Evidence map›Paper›PMID 30956985›Full record

ArticleBioMed research international2019

Ruxolitinib for Therapy of Graft-versus-Host Disease.

Thomas Neumann, Laila Schneidewind, Martin Weigel, Andrzej Plis, Rem Vaizian, Christian A Schmidt, William Krüger

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 25 citations in OpenAlex.

  1. Trial
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  10. Potent repression of C-reactive protein (CRP) expression by the JAK1/2 inhibitor ruxolitinib in inflammatory human hepatocytes.Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2020
    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

7 authors at 1 institution in 1 country.

Thomas NeumannUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
Laila SchneidewindUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.ORCID 0000-0002-3409-8654
Martin WeigelUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
Andrzej PlisUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
Rem VaizianUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
Christian A SchmidtUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
William KrügerUniversity Medicine Greifswald, Internal Medicine C, Hematology and Oncology, Stem Cell Transplantation and Palliative Care, Ferdinand-Sauerbruch-Strasse, 17475 Greifswald, Germany.
Universitätsmedizin Greifswald · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSteroid-resistant graft-versus-host disease (GvHD) is a major challenge after allogeneic stem cell transplantation and associated with significant morbidity and mortality. There is no therapeutic standard defined beyond calcineurin inhibitors (CNI) and steroids. Furthermore, some patients may have contraindications against CNI or high-dose steroids. Efficacy of ruxolitinib against GvHD has been described recently.

methodsRuxolitinib was used for treatment of acute or chronic GvHD in eight patients. The patients either needed intensification of therapy or had contraindications against use of CNI or high-dose steroids.

resultsSupplementation of therapy in acute GvHD with severe diarrhea with ruxolitinib was unsuccessful. All these patients died from acute GvHD. Introduction of ruxolitinib into therapy and relapse prophylaxis in other patients was successful in 4/4 cases (CR=3, PR=1). Indications for ruxolitinib were contraindications against CNI due to aHUS in two cases and the need for steroid sparing in two other cases. None of these patients suffered from diarrhea at the initiation of ruxolitinib.

conclusionRuxolitinib was effective for therapy of acute and chronic GvHD in higher lines in patients without severe diarrhea. Ruxolitinib could replace successfully CNI and high-dose steroids. Further investigations are necessary to define the position of ruxolitinib in GvHD-therapy.

Indexed as

Acute DiseaseAdultAgedChronic DiseaseDrug ResistanceFemaleGraft vs Host DiseaseHumansMaleMiddle AgedNitrilesPyrazolesPyrimidinesSteroidsNitrilesPyrazolesPyrimidinesruxolitinibSteroids

Identifiers

PMID30956985
PMCPMC6431395
OpenAlexW2920960704

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.