Evidence map›Paper›PMID 29645093›Full record

ArticleCancer2018

Autologous transplantation versus allogeneic transplantation in patients with follicular lymphoma experiencing early treatment failure.

Sonali M Smith, James Godfrey, Kwang Woo Ahn, Alyssa DiGilio, Sairah Ahmed, Vaibhav Agrawal, Veronika Bachanova, Ulrike Bacher, Asad Bashey, Javier Bolaños-Meade and 30 more

Open access · bronzeAbstract readComparative Study
In one paragraph

Article in Cancer, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 3 pooled it
7.0field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Review
  6. Characterization and outcomes of severe complications after autologous hematopoietic stem-cell transplantation: a retrospective multicenter study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Observational
  7. Review
  8. Article
  9. Article
  10. Review
  11. Review
  12. Article
  13. Article
  14. Article
  15. Divergent paths: management of early relapsed follicular lymphoma.Hematology. American Society of Hematology. Education Program · 2022
    Article
  16. Article
  17. Article
  18. Review
  19. Review
  20. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

40 authors at 20 institutions in 8 countries.

Sonali M SmithSection of Hematology/Oncology, University of Chicago, Chicago, Illinois.ORCID 0000-0002-9893-4949
James GodfreyUniversity of Chicago Medicine, Chicago, Illinois.
Kwang Woo AhnCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Alyssa DiGilioCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Sairah AhmedThe University of Texas MD Anderson Cancer Center, Houston, Texas.
Vaibhav AgrawalIndiana University Simon Cancer Center, Indianapolis, Indiana.
Veronika BachanovaBone and Marrow Transplant Program, University of Minnesota Medical Center, Minneapolis, Minnesota.ORCID 0000-0002-9325-432X
Ulrike BacherDepartment of Hematology, Inselspital-Bern University Hospital, University of Bern, Bern, Switzerland.
Asad BasheyBlood and Marrow Transplant Program, Northside Hospital, Atlanta, Georgia.
Javier Bolaños-MeadeSidney Kimmel Comprehensive Cancer Center, Baltimore, Maryland.
Mitchell CairoDivision of Pediatric Hematology, Oncology, and Stem Cell Transplantation, Department of Pediatrics, New York Medical College, Valhalla, New York.
Andy ChenOregon Health and Science University, Portland, Oregon.
Saurabh ChhabraMedical College of Wisconsin, Milwaukee, Wisconsin.
Edward CopelanDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Carolinas HealthCare System, Charlotte, North Carolina.
Parastoo B DahiAdult Bone Marrow Transplant Service, Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.
Mahmoud AljurfDepartment of Oncology, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
Umar FarooqDivision of Hematology, Oncology, and Blood and Marrow Transplantation, University of Iowa Hospitals and Clinics, Iowa City, Iowa.
Siddhartha GangulyBlood and Marrow Transplantation, Division of Hematology and Oncology, University of Kansas Medical Center, Kansas City, Kansas.
Mark HertzbergDepartment of Haematology, Prince of Wales Hospital, Randwick, New South Wales, Australia.
Leona HolmbergFred Hutchinson Cancer Research Center, Seattle, Washington.
David InwardsDivision of Hematology, Mayo Clinic, Rochester, Minnesota.
Abraham S KanateOsborn Hematopoietic Malignancy and Transplantation Program, West Virginia University, Morgantown, West Virginia.
Reem KarmaliNorthwestern University, Chicago, Illinois.
Vaishalee P KenkreDivision of Hematology/Oncology, University of Wisconsin, Madison, Wisconsin.
Mohamed A Kharfan-DabajaDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Andreas KleinDivision of Hematology/Oncology, Department of Medicine, Tufts Medical Center, Boston, Massachusetts.
Hillard M LazarusSeidman Cancer Center, University Hospitals Cleveland Medical Center, Case Western Reserve University, Cleveland, Ohio.
Matthew MeiCity of Hope, Duarte, California.
Alberto MussettiDepartment of Hematology and Pediatric Onco-Hematology, Istituto Di Ricovero e Cura a Carattere Scientifico (IRCCS) Foundation National Cancer Institute, Milan, Italy.ORCID 0000-0002-4088-036X
Taiga NishihoriDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Praveen Ramakrishnan GeethakumariThomas Jefferson University Hospital, Philadelphia, Pennsylvania.
Ayman SaadDivision of Hematology/Oncology, Department of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
Bipin N SavaniDivision of Hematology/Oncology, Department of Medicine, Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0002-3304-9965
Harry C SchoutenDepartment of Hematology, Academische Ziekenhuis, Maastricht, the Netherlands.
Nirav ShahMedical College of Wisconsin, Milwaukee, Wisconsin.
Alvaro Urbano-IspizuaDepartment of Hematology, Hospital Clinic, University of Barcelona, Barcelona, Spain.
Ravi VijDivision of Hematology and Oncology, Washington University School of Medicine, St. Louis, Missouri.
Julie VoseNebraska Medicine, Omaha, Nebraska.
Anna SuredaHematology Department, Catalan Institute of Oncology-Hospital, Barcelona, Spain.ORCID 0000-0002-1238-6970
Mehdi HamadaniCenter for International Blood and Marrow Transplant Research, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.ORCID 0000-0001-5372-510X
Medical College of Wisconsin · USMoffitt Cancer Center · USUniversity of Chicago · USCarolinas Healthcare System · USCity of Hope · USFred Hutch Cancer Center · USIkazia Ziekenhuis · NLIndiana University Health · USInstitut Català d'Ornitologia · ESIstituti di Ricovero e Cura a Carattere Scientifico · ITJosep Carreras Leukaemia Research Institute · ESKing Faisal Specialist Hospital & Research Centre · SAMayo Clinic · USMemorial Sloan Kettering Cancer Center · USNew York Medical College · USNorthside Hospital · USNorthwestern University · USOregon Health & Science University · USPrince of Wales Hospital · AUSidney Kimmel Comprehensive Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA076518NHLBI NIH HHS U10 HL069294
6 · The paper itself

Abstract

backgroundEarly treatment failure (ETF) in follicular lymphoma (FL), defined as relapse or progression within 2 years of frontline chemoimmunotherapy, is a newly recognized marker of poor survival and identifies a high-risk group of patients with an expected 5-year overall survival (OS) rate of approximately 50%. Transplantation is an established option for relapsed FL, but its efficacy in this specific ETF FL population has not been previously evaluated.

methodsThis study compared autologous hematopoietic stem cell transplantation (auto-HCT) with either matched sibling donor (MSD) or matched unrelated donor (MUD) allogeneic hematopoietic cell transplantation (allo-HCT) as the first transplantation approach for patients with ETF FL (age ≥ 18 years) undergoing auto-HCT or allo-HCT between 2002 and 2014. The primary endpoint was OS. The secondary endpoints were progression-free survival, relapse, and nonrelapse mortality (NRM).

resultsFour hundred forty FL patients had ETF (auto-HCT, 240; MSD hematopoietic stem cell transplantation [HCT], 105; and MUD HCT, 95). With a median follow-up of 69 to 73 months, the adjusted probability of 5-year OS was significantly higher after auto-HCT (70%) or MSD HCT (73%) versus MUD HCT (49%; P = .0008). The 5-year adjusted probability of NRM was significantly lower for auto-HCT (5%) versus MSD (17%) or MUD HCT (33%; P < .0001). The 5-year adjusted probability of disease relapse was lower with MSD (31%) or MUD HCT (23%) versus auto-HCT (58%; P < .0001).

conclusionsPatients with high-risk FL, as defined by ETF, undergoing auto-HCT for FL have low NRM and a promising 5-year OS rate (70%). MSD HCT has lower relapse rates than auto-HCT but similar OS. Cancer 2018;124:2541-51. © 2018 American Cancer Society.

Indexed as

AdultAgedDisease-Free SurvivalDisease ProgressionFemaleFollow-Up StudiesGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansIncidenceLymphoma, FollicularMaleMiddle AgedNeoplasm Recurrence, LocalSurvival RateTransplantation, Autologousallogeneic transplantationautologous transplantationchemoimmunotherapyearly treatment failurefollicular lymphomarituximab

Identifiers

PMID29645093
PMCPMC5990449
OpenAlexW2803131717

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Registered trials

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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.