Evidence map›Paper›PMID 30788725›Full record

Trial reportInternational journal of hematology2019

Factors predicting the recurrence of Epstein-Barr virus-associated hemophagocytic lymphohistiocytosis in children after treatment using the HLH-2004 protocol.

Ryu Yanagaisawa, Kazuyuki Matsuda, Shouichi Ohga, Hirokazu Kanegane, Akira Morimoto, Yasuhiro Okamoto, Akira Ohara, Keitaro Fukushima, Manabu Sotomatsu, Keiko Nomura and 4 more

Erratum issuedAbstract 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. An erratum has been issued. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

6 citing papers in PubMed, 23 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 11 institutions in 1 country.

Ryu YanagaisawaDivision of Blood Transfusion, Shinshu University Hospital, Matsumoto, Japan.
Kazuyuki MatsudaDepartment of Clinical Laboratory Sciences, School of Health Sciences, Shinshu University, Matsumoto, Japan.
Shouichi OhgaDepartment of Pediatrics, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Hirokazu KaneganeDepartment of Child Health and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, Tokyo, Japan.
Akira MorimotoDepartment of Pediatrics, Jichi Medical University School of Medicine, Shimotsuke, Tochigi, Japan.
Yasuhiro OkamotoDepartment of Pediatrics, Kagoshima University Graduate School of Medical and Dental Sciences, Kagoshima, Japan.
Akira OharaDepartment of Pediatrics, Toho University, Tokyo, Japan.
Keitaro FukushimaDepartment of Pediatrics, Dokkyo Medical University, Shimotsuga, Mibu, Japan.
Manabu SotomatsuDepartment of Pediatrics, Gunma Children's Medical Center, Shibukawa, Japan.
Keiko NomuraDepartment of Pediatrics, Graduate School of Medicine and Pharmaceutical Sciences, University of Toyama, Toyama, Japan.
Akiko M SaitoClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Keizo HoribeClinical Research Center, National Hospital Organization Nagoya Medical Center, Nagoya, Japan.
Eiichi IshiiDepartment of Pediatrics, Ehime University Graduate School of Medicine, Toon, Japan.
Yozo NakazawaDepartment of Pediatrics, Shinshu University School of Medicine, 3-1-1, Asahi, Matsumoto, Nagano, 390-8621, Japan. yxnakaza@shinshu-u.ac.jp.ORCID http://orcid.org/0000-0003-0793-815X
Shinshu University · JPNational Hospital Organization · JPDokkyo Medical University · JPEhime University · JPGunma Children's Medical Center · JPJichi Medical University · JPKagoshima University · JPKyushu University · JPToho University · JPTokyo Medical and Dental University · JPUniversity of Toyama · JP

Funding

Japan Agency for Medical Research and Development AMED_16ek0109055h0003Japan Agency for Medical Research and Development AMED_18ck0106462h0001Ministry of Health, Labour and Welfare H20-GanRinsho-Ippan-017
6 · The paper itself

Abstract

Epstein-Barr virus (EBV)-associated hemophagocytic lymphohistiocytosis (HLH) is highly prevalent in Japan. To date, no standard treatment for EBV-HLH has been established owing to the diversity in treatment response and the difficulty in assessing prognostic factors. The present prospective study recruited 27 children with EBV-HLH who were also part of the HLH-2004 study. EBV load in the peripheral blood was monitored at diagnosis and 2, 4, and 8 weeks after treatment initiation. Additionally, T-cell receptor (TCR) clonality and other laboratory data were evaluated. TCR clonality was positive in 14 patients at diagnosis. Seven of 27 patients experienced recurrences after treatment. No correlation was noted among any clinical data at diagnosis of patients with and without recurrence. However, the recurrence rate was significantly higher in patients aged < 2 years and/or those with a high plasma EBV load of > 10

Indexed as

Epstein-Barr Virus InfectionsLymphohistiocytosis, HemophagocyticViral LoadAdolescentAge FactorsChildChild, PreschoolFemaleHerpesvirus 4, HumanHumansInfantMaleProspective StudiesReceptors, Antigen, T-CellRecurrenceReceptors, Antigen, T-CellEBV DNAHemophagocytic lymphohistiocytosisHLH-2004 protocol

Identifiers

PMID30788725
OpenAlexW2915725274

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.