Evidence map›Paper›PMID 28581472›Full record

Trial reportBone marrow transplantation2017

Low incidence of severe cGvHD and late NRM in a phase II trial of thymoglobulin, tacrolimus and sirolimus for GvHD prevention.

Z Al-Kadhimi, Z Gul, M Abidi, L G Lum, A Deol, W Chen, H Jang, C Ozust, A Langston, E Waller and 1 more

Open access · bronzeAbstract readClinical Trial, Phase II
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. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.7field-weighted citation impact, top 28% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
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 6 institutions in 2 countries.

Z Al-KadhimiDepartment of Hematology/Oncology, Winship Cancer Center/Emory University, Atlanta, GA, USA.
Z GulDepartment of Hematology/Oncology, University of Cincinnati, Cincinnati, OH, USA.
M AbidiDepartment of Hematology/Oncology, Spectrum Health Institute, Grand Rapids, MI, USA.
L G LumDepartment of Hematology/Oncology, University of Virginia, Charlottesville, VA, USA.
A DeolDepartment of Hematology/Oncology, Wayne State University, Detroit, MI, USA.
W ChenDepartment of Hematology/Oncology, Wayne State University, Detroit, MI, USA.
H JangDepartment of Hematology/Oncology, Wayne State University, Detroit, MI, USA.
C OzustDiagnostic Laboratory, Infinity primary care, Novi, MI, USA.
A LangstonDepartment of Hematology/Oncology, Winship Cancer Center/Emory University, Atlanta, GA, USA.
E WallerDepartment of Hematology/Oncology, Winship Cancer Center/Emory University, Atlanta, GA, USA.
J UbertiDepartment of Hematology/Oncology, Wayne State University, Detroit, MI, USA.
Wayne State University · USEmory University · USPrimary Health Care · QASpectrum Health · USUniversity of Cincinnati · USUniversity of Virginia · US

Funding

Tumor Biology and Microenvironment (Program 1)P30CA022453 · NCI · WAYNE STATE UNIVERSITY · PI PAUL M STEMMER · 1985 to 2026
$68.4M
NCI NIH HHS P30 CA022453
6 · The paper itself

Abstract

Chronic GvHD (cGvHD) is the leading cause of late non-relapse mortality (NRM) and morbidity after allogeneic hematopoietic stem cell transplant (AHSCT). We analyzed the late effects of a phase II trial testing the efficacy of intermediate dose rabbit anti-thymocyte globulin (Thymoglobulin Thymo) in combination with tacrolimus and sirolimus (TTS) in 47 patients (pts) for the prevention of acute and chronic GvHD after unrelated AHSCT. The median follow-up was 45.2 months. The cumulative incidence of NIH severe cGvHD at 48 months was 6.4% with no new occurrences past 6 months for the entire follow-up period. The overall cumulative incidence of cGvHD was 44.7%. Out of 20 pts who are alive and disease-free at the last follow-up, only 4 pts continue to need systemic immune suppression. We observed low late NRM with only 3 transplant-related deaths after 6 months post transplant. At 4 years of follow-up, the overall cumulative incidence of NRM and disease relapse was 27.7% and 30.0%, respectively. PFS and overall survival (OS) at 4 years were 42 and 47%. At long term follow-up, TTS was associated with low incidence of severe cGvHD and late NRM.

Indexed as

AdultAgedAntilymphocyte SerumFemaleGraft vs Host DiseaseHumansImmunosuppressive AgentsIncidenceMaleMiddle AgedRisk AssessmentSirolimusSurvival RateTacrolimusYoung AdultAntilymphocyte SerumImmunosuppressive AgentsSirolimusTacrolimusthymoglobulin

Identifiers

PMID28581472
PMCPMC6857176
OpenAlexW2623081654

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.