Evidence map›Paper›PMID 30627868›Full record

Trial reportInternational journal of hematology2019

Immunosuppressive therapy with rabbit antithymocyte globulin therapy for acquired aplastic anemia: a multi-institutional retrospective study in Japanese adult patients.

Nana Sasaki, Kazuho Shimura, Mihoko Yoshida, Nobuhiko Uoshima, Miki Kiyota, Mayumi Hatsuse, Hitoji Uchiyama, Yoshiaki Chinen, Tsutomu Kobayashi, Mitsushige Nakao and 8 more

Abstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in International journal of hematology, 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
1.3field-weighted citation impact, top 20% 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, 11 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Observational
  5. [A real-world study of 176 cases with aplastic anemia treated in outpatient].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2021
    Article
  6. Article
  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

18 authors at 6 institutions in 1 country.

Nana SasakiDepartment of Hematology, Aiseikai Yamashina Hospital, Kyoto, Japan.
Kazuho ShimuraDepartment of Hematology, Aiseikai Yamashina Hospital, Kyoto, Japan.
Mihoko YoshidaDepartment of Hematology, Aiseikai Yamashina Hospital, Kyoto, Japan.
Nobuhiko UoshimaDepartment of Hematology, Matsushita Memorial Hospital, Moriguchi, Japan.
Miki KiyotaDepartment of Hematology, Matsushita Memorial Hospital, Moriguchi, Japan.
Mayumi HatsuseDepartment of Hematology, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.
Hitoji UchiyamaDepartment of Hematology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto, Japan.
Yoshiaki ChinenDivision of Hematology and Oncology, Department of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Tsutomu KobayashiDivision of Hematology and Oncology, Department of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan.
Mitsushige NakaoDepartment of Hematology, Otsu Municipal Hospital, Otsu, Japan.
Ryoichi TakahashiDepartment of Hematology, Omihachiman Community Medical Center, Omihachiman, Japan.
Sonoko Nakano-AkamatsuDepartment of Hematology, Omihachiman Community Medical Center, Omihachiman, Japan.
Hiroto KanekoDepartment of Hematology, Aiseikai Yamashina Hospital, Kyoto, Japan.
Yutaka KobayashiDepartment of Hematology, Japanese Red Cross Kyoto Daini Hospital, Kyoto, Japan.
Chihiro ShimazakiDepartment of Hematology, JCHO Kyoto Kuramaguchi Medical Center, Kyoto, Japan.
Masafumi TaniwakiDepartment of Hematology, Aiseikai Yamashina Hospital, Kyoto, Japan.
Junya KurodaDivision of Hematology and Oncology, Department of Medicine, Kyoto Prefectural University of Medicine, 465 Kajii-cho, Kamigyo-ku, Kyoto, 602-8566, Japan. junkuro@koto.kpu-m.ac.jp.ORCID http://orcid.org/0000-0001-6130-1550
Kyoto Clinical Hematology Study Group (KOTOSG) investigators
Kyoto Prefectural University of Medicine · JPJapanese Red Cross Society Kyoto Daini Hospital · JPKyoto Medical Center · JPMatsushita Memorial Hospital · JPKyoto first Red Cross hospital · JPOtsu Municipal Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We retrospectively analyzed efficacy and safety of therapy with rabbit antithymocyte globulin (rATG) in combination with cyclosporine A (CsA) in 30 Japanese adult patients with acquired aplastic anemia (AA) in the Kyoto Clinical Hematology Study Group. The median observation period was 31 months and the median age of the patients was 54 years. The objective response rates (ORRs) to rATG plus CsA increased over time until 18 months after the start of treatment; the rate of achievement of better than partial response at 18 months was 66.7%. The 2-year overall survival (OS) rate was 79% in all patients. In eight patients aged ≥ 75 years old, the ORR was 62.5% and the 2-year OS rate of 50% was not significantly inferior to that in patients aged ≤ 74 years old. The overall mortality rate was 16.7% in our cohort, while the mortality rate in patients aged ≥ 75 years old was 37.5%, which was higher than that in patients aged ≤ 74 years old (9.1%), although the difference was not statistically significant. Collectively, rATG combined with CsA is an effective and feasible treatment for AA, while patients should be appropriately selected.

Indexed as

Immunosuppression TherapyAdultAgedAged, 80 and overAnemia, AplasticAnimalsAntilymphocyte SerumAsian PeopleDisease-Free SurvivalFemaleHumansJapanMaleMiddle AgedRabbitsRetrospective StudiesAntilymphocyte SerumAplastic anemiaImmune suppressive therapyRabbit antithymocyte globulin

Identifiers

PMID30627868
OpenAlexW2910009552

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.