Evidence map›Paper›PMID 30549425›Full record

Observational studyAmerican journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons2019

Early immune biomarkers and intermediate-term outcomes after heart transplantation: Results of Clinical Trials in Organ Transplantation-18.

Josef Stehlik, Brian Armstrong, David A Baran, Nancy D Bridges, Anil Chandraker, Robert Gordon, Teresa De Marco, Michael M Givertz, Alain Heroux, David Iklé and 9 more

Open access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Single-cell RNA-sequencing identifies unique cell-specific gene expression profiles in high-grade cardiac allograft vasculopathy.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2025
    Article
  2. Article
  3. Review
  4. Article
  5. Review
  6. Review
  7. 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

19 authors at 14 institutions in 1 country.

Josef StehlikUniversity of Utah School of Medicine, Salt Lake City, Utah.ORCID 0000-0002-7362-0513
Brian ArmstrongRho, Chapel Hill, North Carolina.
David A BaranNewark Beth Israel Medical Center, Newark, New Jersey.ORCID 0000-0002-7754-9953
Nancy D BridgesTransplantation Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.
Anil ChandrakerBrigham and Women's Hospital, Boston, Massachusetts.ORCID 0000-0001-9729-7717
Robert GordonNorthwestern University, Chicago, Illinois.
Teresa De MarcoUniversity of California at San Francisco, San Francisco, California.
Michael M GivertzBrigham and Women's Hospital, Boston, Massachusetts.
Alain HerouxLoyola University Medical Center, Maywood, Illinois.
David IkléRho, Chapel Hill, North Carolina.
Judson HuntMedical City Dallas Hospital, Dallas, Texas.
Abdallah G KfouryIntermountain Medical Center, Murray, Utah.
Joren C MadsenMassachusetts General Hospital, Boston, Massachusetts.
Yvonne MorrisonTransplantation Branch, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Rockville, Maryland.
Erika FellerUniversity of Maryland, Baltimore, Maryland.
Sean PinneyIcahn School of Medicine at Mount Sinai, New York, New York.
Sudipta TripathiBrigham and Women's Hospital, Boston, Massachusetts.
Peter S HeegerIcahn School of Medicine at Mount Sinai, New York, New York.
Randall C StarlingCleveland Clinic, Cleveland, Ohio.
Brigham and Women's Hospital · USIcahn School of Medicine at Mount Sinai · USNational Institutes of Health · USRho (United States) · USCleveland Clinic · USIntermountain Medical Center · USLoyola University Medical Center · USMassachusetts General Hospital · USMedical City Dallas Hospital · USNewark Beth Israel Medical Center · USNorthwestern University · USUniversity of California, San Francisco · USUniversity of Maryland, Baltimore · USUniversity of Utah · US

Funding

Transplantation GroupUM2AI117870 · NIAID · RHO FEDERAL SYSTEMS DIVISION, INC. · PI DAVID, GLORIA · 2015 to 2023
$208.1M
Noninvasive Markers and Transplant Outcome in HumansU01AI063594 · NIAID · ICAHN SCHOOL OF MEDICINE AT MOUNT SINAI · PI HEEGER, PETER SCOTT · 2004 to 2022
$66.5M
Novel Therapies to Improve Renal and Cardiac Allograft OutcomesU01AI063623 · NIAID · BRIGHAM AND WOMEN'S HOSPITAL · PI CHANDRAKER, ANIL · 2004 to 2013
$30.9M
NIAID NIH HHS U01 AI063594NIAID NIH HHS U01 AI063623NIAID NIH HHS UM2 AI117870
6 · The paper itself

Abstract

Clinical Trials in Organ Transplantation-18 (CTOT-18) is a follow-up analysis of the 200-subject multicenter heart transplant CTOT-05 cohort. CTOT-18 aimed to identify clinical, epidemiologic, and biologic markers associated with adverse clinical events past 1 year posttransplantation. We examined various candidate biomarkers including serum antibodies, angiogenic proteins, blood gene expression profiles, and T cell alloreactivity. The composite endpoint (CE) included death, retransplantation, coronary stent, myocardial infarction, and cardiac allograft vasculopathy. The mean follow-up was 4.5 ± SD 1.1 years. Subjects with serum anti-cardiac myosin (CM) antibody detected at transplantation and at 12 months had a higher risk of meeting the CE compared to those without anti-CM antibody (hazard ratio [HR] = 2.9, P = .046). Plasma VEGF-A and VEGF-C levels pretransplant were associated with CE (odds ratio [OR] = 13.24, P = .029; and OR = 0.13, P = .037, respectively). Early intravascular ultrasound findings or other candidate biomarkers were not associated with the study outcomes. In conclusion, anti-CM antibody and plasma levels of VEGF-A and VEGF-C were associated with an increased risk of adverse events. Although this multicenter report supports further evaluation of the mechanisms through which anti-CM antibody and plasma angiogenesis proteins lead to allograft injury, we could not identify additional markers of adverse events or potential novel therapeutic targets.

Indexed as

Heart TransplantationAdultBiomarkersEnzyme-Linked Immunosorbent AssayFemaleFollow-Up StudiesGene Expression ProfilingHeart FailureHLA AntigensHumansImmune SystemMaleMiddle AgedMyosinsNeovascularization, PathologicProportional Hazards ModelsBiomarkersHLA AntigensMyosinsVascular Endothelial Growth Factor AVascular Endothelial Growth Factor CVimentinalloantibodyclinical research/practiceheart (allograft) function/dysfunctionheart transplantation/cardiologyvasculopathy

Identifiers

PMID30549425
PMCPMC6482086
OpenAlexW2903613419

What OpenQuestion holds

Textmetadata
LicenceTDM
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.