Evidence map›Paper›PMID 28628088›Full record

Trial reportBone marrow transplantation2017

An individualised risk-adapted protocol of pre- and post transplant zoledronic acid reduces bone loss after allogeneic stem cell transplantation: results of a phase II prospective trial.

A Grigg, B Butcher, B Khodr, A Bajel, M Hertzberg, S Patil, A B D'Souza, P Ganly, P Ebeling, E Wong

Abstract readClinical Trial, Phase IIMulticenter 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. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.8field-weighted citation impact, top 25% 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

6 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. Article
  6. Bone management in hematologic stem cell transplant recipients.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2018
    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

10 authors at 8 institutions in 2 countries.

A GriggDepartment of Clinical Haematology, Austin Hospital, Heidelberg, VIC, Australia.
B ButcherWriteSource Medical Pty Ltd, Lane Cove, NSW, Australia.
B KhodrAustralasian Leukaemia and Lymphoma Group, Richmond, VIC, Australia.
A BajelBone Marrow Transplant Unit, Royal Melbourne Hospital, Parkville, VIC, Australia.
M HertzbergDepartment of Haematology, Prince of Wales Hospital, Sydney, NSW, Australia.
S PatilDepartment of Haematology, Alfred Hospital, Melbourne, VIC, Australia.
A B D'SouzaWellington Hospital, Wellington, New Zealand.
P GanlyChristchurch Hospital, Christchurch, New Zealand.
P EbelingMonash University, Clayton, VIC, Australia.
E WongUniversity of Melbourne, Melbourne, VIC, Australia.
The University of Melbourne · AUAustralasian Leukaemia and Lymphoma Group · AUChristchurch Hospital · NZMonash University · AUPrince of Wales Hospital · AUThe Alfred Hospital · AUThe Royal Melbourne Hospital · AUWellington Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Bone loss occurs frequently following allogeneic haematopoietic stem cell transplantation (alloSCT). The Australasian Leukaemia and Lymphoma Group conducted a prospective phase II study of pretransplant zoledronic acid (ZA) and individualised post-transplant ZA to prevent bone loss in alloSCT recipients. Patients received ZA 4 mg before conditioning. Administration of post-transplant ZA from days 100 to 365 post alloSCT was determined by a risk-adapted algorithm based on serial bone density assessments and glucocorticoid exposure. Of 82 patients enrolled, 70 were alive and without relapse at day 100. A single pretransplant dose of ZA prevented femoral neck bone loss at day 100 compared with baseline (mean change -2.6±4.6%). Using the risk-adapted protocol, 42 patients received ZA between days 100 and 365 post alloSCT, and this minimised bone loss at day 365 compared with pretransplant levels (mean change -2.9±5.3%). Femoral neck bone loss was significantly reduced in ZA-treated patients compared with historical untreated controls at days 100 and 365. This study demonstrates that a single dose of ZA pre-alloSCT prevents femoral neck bone loss at day 100 post alloSCT, and that a risk-adapted algorithm is able to guide ZA administration from days 100 to 365 post transplant and minimise further bone loss.

Indexed as

Bone DensityDiphosphonatesFemaleHematopoietic Stem Cell TransplantationHumansImidazolesMaleMiddle AgedProspective StudiesTransplantation ConditioningTransplantation, HomologousZoledronic AcidDiphosphonatesImidazolesZoledronic Acid

Identifiers

PMID28628088
OpenAlexW2636120464

What OpenQuestion holds

Textmetadata
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.