Evidence map›Paper›PMID 31527819›Full record

ArticleBone marrow transplantation2020

Transplant outcomes for patients with therapy-related acute myeloid leukemia with prior lymphoid malignancy: an ALWP of EBMT study.

Katie S Gatwood, Myriam Labopin, Bipin N Savani, Jürgen Finke, Gerard Socie, Dietrich Beelen, Ibrahim Yakoub-Agha, Patrice Chevallier, Arnold Ganser, Didier Blaise and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.3field-weighted citation impact, top 18% 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

7 citing papers in PubMed, 18 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

15 authors at 12 institutions in 4 countries.

Katie S GatwoodVanderbilt University Medical Center, Nashville, TN, USA. katie.s.gatwood@vumc.org.ORCID http://orcid.org/0000-0001-7454-7824
Myriam LabopinEBMT Paris Study Office/CEREST-TC, Paris, France.
Bipin N SavaniVanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-3304-9965
Jürgen FinkeUniversity of Freiburg Department of Medicine-Hematology, Oncology, Freiburg, Germany.
Gerard SocieDepartment of Hematology-BMT, Hospital St. Louis, Paris, France.
Dietrich BeelenDepartment of Bone Marrow Transplantation, University Hospital, Essen, Germany.
Ibrahim Yakoub-AghaHôpital HURIEZ, UAM allo-CSH, CHRU, Lille, France.
Patrice ChevallierDept. D'Hématologie, CHU Nantes, Nantes, France.
Arnold GanserDepartment of Haematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Carl-Neuberg-Str.1, Hannover, Germany.
Didier BlaiseProgramme de Transplantation & Therapie Cellulaire, Centre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
Noel MilpiedProgramme de Transplantation & Therapie Cellulaire, Centre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.
Lioure BrunoTechniciens d'Etude Clinique suivi de patients greffes, Nouvel Hopital Civil, Strasbourg, France.
Audrey MailholEBMT Paris Study Office/CEREST-TC, Paris, France.
Mohamad MohtyDepartment of Hematology, Hopital Saint Antoine, Paris, France.
Arnon NaglerDepartment of Hematology, Hopital Saint Antoine, Paris, France.
Centre de Recherche en Cancérologie de Marseille · FREuropean Society for Blood and Marrow Transplantation · FRVanderbilt University Medical Center · USCentre Hospitalier Universitaire de Nantes · FREssen University Hospital · DEHôpital Civil, Strasbourg · FRHôpital Claude Huriez · FRHôpital Saint-Louis · FRMedizinische Hochschule Hannover · DESheba Medical Center · ILSorbonne Université · FRUniversity of Freiburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Allogeneic hematopoietic cell transplant (HCT) is a curative therapy for patients with secondary acute myeloid leukemia (sAML), though the impact of conditioning regimens on HCT outcomes for patients with antecedent lymphoid malignancy is largely unknown. This multicenter, retrospective registry study of the ALWP of the EBMT assessed HCT outcomes in this population. In all, 549 patients ≥18 years with sAML following an antecedent lymphoid malignancy treated with first allograft between 2000-2016 were included. Myeloablative (MAC) and reduced intensity conditioning (RIC) was given in 258 (47%) and 291 (53%), respectively. At 2 years, leukemia-free survival (LFS) was 31.7% (95% CI, 27.5-35.9), overall survival (OS) was 37.4% (95% CI, 33-41.8), nonrelapse mortality (NRM) was 28.9% (95% CI, 25-33), and GVHD-free, relapse-free survival (GRFS) was 22.8% (95% CI, 19-26.6). In multivariate analysis, patients receiving RIC regimens had lower risk of NRM (HR: 0.58, CI: 0.40-0.83, p = 0.003), and improved LFS (HR: 0.67, CI: 0.52-0.85, p = 0.001). Patients with prior autologous HCT had inferior LFS (HR: 1.30, CI: 1.01-1.67, p = 0.01). This study demonstrates that sAML patients following prior lymphoid malignancy treated with RIC regimens have a lower risk of NRM and improved LFS, OS, and GFRS. Other variables associated with inferior outcomes include older age, active disease, adverse cytogenetics, and prior auto-HCT.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAgedHumansRetrospective StudiesTransplantation ConditioningTransplantation, Homologous

Identifiers

PMID31527819
OpenAlexW2973825055

What OpenQuestion holds

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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.