Evidence map›Paper›PMID 28900860›Full record

ArticleInternational journal of hematology2018

Modified immunosuppressive therapy with porcine antilymphocyte globulin plus delayed cyclosporine A in children with severe aplastic anemia.

Qingya Cui, Pingping Sha, Haifei Chen, Hongshi Shen, Longmei Qin, Zhengyang Li, Tianqin Wu, Zhaoyue Wang

Abstract read
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In one paragraph

Article in International journal of hematology, 2018. 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
0.9field-weighted citation impact, top 24% 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, 9 citations in OpenAlex.

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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

8 authors at 1 institution in 1 country.

Qingya CuiJiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Key Lab of Thrombosis and Hemostasis of Ministry of Health, 188 Shizi Street, Suzhou, 215006, China.
Pingping ShaJiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Key Lab of Thrombosis and Hemostasis of Ministry of Health, 188 Shizi Street, Suzhou, 215006, China.
Haifei ChenThe Department of Hematology, PLA 100th Hospital, 53 Wuqueqiao Street, Suzhou, 215006, China.
Hongshi ShenThe Department of Hematology, PLA 100th Hospital, 53 Wuqueqiao Street, Suzhou, 215006, China.
Longmei QinThe Department of Hematology, PLA 100th Hospital, 53 Wuqueqiao Street, Suzhou, 215006, China.
Zhengyang LiThe Department of Hematology, PLA 100th Hospital, 53 Wuqueqiao Street, Suzhou, 215006, China.
Tianqin WuThe Department of Hematology, PLA 100th Hospital, 53 Wuqueqiao Street, Suzhou, 215006, China. wtq100@vip.163.com.
Zhaoyue WangJiangsu Institute of Hematology, The First Affiliated Hospital of Soochow University, Key Lab of Thrombosis and Hemostasis of Ministry of Health, 188 Shizi Street, Suzhou, 215006, China. zwang11@sina.com.
Soochow University · CN

Funding

Life and health special funds of the Jiangsu Province's Science and Technology Bureau BL2012005the Priority Academic Program Development of Jiangsu Higher Education Institutions (PAPD), Jiangsu Province's Key Medical Center ZX201102
6 · The paper itself

Abstract

Immunosuppressive therapy (IST) with antithymocyte globulin (ATG) and cyclosporine (CsA) is the standard treatment for children with severe aplastic anemia (SAA) with no human leukocyte antigen-matched siblings. Due to the unavailability of horse ATG in China, porcine antilymphocyte globulin (p-ALG), which is less expensive and more effective than rabbit ATG, is widely used. We sought to evaluate the efficacy and safety profile of modified IST with p-ALG plus delayed CsA at day 21 in 50 SAA children. Eighteen SAA patients who progressed from nonsevere aplastic anemia (NSAA) were classified as SAA-II; the other 32 patients were classified as SAA-I. Overall response (OR) rates at 3, 6 and 12 months were 56, 64 and 62%, respectively. The 10-year overall survival (OS) rate and disease-free survival (DFS) rate were 80 and 56%. The OR, OS and DFS rates in the SAA-I group were clearly better than those in the SAA-II group. Death rate from infection within 30 days was 4%. Modified IST with p-ALG plus delayed CsA is a reliable and well-tolerated treatment for children with SAA, and reduces early death due to infection. Modified IST is more suitable for children with SAA-I.

Indexed as

AdolescentAnemia, AplasticAnimalsAntilymphocyte SerumChildChild, PreschoolCyclosporineDrug Therapy, CombinationFemaleFollow-Up StudiesHumansImmunosuppressive AgentsMaleRetrospective StudiesSeverity of Illness IndexSurvival RateAntilymphocyte SerumCyclosporineImmunosuppressive AgentsInfectionModified immunosuppressive therapyPorcine antilymphocyte globulinSevere aplastic anemia

Identifiers

PMID28900860
OpenAlexW2755391207

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.