Evidence map›Paper›PMID 28894914›Full record

ArticleLung2017

Effect of Rituximab on Pulmonary Function in Bronchiolitis Obliterans Syndrome due to Graft-Versus-Host-Disease.

Kyle R Brownback, Laura A Thomas, Joseph P McGuirk, Siddhartha Ganguly, Christopher Streiler, Sunil Abhyankar

Abstract read
PubMed Publisher
In one paragraph

Article in Lung, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.0field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 23 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Noninfectious pulmonary complications of haematopoietic stem cell transplantation.European respiratory review : an official journal of the European Respiratory Society · 2020
    Review
  14. Ruxolitinib for Therapy of Graft-versus-Host Disease.BioMed research international · 2019
    Article
  15. 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

6 authors at 1 institution in 1 country.

Kyle R BrownbackDivision of Pulmonary and Critical Care Medicine, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 3007, Kansas City, KS, USA. kbrownback@kumc.edu.
Laura A ThomasDivision of Pulmonary and Critical Care Medicine, University of Kansas Medical Center, 3901 Rainbow BLVD, Mail Stop 3007, Kansas City, KS, USA.
Joseph P McGuirkDivision of Hematology and Oncology, University of Kansas Medical Center, Kansas City, KS, USA.
Siddhartha GangulyDivision of Hematology and Oncology, University of Kansas Medical Center, Kansas City, KS, USA.
Christopher StreilerDepartment of Internal Medicine, University of Kansas Medical Center, Kansas City, KS, USA.
Sunil AbhyankarDivision of Hematology and Oncology, University of Kansas Medical Center, Kansas City, KS, USA.
University of Kansas Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeRituximab is an anti-CD20 monoclonal antibody that is used to suppress B-cell function in graft-versus-host-disease (GVHD). We sought to determine the effects of rituximab treatment on lung function in those patients with bronchiolitis obliterans syndrome (BOS) as a manifestation of GVHD.

methodsThirteen patients were treated with rituximab with a diagnosis of BOS and a significant reduction in the forced expiratory volume in 1 s (FEV1) after hematopoietic stem cell transplantation (HSCT). The changes in their pulmonary function for 12 months following treatment with rituximab were followed, along with other intervention performed and daily average dosing of prednisone.

resultsFollowing rituximab administration, there was an improvement in the slope of decline in lung function from -5.12 ml/month prior to rituximab infusion to -0.31 ml/month after 3 months and to +2.27 ml/month 12 months later. Seven of the 13 patients had an increase in their FEV1 after treatment with rituximab. Additionally, the mean daily dose of prednisone decreased from 27 mg prior to rituximab treatment to 11 mg 12 months after treatment. Nine out of 13 patients survived 12 months after rituximab treatment. All of the patients with improvement in FEV1 following rituximab treatment were receiving concomitant extracorporeal photopheresis.

conclusionRituximab is safe with the potential to stabilize or improve lung function in patients with BOS after HSCT and should be considered as a treatment option in those patients.

Indexed as

AdultAgedAnti-Inflammatory AgentsBronchiolitis ObliteransFemaleForced Expiratory VolumeGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansImmunologic FactorsMaleMiddle AgedPhotopheresisPrednisoneRituximabSurvival RateAnti-Inflammatory AgentsImmunologic FactorsPrednisoneRituximabBronchiolitis obliterans syndromeExtracorporeal photopheresisGraft-versus-host-diseaseRituximabRuxolitinibStem cell transplantation

Identifiers

PMID28894914
OpenAlexW2755553643

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.