Evidence map›Paper›PMID 30165887›Full record

ArticleJournal of hematology & oncology2018

Haploidentical transplantation is associated with better overall survival when compared to single cord blood transplantation: an EBMT-Eurocord study of acute leukemia patients conditioned with thiotepa, busulfan, and fludarabine.

Federica Giannotti, Myriam Labopin, Roni Shouval, Jaime Sanz, William Arcese, Emanuele Angelucci, Jorge Sierra, Josep-Maria Ribera Santasusana, Stella Santarone, Bruno Benedetto and 9 more

Abstract read
In one paragraph

Article in Journal of hematology & oncology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing 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.

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

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

  1. Pooled it
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  8. Review
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  11. In 2022, which is preferred: haploidentical or cord transplant?Hematology. American Society of Hematology. Education Program · 2022
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  19. Umbilical cord blood: The promise and the uncertainty.Stem cells translational medicine · 2020
    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

19 authors.

Federica GiannottiDepartment of Hematology and Cell Therapy, Saint-Antoine Hospital, Paris, France.
Myriam LabopinDepartment of Hematology and Cell Therapy, Saint-Antoine Hospital, Paris, France.
Roni ShouvalDivision of Hematology and Bone Marrow Transplantation Division, Chaim Sheba Medical Center, Tel-Hashomer, Sackler School of Medicine, Tel-Aviv University, 52621, Ramat-Gan, Israel. shouval@gmail.com.ORCID 0000-0001-9827-8032
Jaime SanzHospital Universitari y Politecnic La Fe, Valencia, Spain.
William ArceseRome Transplant Network, ¨Tor Vergata¨ University of Rome, Stem Cell Transplant Unit, Policlinico Universitario Tor Vergata, Rome, Italy.
Emanuele AngelucciHematology and transplant Unit, Ospedale Policlinico San Martino, Genoa, Italy.
Jorge SierraHematology Department, Hospital Santa Creu i Sant Pau, Barcelona, Spain.
Josep-Maria Ribera SantasusanaICO-Hospital Universitari Germans Trias i Pujol, Josep Carreras Research Institute, Badalona, Spain.
Stella SantaroneOspedale Civile, Dipartimento di Ematologia, Medicina Trasfusionale e Biotecnologie, Pescara, Italy.
Bruno BenedettoS.S.C.V.D Trapianto di Cellule Staminali A.O.U Citta della Salute e della Scienza di Torino, Torino, Italy.
Alessandro RambaldiAzienda Ospedaliera Papa Giovanni XXIII, Hematology and Bone Marrow Transplant Unit, Bergamo, Italy.
Riccardo SaccardiAzienda Ospedaliera Universitaria Careggi, Cell Therapy and Transfusion Medicine Unit, Florence, Italy.
Didier BlaiseProgramme de Transplantation&Therapie Cellulaire, Centre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.
Michele Angelo CarellaIRCCS, Casa Sollievo della Sofferenza, Department of Hemato-Ooncology, Setm Cell Transplant Unit, San Giovanni Rotondo, Italy.
Vanderson RochaEurocord, Hôpital Saint Louis, Université Paris-Diderot, Paris, France.
Frederic BaronGIGA-I3, University of Liege, Liege, Belgium.
Mohamad MohtyDepartment of Hematology and Cell Therapy, Saint-Antoine Hospital, Paris, France.
Annalisa RuggeriDepartment of Hematology and Cell Therapy, Saint-Antoine Hospital, Paris, France.
Arnon NaglerAcute Leukemia Working Party EBMT Paris Office, Hospital Saint- Antoine, Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThiotepa-busulfan-fludarabine (TBF) is a widely used conditioning regimen in single umbilical cord blood transplantation (SUCBT). More recently, it was introduced in the setting of non-T cell depleted haploidentical stem cell transplantation (NTD-Haplo). Whether TBF based conditioning provides additional benefit in transplantation from a particular alternative donor type remains to be established.

methodsThis was a retrospective study based on an international European registry. We compared outcomes of de-novo acute myeloid leukemia patients in complete remission receiving NTD-Haplo (n = 186) vs. SUCBT (n = 147) following myeloablative conditioning (MAC) with TBF. Median follow-up was 23 months. Treatment groups resembled in baseline characteristics.

resultsSUCBT was associated with delayed engraftment and higher graft failure. In multivariate analysis no statistically significant differences were observed between the two groups in terms of acute or chronic graft-versus-host disease (GvHD) (HR = 1.03, p = 0.92 or HR = 1.86, p = 0.21) and relapse incidence (HR = 0.8, p = 0.65). Non-relapse mortality (NRM) was significantly higher in SUCBT as compared to NTD-Haplo (HR = 2.63, p = 0.001); moreover, SUCBT did worse in terms of overall survival (HR = 2.18, p = 0.002), leukemia-free survival (HR = 1.94, p = 0.007), and GvHD relapse-free survival (HR = 2.38, p = 0.0002).

conclusionsOur results suggest that TBF-MAC might allow for a potent graft-versus-leukemia, regardless of the alternative donor type. Furthermore, in patients receiving TBF-MAC, survival with NTD-Haplo may be better compared to SUCBT due to decreased NRM.

Indexed as

AdultAgedBusulfanCord Blood Stem Cell TransplantationFemaleHumansLeukemia, Myeloid, AcuteMaleMiddle AgedRetrospective StudiesSurvival RateThiotepaTransplantation ConditioningTransplantation, HaploidenticalVidarabineYoung AdultBusulfanfludarabineThiotepaVidarabineAcute myeloid leukemiaConditioning regimensHaploidentical stem cell transplantationStem cell transplantationThiotepa-busulfan-fludarabineUmbilical cord blood transplantation

Identifiers

PMID30165887
PMCPMC6117895

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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.