Evidence map›Paper›PMID 31431716›Full record

ArticleBone marrow transplantation2019

Graft versus host disease in unmanipulated haploidentical marrow transplantation with a modified post-transplant cyclophosphamide (PT-CY) regimen: an update on 425 patients.

Andrea Bacigalupo, Anna Maria Raiola, Alida Dominietto, Carmen Di Grazia, Francesca Gualandi, Maria Teresa Van Lint, Patrizia Chiusolo, Luca Laurenti, Federica Sora, Sabrina Giammarco and 1 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 8% 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, 32 citations in OpenAlex.

  1. Trial
  2. Review
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  4. Review
  5. The Impact of Graft CD3Journal of hematology · 2023
    Article
  6. Review
  7. 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

11 authors at 3 institutions in 1 country.

Andrea BacigalupoIstituto di Ematologia, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italy. andrea.bacigalupo@unicatt.it.
Anna Maria RaiolaIRCCS Policlinico San Martino, Genova, Italy.
Alida DominiettoIRCCS Policlinico San Martino, Genova, Italy.
Carmen Di GraziaIRCCS Policlinico San Martino, Genova, Italy.
Francesca GualandiIRCCS Policlinico San Martino, Genova, Italy.
Maria Teresa Van LintIRCCS Policlinico San Martino, Genova, Italy.
Patrizia ChiusoloIstituto di Ematologia, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italy.
Luca LaurentiIstituto di Ematologia, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italy.
Federica SoraIstituto di Ematologia, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italy.
Sabrina GiammarcoIstituto di Ematologia, Fondazione Policlinico Universitario A Gemelli IRCCS, Roma, Italy.
Emanuele AngelucciIRCCS Policlinico San Martino, Genova, Italy.
Ospedale Policlinico San Martino · ITIstituti di Ricovero e Cura a Carattere Scientifico · ITUniversità Cattolica del Sacro Cuore · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This is an update on acute and chronic graft-versus-host disease (GvHD) in 425 patients with hematologic malignancies, undergoing an unmanipulated haploidentical (HAPLO) graft from related donors, with a modified post-transplant cyclophosphamide (PT-CY) regimen. All patients received a myeloablative conditioning regimen, either based on thiotepa busulfan fludarabine (TBF), or on full-dose total body irradiation (TBI). The cumulative incidence of acute GvHD-grade II-IV was 29%, and the CI of GvHD-grade III-IV was 4%. We found older donors and older patients to have higher rates of grade II-IV acute GvHD; female donors, diagnosis, disease phase, year of transplant, and the conditioning regimen had no predictive effect on acute GvHD. There was no impact of grade II GvHD, but a significant impact of grade III-IV acute GvHD, on overall survival. The CI of moderate-severe chronic GvHD was 18%: the major predictor was a previous acute GvHD, followed by combined donor and recipients age. In conclusion, PT-CY given on days+3 + 5 results in a relatively low, but not insignificant risk of acute and chronic GvHD, in patients grafted from the related HAPLO donors. The use of young donors appears to reduce this risk.

Indexed as

AdolescentAdultAgedCyclophosphamideFemaleGraft vs Host DiseaseHumansMaleMiddle AgedTransplantation, HaploidenticalYoung AdultCyclophosphamide

Identifiers

PMID31431716
OpenAlexW2969232618

What OpenQuestion holds

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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.