Evidence map›Paper›PMID 29578122›Full record

ArticleChinese medical journal2018

Efficacy and Safety of Unmanipulated Haploidentical Related Donor Allogeneic Peripheral Blood Stem Cell Transplantation in Patients with Relapsed/Refractory Acute Myeloid Leukemia.

Li-Ping Dou, Hong-Hua Li, Lu Wang, Fei Li, Wen-Rong Huang, Li Yu, Dai-Hong Liu

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Chinese medical journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04397367 (Low Dose Ruxolitinib in Combination With Methylprednisolone 1mg/kg as Initial Therapy for Acute Graft-Versus-Host Disease), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 22% 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.

NCT04397367 phase1 / phase2completednot on this mapstarted 2019, after this paper: background citation

Low Dose Ruxolitinib in Combination With Methylprednisolone 1mg/kg as Initial Therapy for Acute Graft-Versus-Host Disease

TypeinterventionalSponsorChinese PLA General HospitalRan2019 to 2020Enrolled38ConditionsaGVHD, Stem Cell Transplant ComplicationsArmsRuxolitinib 10 mg twice a day combined with Corticosteroids, Ruxolitinib 5 mg twice a day combined with Corticosteroids, Ruxolitinib 5 mg once a day combined with Corticosteroids, Ruxolitinib 2.5 mg once a day combined with Corticosteroids
3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 15 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
  4. Review
  5. 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

7 authors at 1 institution in 1 country.

Li-Ping DouDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Hong-Hua LiDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Lu WangDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Fei LiDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Wen-Rong HuangDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Li YuDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Dai-Hong LiuDepartment of Hematology, Chinese PLA General Hospital, Medical School of Chinese PLA, Beijing 100853, China.
Chinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStudies of haploidentical-related donor (HRD) stem cell transplantation using a combination of peripheral blood stem cells (PBSCs) and bone marrow as the graft have reported encouraging results for patients with hematological diseases. However, few studies specifically reported transplantation of only PBSCs from HRDs among patients with relapsed or refractory acute myeloid leukemia (AML). Here, the long-term outcomes and side effects of unmanipulated HRD PBSC transplantation (HRD-PBSCT) for relapsed/refractory AML were analyzed.

methodsWe performed a retrospective analysis of the outcomes in relapsed/refractory AML patients who underwent PBSCT from HRDs (n = 36).

resultsThirty-one (86.1%) patients in the HRD-PBSCT group achieved platelet recovery. The cumulative incidence of acute graft-versus-host disease (aGVHD) in the HRD-PBSCT group was 40.00%, and the cumulative incidence of grades 2-4 aGVHD in this group was 13.33%. A total of 13 patients in the HRD-PBSCT group had recurrent disease at a median of 183 days after transplantation (range: 10-1700 days), reaching cumulative incidences of relapse of 50.28% at 5 years. On multivariate analysis, donor age and patient age >40 years were independent risk factors for inferior disease-free survival or overall survival (P < 0.05). The results of the present study demonstrate rapid and complete neutrophil engraftment, a low incidence of grade 2-4 aGVHD, and promising survival rates in patients after HRD-PBSCT. Thus, granulocyte colony-stimulating factor-primed PBSCs may be a reliable graft source in unmanipulated HRD-HSCT under myeloablative conditioning when no matched sibling donor is available.

conclusionsOur results support the feasibility, effectiveness, and tolerability of PBSCs as a graft source in unmanipulated HRD transplantation under myeloablative conditioning in patients with leukemia.

Indexed as

AdultFemaleGraft SurvivalGraft vs Host DiseaseGranulocyte Colony-Stimulating FactorHumansIncidenceLeukemia, Myeloid, AcuteMaleMultivariate AnalysisPeripheral Blood Stem Cell TransplantationRetrospective StudiesGranulocyte Colony-Stimulating FactorAcute Myeloid LeukemiaHaploidentical TransplantationPeripheral Blood Stem Cell TransplantationRecurrence

Identifiers

PMID29578122
PMCPMC5887737
OpenAlexW2792925664

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

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.