Evidence map›Paper›PMID 29788233›Full record

ArticleJournal of Crohn's & colitis2018

Autologous Haematopoietic Stem Cell Transplantation for Crohn's Disease: A Retrospective Survey of Long-term Outcomes From the European Society for Blood and Marrow Transplantation.

Charlotte K Brierley, Cristina Castilla-Llorente, Myriam Labopin, Manuela Badoglio, Montserrat Rovira, Elena Ricart, Daan Dierickx, Severine Vermeire, Peter Hasselblatt, Juergen Finke and 11 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Journal of Crohn's & colitis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
5.4field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 1 synthesis or guideline pooled it, 56 citations in OpenAlex.

  1. Pooled it
  2. Article
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  7. Challenges and opportunities in inflammatory bowel disease: from current therapeutic strategies to organoid-based models.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2024
    Review
  8. Article
  9. Review
  10. The EBMT-ADWP and the CIBMTR.Handbook of clinical neurology · 2024
    Review
  11. Refractory Crohn's Disease: Perspectives, Unmet Needs and Innovations.Clinical and experimental gastroenterology · 2024
    Review
  12. Article
  13. Article
  14. Review
  15. The Impact of Cellular Therapies on Gastrointestinal Diseases: Applications and Challenges.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2023
    Review
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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

21 authors at 17 institutions in 6 countries.

Charlotte K BrierleyDepartment of Haematology, Oxford University Hospitals NHS Foundation Trust, Churchill Hospital, Oxford, UK.
Cristina Castilla-LlorenteUnité de transplantation des cellules souches, Département d'Hématologie Gustave Roussy, Villejuif, France.
Myriam LabopinEBMT Paris Study Office, Department of Haematology, Université Pierre et Marie Curie, Saint Antoine Hospital, Paris, France.
Manuela BadoglioEBMT Paris Study Office, Department of Haematology, Université Pierre et Marie Curie, Saint Antoine Hospital, Paris, France.
Montserrat RoviraBMT Unit, Haematology Department, Hospital Clínic of Barcelona, IDIBAPS, Institut Josep Carreras, Barcelona, Spain.
Elena RicartGastroenterology Department, Hospital Clínic of Barcelona, CIBER-EHD, IDIBAPS, Barcelona, Spain.
Daan DierickxDepartment of Haematology, University Hospitals Leuven, Leuven, Belgium.
Severine VermeireDepartment of Gastroenterology, University Hospitals Leuven, Leuven, Belgium.
Peter HasselblattDepartment of Medicine II, Medical Faculty and University Hospital Freiburg, Freiburg, Germany.
Juergen FinkeDepartment of Hematology, Oncology and Stem Cell Transplantation, Medical Faculty and University Hospital Freiburg, Freiburg, Germany.
Francesco OnidaHaematology - BMT Centre, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Università degli Studi di Milano, Milan, Italy.
Andrea CassinottiGastroenterology Unit, ASST Fatebenefatelli Sacco, Milan, Italy.
Jack SatsangiGastro-intestinal Unit, Institute of Genetics and Molecular Medicine, Western General Hospital, University of Edinburgh, Edinburgh, UK.
Majid KazmiDepartment of Haematology, Guy's and St Thomas' NHS Foundation Trust and King's College Hospital, London, UK.
Antonio López-SanrománGastroenterology and Hepatology Department, Ramon y Cajal Hospital, Madrid, Spain.
Carsten SchmidtDepartment of Gastroenterology, Medizinische Klinik II, Klinikum Fulda AG, Universitätsmedizin Marburg-Campus, Fulda, Germany.
Dominique FargeInternal Medicine, Autoimmune and Vascular Diseases Unit, UF 04, AP-HP Hôpital Saint-Louis, Centre de Référence des Maladies auto-immunes systémiques Rares d'Ile-de-France [site constitutif], Filière FAI2R Paris 7 University, France.
Simon P L TravisTranslational Gastroenterology Unit, Oxford University Hospitals, Oxford, UK.
Chris J HawkeyNottingham Digestive Diseases Centre, School of Clinical Sciences, Queen's Medical Centre, Nottingham, UK.
John A SnowdenDepartment of Haematology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
European Society for Blood and Marrow Transplantation [EBMT] Autoimmune Diseases Working Party [ADWP]
Sorbonne Université · FRUniversity Medical Center Freiburg · DEASST Fatebenefratelli Sacco · ITCentro de Investigación Biomédica en Red · ESChurchill Hospital · GBFundación Josep Carreras Contra la Leucemia · ESGuy's and St Thomas' NHS Foundation Trust · GBInstitut Gustave Roussy · FRInstituto Cajal · ESKlinikum Fulda · DEKU Leuven · BEOxford University Hospitals NHS Trust · GBQueen's Medical Centre · GBSheffield Teaching Hospitals NHS Foundation Trust · GBUniversité Paris Cité · FRUniversity of Milan · ITWestern General Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsAutologous haematopoietic stem cell transplantation [AHSCT] is a therapeutic option for patients with severe, treatment-refractory Crohn's disease [CD]. The evidence base for AHSCT for CD is limited, with one randomised trial [ASTIC] suggesting benefit. The aim of this study was to evaluate safety and efficacy for patients undergoing AHSCT for CD in Europe, outside the ASTIC trial.

methodsWe identified 99 patients in the European Society for Blood and Marrow Transplantation [EBMT] registry, who were eligible for inclusion. Transplant and clinical outcomes were obtained for 82 patients from 19 centres in seven countries.

resultsMedian patient age was 30 years [range 20-65]. Patients had failed or been intolerant to a median of six lines of drug therapy; 61/82 [74%] had had surgery. Following AHSCT, 53/78 [68%] experienced complete remission or significant improvement in symptoms at a median follow-up of 41 months [range 6-174]; 22/82 [27%] required no medical therapy at any point post-AHSCT. In patients who had re-started medical therapy at latest follow-up, 57% [24/42] achieved remission or significant symptomatic improvement with therapies to which they had previously lost response or been non-responsive. Treatment-free survival at 1 year was 54%. On multivariate analysis, perianal disease was associated with adverse treatment-free survival (hazard ratio 2.34, 95% confidence interval [CI] 1.14-4.83, p = 0.02). One patient died due to infectious complications [cytomegalovirus disease] at Day +56.

conclusionsIn this multicentre retrospective analysis of European centres, AHSCT was relatively safe and appeared to be effective in controlling otherwise treatment-resistant Crohn's disease. Further prospective randomised controlled trials against standard of care are warranted.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedCrohn DiseaseEuropeFemaleHumansMaleMiddle AgedRetrospective StudiesSurveys and QuestionnairesTime FactorsTreatment OutcomeYoung AdultAutoimmune disease; autologous haematopoietic stem cell transplantCrohn’s disease

Identifiers

PMID29788233
PMCPMC6113702
OpenAlexW2804455798

What OpenQuestion holds

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LicenceCC BY-NC
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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.