Evidence map›Paper›PMID 28112746›Full record

ArticleBone marrow transplantation2017

Risk factors for treatment failure after allogeneic transplantation of patients with CLL: a report from the European Society for Blood and Marrow Transplantation.

J Schetelig, L C de Wreede, M van Gelder, N S Andersen, C Moreno, A Vitek, M Karas, M Michallet, M Machaczka, M Gramatzki and 11 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–field-weighted citation impact
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

18 citing papers in PubMed.

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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

21 authors.

J ScheteligMedical Department I, University Hospital, Technische Universität Dresden, Dresden, Germany.
L C de WreedeClinical Trials Unit, DKMS, gemeinnützige GmbH, Tübingen, Germany.
M van GelderDepartment of Internal Medicine, Division of Hematology, University Medical Center Maastricht, The Netherlands.
N S AndersenBMT Unit, Department of Hematology, Rigshospitalet, Copenhagen, Denmark.
C MorenoHematologia, Hospital de la Santa Creu i Sant Pau, Barcelona, Spain.
A VitekDepartment of Hematology, Institute of Hematology and Blood Transfusion, Prague, Czech Republic.
M KarasDepartment of Hematology/Oncology, Charles University Hospital, Pilsen, Czech Republic.
M MichalletHématologie, Center Hospitalier Lyon-Sud, Lyon, France.
M MachaczkaDepartment of Medicine at Huddinge, Hematology Center Karolinska and Karolinska Institutet, Stockholm, Sweden.
M GramatzkiDivision of Stem Cell Transplantation and Immunotherapy, University Hospital Schleswig-Holstein, Kiel, Germany.
D BeelenDepartment of Bone Marrow Transplantation, University Hospital, Essen, Germany.
J FinkeDepartment of Medicine-Hematology, University of Freiburg, Oncology, Freiburg, Germany.
J DelgadoDepartment of Hematology, Hospital Clinic, Institute of Hematology & Oncology, Barcelona, Spain.
L VolinStem Cell Transplantation Unit, Helsinki University Hospital Comprehensive Cancer Center, Helsinki, Finland.
J PasswegDepartment for Hematology, University Hospital, Basel, Switzerland.
P DregerMedizinische Klinik und Poliklinik V, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany.
A HenselerDepartment Medical Statistics & Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
A van BiezenDepartment Medical Statistics & Bioinformatics, Leiden University Medical Center, Leiden, The Netherlands.
M BornhäuserMedical Department I, University Hospital, Technische Universität Dresden, Dresden, Germany.
S O SchönlandMedizinische Klinik und Poliklinik V, Ruprecht-Karls-Universität Heidelberg, Heidelberg, Germany.
N KrögerBone Marrow Transplantation Center, University Hospital Eppendorf, Hamburg, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For young patients with high-risk CLL, BTK-/PI3K-inhibitors or allogeneic stem cell transplantation (alloHCT) are considered. Patients with a low risk of non-relapse mortality (NRM) but a high risk of failure of targeted therapy may benefit most from alloHCT. We performed Cox regression analyses to identify risk factors for 2-year NRM and 5-year event-free survival (using EFS as a surrogate for long-term disease control) in a large, updated EBMT registry cohort (n= 694). For the whole cohort, 2-year NRM was 28% and 5-year EFS 37%. Higher age, lower performance status, unrelated donor type and unfavorable sex-mismatch had a significant adverse impact on 2-year NRM. Two-year NRM was calculated for good- and poor-risk reference patients. Predicted 2-year-NRM was 11 and 12% for male and female good-risk patients compared with 42 and 33% for male and female poor-risk patients. For 5-year EFS, age, performance status, prior autologous HCT, remission status and sex-mismatch had a significant impact, whereas del(17p) did not. The model-based prediction of 5-year EFS was 55% and 64%, respectively, for male and female good-risk patients. Good-risk transplant candidates with high-risk CLL and limited prognosis either on or after failure of targeted therapy should still be considered for alloHCT.

Indexed as

AdultAgedAge FactorsBlood DonorsFemaleHematopoietic Stem Cell TransplantationHumansLeukemia, Lymphocytic, Chronic, B-CellMaleMiddle AgedPrognosisRisk AssessmentRisk FactorsSex FactorsSurvival AnalysisTransplantation, Homologous

Identifiers

PMID28112746

What OpenQuestion holds

Textmetadata
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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.