Evidence map›Paper›PMID 28637512›Full record

ArticleJournal of hematology & oncology2017

Single- or double-unit UCBT following RIC in adults with AL: a report from Eurocord, the ALWP and the CTIWP of the EBMT.

Frédéric Baron, Annalisa Ruggeri, Eric Beohou, Myriam Labopin, Mohamad Mohty, Didier Blaise, Jan J Cornelissen, Patrice Chevallier, Guillermo Sanz, Eefke Petersen and 3 more

Open access · goldAbstract readMulticenter Study
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 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.2field-weighted citation impact, top 12% 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

9 citing papers in PubMed, 25 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. Umbilical cord blood: The promise and the uncertainty.Stem cells translational medicine · 2020
    Review
  7. Article
  8. Article
  9. 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

13 authors at 12 institutions in 7 countries.

Frédéric BaronDepartment of Hematology, University of Liege, CHU Sart-Tilman, 4000, Liege, Belgium. f.baron@ulg.ac.be.
Annalisa RuggeriEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, Paris, France.
Eric BeohouEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Myriam LabopinEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Mohamad MohtyAP-HP, Hématologie Clinique et Thérapie Cellulaire, Hôpital Saint-Antoine, Paris, France.
Didier BlaiseDepartment of Hematology, Institut Paoli Calmettes, Marseille, France.
Jan J CornelissenErasmus Medical Center-Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Patrice ChevallierDepartment of Hematology, CHU Nantes, Nantes, France.
Guillermo SanzServicio de Hematologia, Hospital Universitario La Fe, Valencia, Spain.
Eefke PetersenDepartment of Hematology, University Medical Centre, Utrecht, The Netherlands.
Bipin N SavaniVanderbilt University Medical Center, Nashville, TN, USA.
Eliane GluckmanEurocord, Hospital Saint Louis, AP-HP, and IUH University Paris VII, France Monacord, Centre Scientifique de Monaco, Monaco, Monaco.
Arnon NaglerEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Hôpital Saint-Antoine · FRErasmus MC Cancer Institute · NLEuropean Organisation for Rare Diseases · FRHospital Universitari i Politècnic La Fe · ESInstitut Paoli-Calmettes · FRLaboratoire de Thermique et Energie de Nantes · FRSheba Medical Center · ILSorbonne Université · FRUniversité Paris Cité · FRUniversity Medical Center Utrecht · NLUniversity of Liège · BEVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe feasibility of cord blood transplantation (CBT) in adults is limited by the relatively low number of hematopoietic stem/progenitor cells contained in one single CB unit. The infusion of two CB units from different partially HLA-matched donors (double CBT) is frequently performed in patients who lack a sufficiently rich single CB unit.

methodsWe compared CBT outcomes in patients given single or double CBT following reduced-intensity conditioning (RIC) in a retrospective multicenter registry-based study. Inclusion criteria included adult (≥18 years) patients, acute myeloid leukemia (AML) or acute lymphoblastic leukemia (ALL), complete remission (CR) at the time of transplantation, first single (with a cryopreserved TNC ≥ 2.5 × 10

resultsData from 534 patients with AML (n = 408) or ALL (n = 126) receiving a first single (n = 172) or double (n = 362) CBT were included in the analyses. In univariate analysis, in comparison to patients transplanted with a single CB, double CB recipients had a similar incidence of neutrophil engraftment but a suggestion for a higher incidence of grade II-IV acute GVHD (36 versus 28%, P = 0.08). In multivariate analyses, in comparison to single CBT recipients, double CBT patients had a comparable incidence of relapse (HR = 0.9, P = 0.5) and of nonrelapse mortality (HR = 0.8, P = 0.3), as well as comparable overall (HR = 0.8, P = 0.17), leukemia-free (HR = 0.8, P = 0.2) and GVHD-free, relapse-free (HR = 1.0, P = 0.3) survival.

conclusionsThese data failed to demonstrate better transplantation outcomes in adult patients receiving double CBT in comparison to those receiving single CBT with adequate TNC after RIC.

Indexed as

AdolescentAdultAgedCord Blood Stem Cell TransplantationFemaleFetal BloodGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansLeukemia, Myeloid, AcuteMaleMiddle AgedNeoplasm Recurrence, LocalRetrospective StudiesTransplantation ConditioningTreatment OutcomeALLAMLDoubleReduced-intensitySingleTransplantationUCBUnrelated cord blood

Identifiers

PMID28637512
PMCPMC5479038
OpenAlexW2660757502

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.