Evidence map›Paper›PMID 31411761›Full record

ArticleEuropean journal of haematology2019

Survival of early posthematopoietic stem cell transplantation relapse of myeloid malignancies.

Greta de Jong, Jeroen J W M Janssen, Bart J Biemond, Sacha S Zeerleder, Gert J Ossenkoppele, Otto Visser, Erfan Nur, Ellen Meijer, Mette D Hazenberg

Open access · hybridAbstract read
In one paragraph

Article in European journal of haematology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 25% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

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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

9 authors at 4 institutions in 2 countries.

Greta de JongDepartment of Hematology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.ORCID https://orcid.org/0000-0002-8566-5014
Jeroen J W M JanssenCancer Center Amsterdam, Amsterdam, The Netherlands.
Bart J BiemondDepartment of Hematology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
Sacha S ZeerlederDepartment of Hematology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
Gert J OssenkoppeleCancer Center Amsterdam, Amsterdam, The Netherlands.
Otto VisserDepartment of Hematology, Oncology Center, Isala Klinieken Zwolle, Zwolle, The Netherlands.
Erfan NurDepartment of Hematology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
Ellen MeijerCancer Center Amsterdam, Amsterdam, The Netherlands.
Mette D HazenbergDepartment of Hematology, Amsterdam University Medical Centers, Location AMC, Amsterdam, The Netherlands.
Amsterdam University Medical Centers · NLAIMM Therapeutics (Netherlands) · NLIsala · NLUniversity of Bern · CH

Funding

KWF Kankerbestrijding 2014-6557Landsteiner Foundation for Blood Transfusion Research 1438FZonMw 91715362
6 · The paper itself

Abstract

objectiveRelapse of AML after allogeneic hematopoietic stem cell transplantation (HSCT) has a poor prognosis, and standard of care therapy is lacking. Early (<6 months) relapse is associated with dismal outcome, while the majority of relapses occur early after transplantation. A more precise indication which patients could benefit from reinduction therapy is warranted.

methodsWe retrospectively analyzed outcomes of 83 patients with postallogeneic HSCT relapse. Patients were divided based on intention to treat (curative vs supportive care).

resultsOf the 50 patients treated with curative intent, 44% reached complete remission (CR) upon reinduction chemotherapy, and of these patients, 50% survived. Two survivors reached CR after immunotherapy (donor lymphocyte infusion (DLI), without reinduction chemotherapy). Sixty-nine percent of the survivors had received high-intensity cytarabine treatment, followed by immunologic consolidation. Relapse <3 months after transplantation was predictive for adverse survival (P = .004), but relapse <6 months was not. In fact, >50% of the survivors had a relapse <6 months.

conclusionWe confirmed the dismal prognosis of postallogeneic HSCT relapse. Importantly, our data demonstrate that patients fit enough to receive high-dose chemotherapy, even when relapse occurred <6 months, had the best chance to obtain durable remissions, in particular when immunologic consolidation was performed after reaching CR.

Indexed as

Hematologic NeoplasmsHematopoietic Stem Cell TransplantationLymphocyte TransfusionMyeloproliferative DisordersAdolescentAdultAgedAllograftsCytarabineDisease-Free SurvivalFemaleHumansMaleMiddle AgedRecurrenceRetrospective StudiesCytarabineacute myeloid leukemiaallogeneic hematopoietic stem cell transplantationgraft-versus-leukemiaoutcome

Identifiers

PMID31411761
PMCPMC6851577
OpenAlexW2968651811

What OpenQuestion holds

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LicenceCC BY-NC
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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.