Evidence map›Paper›PMID 30401970›Full record

Trial reportBone marrow transplantation2019

Post-transplantation cyclophosphamide-based haploidentical versus Atg-based unrelated donor allogeneic stem cell transplantation for patients younger than 60 years with hematological malignancies: a single-center experience of 209 patients.

Thomas Pagliardini, Samia Harbi, Sabine Fürst, Luca Castagna, Faezeh Legrand, Catherine Faucher, Angela Granata, Pierre-Jean Weiller, Boris Calmels, Claude Lemarie and 6 more

Abstract readClinical TrialComparative Study
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
3.1field-weighted citation impact, top 8% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

16 authors at 3 institutions in 2 countries.

Thomas PagliardiniDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France. pagliardinit@ipc.unicancer.fr.ORCID 0000-0001-6676-9160
Samia HarbiDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Sabine FürstDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Luca CastagnaDepartement of Hematology, Humanitas Cancer Center, Rozzano, Italy.ORCID 0000-0002-6239-7387
Faezeh LegrandDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Catherine FaucherDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Angela GranataDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Pierre-Jean WeillerDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Boris CalmelsCell Therapy Facility, Institut Paoli-Calmettes, Marseille, France.
Claude LemarieCell Therapy Facility, Institut Paoli-Calmettes, Marseille, France.
Christian ChabannonCentre de Recherche en Cancérologie de Marseille (CRCM), Inserm, U1068, Marseille, France.ORCID 0000-0002-3755-4889
Reda BouabdallahDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Djamel MokartIntensive Care Unit: Institut Paoli-Calmettes, Marseille, France.
Norbert VeyDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Didier BlaiseDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.ORCID 0000-0002-5684-9447
Raynier DevillierDepartment of Hematology, Institut Paoli-Calmettes, Marseille, France.
Institut Paoli-Calmettes · FRInserm · FRHumanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is limited by availability of HLA-matched sibling donors (MSDs). The alternative use of unrelated donors (UDs) is currently challenged by haploidentical-related donors (HRDs). We retrospectively analyzed 209 consecutive patients younger than 60 years undergoing allo-HSCT from UDs (n = 128) or HRDs (n = 81). Cumulative incidences of grade 3-4 acute (17 vs. 2%, p = 0.003) and 2-year moderate and severe chronic (20 vs. 2%, p < 0.001) GVHD were significantly higher with UD. Progression-free survival (PFS) was significantly better with HRD (51 vs. 69%, p = 0.019), without significant difference in the cumulative incidence of relapse (CIR), non-relapse mortality (NRM), and overall survival (OS). Multivariate analyses confirmed the lower risk of acute and chronic GVHD (grade 2-4, HR = 0.43, p = 0.005; grade 3-4, HR = 0.20, p = 0.017; all grades, HR = 0.43, p = 0.012; moderate or severe, HR = 0.12, p = 0.004), better PFS (HR = 0.61, p = 0.046), and GRFS (HR = 0.47, p = 0.001) with HRD. This was confirmed in match-paired analysis. In the absence of MSDs, HRD could be considered as a suitable alternative for patients younger than 60 years.

Indexed as

Graft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationUnrelated DonorsAcute DiseaseAdultAllograftsAntilymphocyte SerumChronic DiseaseCyclophosphamideDisease-Free SurvivalFemaleHumansIncidenceMaleMiddle AgedAntilymphocyte SerumCyclophosphamide

Identifiers

PMID30401970
OpenAlexW2900055535

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.