Evidence map›Paper›PMID 28650455›Full record

Trial reportBone marrow transplantation2017

Clinical impact of NK-cell reconstitution after reduced intensity conditioned unrelated cord blood transplantation in patients with acute myeloid leukemia: analysis of a prospective phase II multicenter trial on behalf of the Société Française de Greffe de Moelle Osseuse et Thérapie Cellulaire and Eurocord.

S Nguyen, A Achour, L Souchet, S Vigouroux, P Chevallier, S Furst, A Sirvent, J-O Bay, G Socié, P Ceballos and 21 more

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 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
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

13 citing papers in PubMed.

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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

31 authors.

S NguyenAP-HP, Hôpital Pitié Salpêtrière (AP-HP), Service d'Hématologie Clinique, Paris, France.
A AchourSorbonne Universités, UPMC Univ Paris 06, INSERM U1135, CNRS ERL8255, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Paris, France.
L SouchetAP-HP, Hôpital Pitié Salpêtrière (AP-HP), Service d'Hématologie Clinique, Paris, France.
S VigourouxCHU de Bordeaux Hôpital du Haut-Lévèque, Service d'hématologie clinique et de thérapie cellulaire, Pessac, France.
P ChevallierCHU de Nantes, Hematology Department, Nantes, France.
S FurstInstitut Paoli Calmettes, Service de greffe de moelle, Marseille, France.
A SirventCentre Hospitalier Universitaire de Montpellier, Montpellier, France.
J-O BayCHU Estaing Service d'Hématologie Clinique, Clermont-Ferrand, France.
G SociéAP-HP, Hôpital Saint-Louis, Service d'Hématologie et de Transplantation, Paris, France.
P CeballosHôpital Lapeyronie, Montpellier, France.
A HuynhCHU de Toulouse, Hématologie Clinique, Toulouse, France.
J CornillonInstitut de Cancérologie de la Loire, Service d'Hématologie, Saint-Priest-en-Jarez, France.
S FrancoisCHU de Angers, Angers, France.
F LegrandCHU de Nice, Service d'Hématologie, Nice, France.
I Yakoub-AghaCHU de Lille, Service d'Hématologie Lille, France.
G MichelDepartment of Pediatric Hematology and Oncology, Timone Enfants Hospital and Research Unit EA 3279 Aix-Marseille University, Marseille, France.
N MaillardCHU de Poitiers, Poitiers, France.
G MargueritteCHU Montpellier Pédiatrie, Montpellier, France.
S MauryHôpital Henri Mondor, Service d'Hématologie, Créteil, France.
M UzunovAP-HP, Hôpital Pitié Salpêtrière (AP-HP), Service d'Hématologie Clinique, Paris, France.
C-E BulaboisCHU Grenoble, Grenoble, France.
M MichalletHôpital Edouard Herriot, Lyon, France.
L ClementUniversity Hospital de Bordeaux, Bordeaux, France.
C DauriacCHU de Rennes, Rennes, France.
K BilgerCHRU de Strasbourg, Strasbourg, France.
J LejeuneDepartment de Bioinformatique et Statistique Médicale, Hôpital Saint-Louis, Paris, France.
V BéziatSorbonne Universités, UPMC Univ Paris 06, INSERM U1135, CNRS ERL8255, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Paris, France.
V RochaEurocord Office, Hôpital Saint-Louis, Paris, France.
B RioHôpital Saint-Antoine, Hématologie Clinique et Thérapie Cellulaire, Paris, France.
S ChevretDepartment de Bioinformatique et Statistique Médicale, Hôpital Saint-Louis, Paris, France.
V VieillardSorbonne Universités, UPMC Univ Paris 06, INSERM U1135, CNRS ERL8255, Centre d'Immunologie et des Maladies Infectieuses (CIMI-Paris), Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Unrelated cord blood transplantation (UCBT) after a reduced intensity conditioning regimen (RIC) has extended the use of UCB in elderly patients and those with co-morbidities without an HLA-identical donor, although post-transplant relapse remains a concern in high-risk acute myeloid leukemia (AML) patients. HLA incompatibilities between donor and recipient might enhance the alloreactivity of natural killer (NK) cells after allogeneic hematopoietic stem-cell transplantation (HSCT). We studied the reconstitution of NK cells and KIR-L mismatch in 54 patients who underwent a RIC-UCBT for AML in CR in a prospective phase II clinical trial. After RIC-UCBT, NK cells displayed phenotypic features of both activation and immaturity. Restoration of their polyfunctional capacities depended on the timing of their acquisition of phenotypic markers of maturity. The incidence of treatment-related mortality (TRM) was correlated with low CD16 expression (P=0.043) and high HLA-DR expression (P=0.0008), whereas overall survival was associated with increased frequency of NK-cell degranulation (P=0.001). These features reflect a general impairment of the NK licensing process in HLA-mismatched HSCT and may aid the development of future strategies for selecting optimal UCB units and enhancing immune recovery.

Indexed as

Cord Blood Stem Cell TransplantationRegistriesTransplantation ConditioningAdultAllograftsDisease-Free SurvivalFemaleHumansKiller Cells, NaturalLeukemia, Myeloid, AcuteMaleMiddle AgedProspective StudiesRecovery of FunctionSurvival Rate

Identifiers

PMID28650455

What OpenQuestion holds

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Registered trials

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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.