Evidence map›Paper›PMID 28558762›Full record

ArticleJournal of hematology & oncology2017

Unmanipulated haploidentical stem cell transplantation in adults with acute lymphoblastic leukemia: a study on behalf of the Acute Leukemia Working Party of the EBMT.

Nicole Santoro, Annalisa Ruggeri, Myriam Labopin, Andrea Bacigalupo, Fabio Ciceri, Zafer Gülbaş, He Huang, Boris Afanasyev, William Arcese, Depei Wu and 6 more

Open access · goldAbstract read
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 37 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 3 pooled it
7.5field-weighted citation impact, top 2% 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

37 citing papers in PubMed, 3 syntheses or guidelines pooled it, 73 citations in OpenAlex.

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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

16 authors at 12 institutions in 8 countries.

Nicole SantoroDepartment of Hematology and Cell Therapy, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France. nicole.santoro24@gmail.com.ORCID 0000-0001-5705-8084
Annalisa RuggeriDepartment of Hematology and Cell Therapy, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France.
Myriam LabopinDepartment of Hematology and Cell Therapy, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France.
Andrea BacigalupoDepartment of Hematology II, Ospedale San Martino, Genova, Italy.
Fabio CiceriHematology and Bone Marrow Transplantation Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Zafer GülbaşHematology Department, Anadolu Medical Center Hospital, Kocaeli, Turkey.
He HuangBone Marrow Transplantation Center, The First Affiliated Hospital, School of Medicine, Zhejiang University School of Medicine, Hangzhou, Zhejiang, China.
Boris AfanasyevHematology and Transplantology, Ratsa Gorbacheva Memorial Children's Institute, Saint Petersburg State Medical Pavlov University, St. Petersburg, Russian Federation.
William ArceseStem Cell Transplant Unit, Department of Hematology, Tor Vergata "University Hospital", Rome, Italy.
Depei WuDepartment of Hematology, The First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Yener KocStem Cell Transplant Unit, Medical Park Hospitals, Antalya, Turkey.
Johanna TischerDepartment of Internal Medicine III, Hematopoietic Stem Cell Transplantation, Ludwig-Maximilians-University Hospital of Munich-Grosshadern, Munich, Germany.
Stella SantaroneDepartment of Hematology and Trasfusional Medicine, Lund University, Ospedale Civile, Pescara, Italy.
Sebastian GiebelDepartment of Bone Marrow Transplantation and Onco-Hematology, Comprehensive Cancer Center M. Sklodowska-Curie Memorial Institute, Gliwice Branch, Gliwice, Poland.
Mohamad MohtyDepartment of Hematology and Cell Therapy, Hôpital Saint-Antoine, 184 Rue du Faubourg Saint Antoine, 75012, Paris, France.
Arnon NaglerALWP office, Hôpital Saint-Antoine, Paris, France.
Sorbonne Université · FRAntalya IVF · TRFirst Pavlov State Medical University of St. Petersburg · RULudwig-Maximilians-Universität München · DESheba Medical Center · ILSoochow University · CNThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversità Cattolica del Sacro Cuore · ITUniversity of Perugia · ITUniversity of Rome Tor Vergata · ITVita-Salute San Raffaele University · ITZhejiang University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllogenic hematopoietic stem cell transplantation (allo-SCT) is the most effective post-remission treatment for adults with high-risk acute lymphoblastic leukemia (ALL). The aim of the study was to analyze results of unmanipulated haploidentical allo-SCT (haplo-SCT) for adults with ALL and to identify prognostic factors.

methodsWe performed a retrospective analysis on 208 adults transplanted in EBMT centers from 2007 to 2014.

resultsMedian age at haplo-SCT was 32 years and median follow-up, 31 months. Forty-four percent of the patients were in first complete remission (CR1). Stem cell source was the bone marrow (BM) for 43% and peripheral blood (PB) for 57% of patients. Myeloablative conditioning (MAC) was used for 66% and reduced intensity regimen (RIC) for 34% of patients. GVHD prophylaxis was based on post-transplant cyclophosphamide (PT-Cy) for 118 (57%) or on anti-thymocyte-globulin (ATG) for 90 (43%) plus standard prophylaxis. One hundred eighty-four (92%) patients achieved engraftment. Cumulative incidence (CI) of grade II-IV acute-graft-versus-host-disease (GVHD) was 31%, grade III-IV 11%, and chronic GVHD 29%. Non-relapse mortality (NRM) and relapse-incidence (RI) were 32 and 37%, respectively. Overall survival (OS), leukemia-free survival (LFS), and GVHD-free, relapse-free-survival (GRFS) at 3 years were 33, 31, and 26%. For patients in CR1, OS, LFS, and GRFS were 52, 47, and 40%, respectively. Disease status was the main factor associated with transplant outcomes. Use of BM was independently associated with improvement in NRM, acute GVHD, GRFS, LFS, and OS.

conclusionsUnmanipulated haplo-SCT may be considered a valid option for adult patients with high-risk ALL lacking HLA identical donor preferably in early disease status.

Indexed as

AdolescentAdultAgedFemaleGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedNeoplasm Recurrence, LocalPrecursor Cell Lymphoblastic Leukemia-LymphomaPrognosisRetrospective StudiesSurvival AnalysisTransplantation ConditioningTransplantation, HomologousAcute lymphoblastic leukemiaAdultsAllogenic stem cell transplantationNon-TCD haploidentical

Identifiers

PMID28558762
PMCPMC5450162
OpenAlexW2617116169

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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.