Evidence map›Paper›PMID 28218755›Full record

Trial reportBone marrow transplantation2017

Changes in the incidence, patterns and outcomes of graft failure following hematopoietic stem cell transplantation for Hurler syndrome.

S H Lum, W P Miller, S Jones, K Poulton, W Ogden, H Lee, A Logan, D Bonney, T C Lund, P J Orchard and 1 more

Registry-linked trialAbstract readClinical TrialMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05425043 (The Use of Granulocyte Transfusions After Umbilical Cord Blood Transplant for Leukaemia), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.9field-weighted citation impact, top 9% 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.

NCT05425043 naactive not recruitingnot on this mapstarted 2021, after this paper: background citation

The Use of Granulocyte Transfusions After Umbilical Cord Blood Transplant for Leukaemia: A Prospective, Non-randomised, Single-centre Study to Evaluate Safety and Immune Reconstitution

TypeinterventionalSponsorUniversity of ManchesterRan2021 to 2026Enrolled40ConditionsPediatric CancerArmsGranulocytes
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 40 citations in OpenAlex.

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  20. Hematopoietic Stem Cell Transplantation for Mucopolysaccharidoses: Past, Present, and Future.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Review
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 4 institutions in 2 countries.

S H LumDepartment of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, UK.
W P MillerDivision of Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.
S JonesManchester Centre for Genomic Medicine, St Mary's Hospital, Manchester, UK.
K PoultonTransplantation Laboratory, Manchester Royal Infirmary, Manchester, UK.
W OgdenTherapeutic Stem Cell Laboratory, Royal Manchester Children's Hospital, Manchester, UK.
H LeeTransplantation Laboratory, Manchester Royal Infirmary, Manchester, UK.
A LoganTransplantation Laboratory, Manchester Royal Infirmary, Manchester, UK.
D BonneyDepartment of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, UK.
T C LundDivision of Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.
P J OrchardDivision of Pediatric Blood and Marrow Transplantation, University of Minnesota, Minneapolis, MN, USA.
R F WynnDepartment of Paediatric Blood and Marrow Transplant, Royal Manchester Children's Hospital, Manchester, UK.
Royal Manchester Children's Hospital · GBManchester Royal Infirmary · GBUniversity of Minnesota · USSt Mary's Hospital · GB

Funding

Women's CancerP30CA077598 · NCI · UNIVERSITY OF MINNESOTA TWIN CITIES · PI Jeffrey S. Miller · 1998 to 2026
$100.4M
NCI NIH HHS P30 CA077598
6 · The paper itself

Abstract

Hematopoietic stem cell transplantation (HSCT) is the standard of care in children with Hurler syndrome (HS) as it is the only therapy that can arrest disease progression. We examined the incidence, patterns and outcomes of graft failure in all HS children undergoing first HSCT at the Royal Manchester Children's Hospital or the University of Minnesota Children's Hospital from 1983 to 2016. Implementation of busulfan pharmacokinetic monitoring started in 2004 in both institutions. Two hundred and forty HS children were included in this analysis (historical era (pre-2004), n=131; current era (post 2004), n=109). The proportion of patients with graft failure was significantly lower in the current era compared with the historical era (37.2% vs 10.1%, respectively). Of 49 patients with graft failure in the historical era, 1 had aplasia and 48 had autologous reconstitution. All the 11 graft failures of the current era occurred in recipients of cord blood transplants (7 aplasia and 4 autologous reconstitution). The outcomes of second transplant in these patients has improved, with 89% of such patients alive and engrafted in the current era compared with 58% in the historical era. The pattern of graft failure has changed from autologous reconstitution, likely secondary to inadequate myelosuppression in the historical era, to aplasia in the current era, likely due to imperfect immunosuppression.

Indexed as

Hematopoietic Stem Cell TransplantationAdolescentChildChild, PreschoolFemaleGraft RejectionHumansInfantMaleMucopolysaccharidosis IRetrospective Studies

Identifiers

PMID28218755
OpenAlexW2589751982

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.