Evidence map›Paper›PMID 29379171›Full record

ArticleBone marrow transplantation2018

Effective treatment of steroid and therapy-refractory acute graft-versus-host disease with a novel mesenchymal stromal cell product (MSC-FFM).

Peter Bader, Zyrafete Kuçi, Shahrzad Bakhtiar, Oliver Basu, Gesine Bug, Michael Dennis, Johann Greil, Aniko Barta, Krisztián M Kállay, Peter Lang and 21 more

Open access · hybridAbstract 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 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
11.9field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 108 citations in OpenAlex.

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  14. Simultaneous Co-transplantation for Highly Efficient Cell Therapy.Current stem cell research & therapy · 2025
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13 more citing papers are in PubMed but not listed here.

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 at 17 institutions in 6 countries.

Peter BaderDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany. peter.bader@kgu.de.
Zyrafete KuçiDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Shahrzad BakhtiarDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Oliver BasuUniversity Children's Hospital, Essen, Germany.
Gesine BugDepartment of Medicine II, University Hospital Frankfurt, Frankfurt, Germany.
Michael DennisDepartment of Haematology, Christie Hospital, Manchester, United Kingdom.
Johann GreilUniversity Children's Hospital Heidelberg, Heidelberg, Germany.
Aniko BartaDepartment for Haematology and SCT, St. István and St. László Hospital, Budapest, Hungary.
Krisztián M KállayDepartment for Haematology and SCT, St. István and St. László Hospital, Budapest, Hungary.ORCID http://orcid.org/0000-0002-4328-9612
Peter LangUniversity Children's Hospital Tübingen, Tübingen, Germany.
Giovanna LucchiniDepartment of Hematology/Oncology, Great Ormond Street Hospital, London, United Kingdom.
Raj PolDepartment of Haematology, University of Sheffield, Sheffield, United Kingdom.
Ansgar SchulzUniversity Children's Hospital, Ulm, Germany.
Karl-Walter SykoraChildren's Hospital, Medizinische Hochschule, Hannover, Germany.
Irene von LuettichauDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Kinderklinik München Schwabing, Klinikum Rechts der Isar, Technische Universität München, München, Germany.
Grit Herter-SprieDepartment I for Internal Medicine, University Hospital Cologne, Cologne, Germany.
Mohammad Ashab UddinDepartment for Stem Cells & Immunotherapies, NHSBT, Birmingham, Great Britain, UK.
Phil JenkinDepartment for Stem Cells & Immunotherapies, NHSBT, Birmingham, Great Britain, UK.
Abdulrahman AlsultanDepartment of Pediatric Hematology/Oncology, King Abdullah Specialist Children's Hospital, Riyadh, Saudi Arabia.
Jochen BuechnerOslo University Hospital Rikshospitalet, Department of Pediatric Medicine, Section for Pediatric Hematology/Oncology, Oslo, Norway.
Jerry SteinDepartment for Hemato-Oncology, Schneider Children's Medical Center of Israel, Petach Tikva, Israel.
Agnes KelemenB-A-Z County Hospital, Pediatric Haematology and Stem Cell Transplantation Unit, Miskolc, Hungary.
Andrea JarischDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Jan SoerensenDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Emilia Salzmann-ManriqueDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Martin HutterDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Richard SchäferGerman Red Cross Blood Center Frankfurt and Institute of Transfusion Medicine and Immunohematology, Goethe University Medical Center, Frankfurt am Main, Germany.
Erhard SeifriedGerman Red Cross Blood Center Frankfurt and Institute of Transfusion Medicine and Immunohematology, Goethe University Medical Center, Frankfurt am Main, Germany.
Thomas KlingebielDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Halvard BonigGerman Red Cross Blood Center Frankfurt and Institute of Transfusion Medicine and Immunohematology, Goethe University Medical Center, Frankfurt am Main, Germany.
Selim KuçiDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, Germany.
Goethe University Frankfurt · DENHS Blood and Transplant · GBUnified Szent István and Szent László Hospital · HUEssen University Hospital · DEGreat Ormond Street Hospital · GBHeidelberg University · DEKing Abdullah Medical City · SAMedizinische Hochschule Hannover · DEMünchen Klinik Schwabing · DEOslo University Hospital · NOSchneider Children's Medical Center · ILThe Christie Hospital · GBUniversity Children's Hospital Tübingen · DEUniversity Hospital Cologne · DEUniversity Hospital Ulm · DEUniversity of Miskolc · HUUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The inability to generate mesenchymal stromal cells (MSCs) of consistent potency likely is responsible for inconsistent clinical outcomes of patients with aGvHD receiving MSC products. We developed a novel MSC manufacturing protocol characterized by high in vitro potency and near-identity of individual doses, referred to as "MSC-Frankfurt am Main (MSC-FFM)". Herein, we report outcomes of the 69 patients who have received MSC-FFM. These were 51 children and 18 adults with refractory aGvHD grade II (4%), III (36%) or IV (59%). Patients were refractory either to frontline therapy (steroids) (29%) or to steroids and 1-5 additional lines of immunosuppressants (71%) were given infusions in four weekly intervals. The day 28 overall response rate was 83%; at the last follow-up, 61% and 25% of patients were in complete or partial remission. The median follow-up was 8.1 months. Six-month estimate for cumulative incidence of non-relapse mortality was 27% (range, 16-38); leukemia relapse mortality was 2% (range, 0-5). This was associated with a superior six-month overall survival (OS) probability rate of 71% (range, 61-83), compared to the outcome of patients not treated with MSC-FFM. This novel product was effective in children and adults, suggesting that MSC-FFM represents a promising therapy for steroid refractory aGvHD.

Indexed as

Acute DiseaseAdolescentChildChild, PreschoolFemaleGraft vs Host DiseaseHumansInfantInfant, NewbornMaleMesenchymal Stem Cell TransplantationSteroidsSurvival RateTreatment OutcomeSteroids

Identifiers

PMID29379171
PMCPMC6039391
OpenAlexW2792936145

What OpenQuestion holds

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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.