Evidence map›Paper›PMID 29269797›Full record

ArticleBone marrow transplantation2018

Pentostatin therapy for steroid-refractory acute graft versus host disease: identifying those who may benefit.

Brittany Knick Ragon, Rohtesh S Mehta, Alison M Gulbis, Rima M Saliba, Julianne Chen, Gabriela Rondon, Uday R Popat, Yago Nieto, Betul Oran, Amanda L Olson and 8 more

Open access · greenAbstract read
In one paragraph

Article in Bone marrow transplantation, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.1field-weighted citation impact, top 21% 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

7 citing papers in PubMed, 14 citations in OpenAlex.

  1. Article
  2. Graft-Versus-Host Disease Mouse Models: A Clinical-Translational Perspective.Methods in molecular biology (Clifton, N.J.) · 2025
    Review
  3. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
    Review
  4. Review
  5. Review
  6. Review
  7. Outcomes and Predictors of Response in Steroid-Refractory Acute Graft-versus-Host Disease.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    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

18 authors at 1 institution in 1 country.

Brittany Knick RagonThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rohtesh S MehtaThe University of Texas MD Anderson Cancer Center, Houston, TX, USA. rmehta1@mdanderson.org.
Alison M GulbisThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Rima M SalibaThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Julianne ChenThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Gabriela RondonThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Uday R PopatThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Yago NietoThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Betul OranThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Amanda L OlsonThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0002-1669-0355
Krina PatelThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Chitra M HosingThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Muzaffar H QazilbashThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.ORCID http://orcid.org/0000-0003-2876-2886
Nina ShahThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Partow KebriaeiThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Elizabeth J ShpallThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Richard E ChamplinThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Amin M AlousiThe University of Texas MD Anderson Cancer Center, Houston, TX, USA.
The University of Texas MD Anderson Cancer Center · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
Improving the Outcomes of Stem Cell TransplantationU10HL069334 · NHLBI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI ALOUSI, AMIN MAJID · 2011 to 2016
$974k
NCI NIH HHS P30 CA016672NHLBI NIH HHS U10 HL069334
6 · The paper itself

Abstract

We report outcomes of 60 patients with steroid-refractory (SR)-aGVHD treated with pentostatin. Almost half (47%) of patients had grade 4 GVHD-22% had stage 3-4 liver GVHD and 51% had stage 3-4 lower gastrointestinal tract (LGI) GVHD. Patients received a median of 3 courses (range, 1-9) of pentostatin. Day 28 overall response rate (ORR) was 33% (n = 20) (complete response 18% (n = 11), partial response 15% (n = 9)). Non-relapse mortality was 72% (95% confidence interval (CI) 61-84%) and overall survival (OS) was 21% (95% CI 12-32%) at 18 months. On univariate analysis, age >60 years (HR 1.9, 95% CI 1.01-3.7, p = 0.045) and presence of liver GVHD (HR 1.9, 95% CI 1.9, 95% CI 1.5-3.3, p = 0.03) were significant predictors of poor OS while patients with LGI GVHD had superior OS than those without (HR 0.4, 95% CI 0.2-0.8, p = 0.01). On stratified analysis, patients <60 years with isolated LGI GVHD had the best outcomes with an ORR of 48% and OS of 42% at 18 months. Among older patients, OS was 14% in those with isolated LGI aGVHD and 0% in others. Pentostatin remains a viable treatment option for SR-aGVHD, especially in patients 60 years or younger with isolated LGI involvement.

Indexed as

Patient SelectionAcute DiseaseAdolescentAdultAgedAge FactorsChildChild, PreschoolFemaleGastrointestinal DiseasesGraft vs Host DiseaseHumansLiver DiseasesMaleMiddle AgedPentostatinPentostatinSteroids

Identifiers

PMID29269797
PMCPMC8360209
OpenAlexW2772616225

What OpenQuestion holds

Textmetadata
LicenceTDM
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.