Evidence map›Paper›PMID 29545329›Full record

ArticleBlood2018

MAGIC biomarkers predict long-term outcomes for steroid-resistant acute GVHD.

Hannah Major-Monfried, Anne S Renteria, Attaphol Pawarode, Pavan Reddy, Francis Ayuk, Ernst Holler, Yvonne A Efebera, William J Hogan, Matthias Wölfl, Muna Qayed and 25 more

Registry-linked trialAbstract readMulticenter Study
In one paragraph

Article in Blood, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04061876 (Ruxolitinib in Combination With Corticosteroid as First Line Therapy for the Treatment of High Risk Acute Graft-Versus-Host Disease), which is not on this map. Cited by 131 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
131citing papers in PubMed, 1 pooled it
–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.

NCT04061876 phase2completednot on this mapstarted 2019, after this paper: background citation

Ruxolitinib in Combination With Corticosteroid as First Line Therapy for the Treatment of High Risk Acute Graft-Versus-Host Disease

TypeinterventionalSponsorChinese PLA General HospitalRan2019 to 2023Enrolled198ConditionsaGVHD, Stem Cell Transplant ComplicationsArmsRuxolitinib, Corticosteroid
3 · Its place in the literature

Who cites it

131 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Radiology. Imaging cancer · 2025
    Trial
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  4. Trial
  5. Trial
  6. Trial
  7. Trial
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  10. Phase I/II Trial of a Combination of Anti-CD3/CD7 Immunotoxins for Steroid-Refractory Acute Graft-versus-Host Disease.Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation · 2019
    Trial
  11. Trial
  12. Article
  13. Review
  14. MAGIC Composite Score Predicts Outcomes of Second-Line Therapy for Acute GVHD.medRxiv : the preprint server for health sciences · 2026
    Article
  15. Chronic graft-versus-host disease.Nature reviews. Disease primers · 2026
    Review
  16. Review
  17. Article
  18. Recent advances in the pathophysiology and treatment of GVHD.International journal of hematology · 2026
    Review
  19. Article
  20. Review

71 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

35 authors.

Hannah Major-MonfriedTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Anne S RenteriaTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Attaphol PawarodeBlood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI.
Pavan ReddyBlood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI.
Francis AyukDepartment of Stem Cell Transplantation, University Medical Center, Hamburg-Eppendorf, Germany.
Ernst HollerBlood and Marrow Transplantation Program, University of Regensburg, Regensburg, Germany.
Yvonne A EfeberaBlood and Marrow Transplantation Program, Ohio State University, Columbus, OH.
William J HoganBlood and Marrow Transplantation Program, Mayo Clinic, Rochester, MN.
Matthias WölflPediatric Blood and Marrow Transplantation Program, Children's Hospital, University of Würzburg, Würzburg, Germany.
Muna QayedPediatric Blood and Marrow Transplantation Program, Aflac Cancer and Blood Disorders Center, Emory University and Children's Healthcare of Atlanta, Atlanta, GA.
Elizabeth O HexnerBlood and Marrow Transplantation Program, University of Pennsylvania, Philadelphia, PA.
Kitsada WudhikarnBlood and Marrow Transplantation Program, Chulalongkorn University, Bangkok, Thailand.
Rainer OrdemannMedical Department 1, University Hospital Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.
Rachel YoungTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Jay ShahTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Matthew J HartwellTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Mohammed S ChaudhryTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Mina AzizTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Aaron EtraTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Gregory A YanikBlood and Marrow Transplantation Program, University of Michigan, Ann Arbor, MI.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Medical Center, Hamburg-Eppendorf, Germany.
Daniela WeberBlood and Marrow Transplantation Program, University of Regensburg, Regensburg, Germany.
Yi-Bin ChenBone Marrow Transplantation Program, Massachusetts General Hospital, Boston, MA.
Ryotaro NakamuraHematology and Hematopoietic Cell Transplantation, City of Hope Medical Center, Duarte, CA.
Wolf RöslerDepartment of Internal Medicine 5, Hematology/Oncology, University Hospital Erlangen-Nuremburg, Erlangen, Germany.
Carrie L KitkoPediatric Blood and Marrow Transplantation Program, Vanderbilt University Medical Center, Nashville, TN.
Andrew C HarrisBlood and Marrow Transplantation Program, University of Utah, Salt Lake City, UT.
Michael PulsipherBlood and Marrow Transplantation Program, Children's Hospital of Los Angeles, Los Angeles, CA.
Ran ReshefBlood and Marrow Transplantation Program, Columbia University, New York, NY; and.
Steven KowalykTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
George MoralesTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Ivan TorresTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
Umut ÖzbekBiostatistics Shared Resource Facility, Tisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
James L M FerraraTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.
John E LevineTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, NY.

Funding

Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
TUMOR VACCINES AND BONE MARROW TRANSPLANTATIONP01CA039542 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI JAMES L. M. FERRARA · 1985 to 2026
$47.9M
THE TISCH CANCER INSTITUTE - CANCER CENTER SUPPORT GRANTP30CA196521 · NCI · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI Deanna L Benson · 2015 to 2026
$35.4M
Institutional Career Development CoreKL2TR002381 · NCATS · EMORY UNIVERSITY · PI HENRY M BLUMBERG, Anandi Nayan Sheth · 2017 to 2026
$14.1M
Plasma Biomarkers of Acute Graft Versus Host DiseaseR21CA173459 · NCI · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI FERRARA, JAMES L. M. · 2013 to 2014
$401k
NCATS NIH HHS KL2 TR002381NCATS NIH HHS UL1 TR002378NCI NIH HHS P01 CA039542NCI NIH HHS P30 CA196521NCI NIH HHS R21 CA173459
6 · The paper itself

Abstract

Acute graft-versus-host disease (GVHD) is treated with systemic corticosteroid immunosuppression. Clinical response after 1 week of therapy often guides further treatment decisions, but long-term outcomes vary widely among centers, and more accurate predictive tests are urgently needed. We analyzed clinical data and blood samples taken 1 week after systemic treatment of GVHD from 507 patients from 17 centers of the Mount Sinai Acute GVHD International Consortium (MAGIC), dividing them into a test cohort (n = 236) and 2 validation cohorts separated in time (n = 142 and n = 129). Initial response to systemic steroids correlated with response at 4 weeks, 1-year nonrelapse mortality (NRM), and overall survival (OS). A previously validated algorithm of 2 MAGIC biomarkers (ST2 and REG3α) consistently separated steroid-resistant patients into 2 groups with dramatically different NRM and OS (

Indexed as

Drug ResistanceAdolescentAdrenal Cortex HormonesAdultAgedBiomarkersChildChild, PreschoolGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansInfantInterleukin-1 Receptor-Like 1 ProteinMiddle AgedPancreatitis-Associated ProteinsPrognosisAdrenal Cortex HormonesBiomarkersIL1RL1 protein, humanInterleukin-1 Receptor-Like 1 ProteinPancreatitis-Associated ProteinsREG3A protein, human

Identifiers

PMID29545329
PMCPMC6014357

What OpenQuestion holds

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Registered trials

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.