Evidence map›Paper›PMID 30833743›Full record

ArticleBone marrow transplantation2019

The role of checkpoint blockade after allogeneic stem cell transplantation in diseases other than Hodgkin's Lymphoma.

Tobias A W Holderried, Alessia Fraccaroli, Martin Schumacher, Annkristin Heine, Peter Brossart, Matthias Stelljes, Sebastian Klobuch, Nicolaus Kröger, Petya Apostolova, Jürgen Finke and 6 more

Abstract read
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In one paragraph

Article 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 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
–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

18 citing papers in PubMed.

  1. Article
  2. Review
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  5. Review
  6. Comparison of Outcomes of Donor Lymphocyte Infusions With or Without Lenalidomide in Patients with Hematological Malignancies Post Allogeneic HSCT.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2023
    Article
  7. Review
  8. Review
  9. Article
  10. Observational
  11. Review
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  13. Article
  14. Review
  15. Article
  16. Review
  17. The Role of Immune Checkpoints after Cellular Therapy.International journal of molecular sciences · 2020
    Review
  18. Review
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.

Tobias A W HolderriedDepartment of Hematology, Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Alessia FraccaroliDepartment of Medicine III, Hematopoietic Stem Cell Transplantation, University Hospital, LMU Munich, Munich, Germany.
Martin SchumacherDepartment of Hematology, Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Annkristin HeineDepartment of Hematology, Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Peter BrossartDepartment of Hematology, Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany.
Matthias StelljesDepartment of Bone Marrow Transplantation, University Hospital of Münster, Münster, Germany.
Sebastian KlobuchDepartment of Internal Medicine III, Hematology and Oncology, University Hospital Regensburg, Regensburg, Germany.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Hospital Eppendorf, Hamburg, Germany.
Petya ApostolovaDepartment of Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Jürgen FinkeDepartment of Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Robert ZeiserDepartment of Hematology and Oncology, Medical Center, Faculty of Medicine, University of Freiburg, Freiburg, Germany.
Thomas HeinickeDepartment of Hematology and Oncology, Medical Center, Otto-von-Guericke-University Magdeburg, Magdeburg, Germany.ORCID http://orcid.org/0000-0002-4049-7854
Martin BornhäuserMedizinische Fakultät Carl-Gustav-Carus der Technischen Universität, Medizinische Klinik und Poliklinik I, University Hospital Carl-Gustav-Carus, Dresden, Germany.
Michael von Bergwelt-BaildonDepartment of Medicine III, Hematopoietic Stem Cell Transplantation, University Hospital, LMU Munich, Munich, Germany.
Johanna TischerDepartment of Medicine III, Hematopoietic Stem Cell Transplantation, University Hospital, LMU Munich, Munich, Germany. johanna.tischer@med.uni-muenchen.de.
Dominik WolfDepartment of Hematology, Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany. dominik.wolf@i-med.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) is the only curative treatment option for many malignant high-risk hematological diseases. The Graft-vs.-Tumor (GvT) effect is the major hallmark of this treatment approach. However, disease relapse remains a major limitation. Boosting the GvT effect by checkpoint inhibitors (CI) is an attractive option in this desperate situation although potentially triggering Graft-vs.-Host Disease (GvHD). Early reports in patients with Hodgkin's lymphoma support the idea that CI therapy after HSCT is feasible and effective. We have retrospectively analyzed CI therapy for treatment of disease recurrence after allo-HSCT other than Hodgkin's lymphoma including 21 patients from eight German transplant centers. The median follow-up was 59 days. The overall response rate (ORR) was 43%. Patients receiving donor lymphocyte infusion (DLI) in combination with CI had superior response (ORR 80%). Severe acute GvHD grade III-IV and moderate to severe chronic GvHD were observed in 29% of all patients. Taken together, CI therapy in relapsed patients after HSCT, especially in combination with DLI, is effective but induces severe GvHD in a considerable proportion of patients. Thus, prospective trials or EBMT registry-based validation of different dosing and application schedules including immunosuppressive regimens in those patients are urgently needed.

Indexed as

AdolescentAdultAgedFemaleHumansMaleMiddle AgedProgrammed Cell Death 1 ReceptorTransplantation, HomologousYoung AdultProgrammed Cell Death 1 Receptor

Identifiers

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.