Evidence map›Paper›PMID 31089279›Full record

Trial reportBone marrow transplantation2019

Retrospective single center analysis of outcome, risk factors and therapy in steroid refractory graft-versus-host disease after allogeneic hematopoietic cell transplantation.

L Axt, A Naumann, J Toennies, S P Haen, W Vogel, D Schneidawind, S Wirths, R Moehle, C Faul, L Kanz and 2 more

Registry-linked trialAbstract readClinical Trial
PubMed Publisher
In one paragraph

Trial report in Bone marrow transplantation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06756061 (A Nation-wide, Multi-center, Prospective, Randomized, Parallel-group, Open-label, Investigator Initiated Pilot Study to Evaluate Efficacy and Safety of Systemic Corticosteroid Plus Ruxolitinib as First-line Therapy in Patients With New-onset Moderate to Severe Chronic Graft-versus-host Disease), which is not on this map. Cited by 47 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 2 pooled it
–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.

NCT06756061 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Nation-wide, Multi-center, Prospective, Randomized, Parallel-group, Open-label, Investigator Initiated Pilot Study to Evaluate Efficacy and Safety of Systemic Corticosteroid Plus Ruxolitinib as First-line Therapy in Patients With New-onset Moderate to Severe Chronic Graft-versus-host Disease

TypeinterventionalSponsorByung-Sik ChoRan2025 to 2029Enrolled88ConditionsGVHD - Graft-Versus-Host Disease, Neoplasms, Haematopoietic Stem Cell TransplantationArmsPrednisone + Jakavi(ruxolitinib), Prednisone
3 · Its place in the literature

Who cites it

47 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Guideline
  2. Pooled it
  3. Trial
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  14. Modern-Era Challenges in the Clinical Management of Graft-Versus-Host Disease.Advances in experimental medicine and biology · 2025
    Review
  15. Observational
  16. Article
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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

12 authors.

L AxtDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
A NaumannInstitute for Clinical Epidemiology and Applied Biometry, Eberhard-Karl University Tuebingen, Tuebingen, Germany.
J ToenniesDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
S P HaenDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
W VogelDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
D SchneidawindDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
S WirthsDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
R MoehleDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
C FaulDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
L KanzDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany.
S AxtDepartment for Visceral, General and Transplant Surgery, University Hospital Tuebingen, Tuebingen, Germany.
W A BethgeDepartment of Hematology and Oncology, Medical Center University Hospital Tuebingen, Tuebingen, Germany. wolfgang.bethge@med.uni-tuebingen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute and chronic graft-vs.-host disease (aGvHD and cGvHD) are major complications after allogeneic hematopoietic cell transplantation (HCT) leading to substantial morbidity and mortality. This retrospective single-center study analyzes incidence, therapy, and outcome of GvHD in n = 721 patients ≥18 years having received allogeneic HCT 2004-2013 with a special focus on steroid refractory GvHD. Acute (n = 355/49.2%) and chronic (n = 269/37.3%) GvHD were mainly treated by steroids in first-line therapy. The proportion of steroid refractory aGvHD and cGvHD was 35.7% and 31.4%, respectively. As there is no standard therapy for steroid refractory GvHD, a range of different agents was used. In aGvHD, the overall response rate (ORR) of steroid refractory GvHD to second-line treatment was 27.4%. Mycophenolate mofetil (MMF) and mTOR inhibitors led to superior response rates (ORR 50.0% and 53.3%, respectively). In steroid refractory cGvHD therapy, ORR was 44.4%. Use of calcineurin inhibitors (CNI; n = 11/45.5%), MMF (n = 18/50.0%), mTOR inhibitors (n = 10/60.0%), and extracorporeal photophoresis (ECP; n = 16/56.3%) showed ORR above average. Targeted therapies lead to responses in 7.7% (n = 13). This data may help to improve the design of future prospective clinical studies in GvHD.

Indexed as

Hematopoietic Stem Cell TransplantationPhotopheresisAdultAllograftsCalcineurin InhibitorsFemaleGraft vs Host DiseaseHumansMaleMiddle AgedMycophenolic AcidRetrospective StudiesRisk FactorsTOR Serine-Threonine KinasesCalcineurin InhibitorsMTOR protein, humanMycophenolic AcidTOR Serine-Threonine Kinases

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.