexW2575076839

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.