Evidence map›Paper›PMID 31558465›Full record

Trial reportBlood2019

Mismatched related vs matched unrelated donors in TCRαβ/CD19-depleted HSCT for primary immunodeficiencies.

Alexandra Laberko, Elvira Sultanova, Elena Gutovskaya, Irina Shipitsina, Larisa Shelikhova, Elena Kurnikova, Yakov Muzalevskii, Alexei Kazachenok, Dmitriy Pershin, Kirill Voronin and 4 more

Open access · bronzeAbstract readClinical Trial
In one paragraph

Trial report in Blood, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 7% 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

32 citing papers in PubMed, 1 synthesis or guideline pooled it, 60 citations in OpenAlex.

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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 1 institution in 1 country.

Alexandra LaberkoDepartment of Immunology.
Elvira SultanovaDepartment of Hematopoietic Stem Cell Transplantation.
Elena GutovskayaDepartment of Hematopoietic Stem Cell Transplantation.
Irina ShipitsinaDepartment of Hematopoietic Stem Cell Transplantation.
Larisa ShelikhovaDepartment of Hematopoietic Stem Cell Transplantation.
Elena KurnikovaLaboratory of Transplant Processing and Cell Preparations.
Yakov MuzalevskiiLaboratory of Transplant Processing and Cell Preparations.
Alexei KazachenokLaboratory of Transplant Processing and Cell Preparations.
Dmitriy PershinLaboratory of Hematopoietic Stem Cell Transplantation and Immunotherapy, and.
Kirill VoroninDepartment of Bioinformatics and Medical Statistics, Dmitry Rogachev National Medical Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Anna ShcherbinaDepartment of Immunology.
Michael MaschanDepartment of Hematopoietic Stem Cell Transplantation.
Alexey MaschanDepartment of Hematopoietic Stem Cell Transplantation.
Dmitry BalashovDepartment of Hematopoietic Stem Cell Transplantation.
Dmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

TCRαβ+/CD19+ graft depletion effectively prevents graft-versus-host disease (GVHD). In the current study, we compared the outcomes of hematopoietic stem cell transplantation (HSCT) with TCRαβ+/CD19+ depletion from matched unrelated donors (MUDs) and mismatched related donors (MMRDs) in patients with primary immunodeficiency (PID). A total of 98 pediatric patients with various PIDs underwent HSCT with TCRαβ+/CD19+ graft depletion from MUDs (n = 75) and MMRDs (n = 23). All patients received a fludarabine-/treosulfan-based conditioning regimen, with 73 also receiving a second alkylating agent. For GVHD prophylaxis, all but 2 received serotherapy (antithymocyte globulin) before HSCT and a short course of posttransplant immunosuppression. Neutrophil and platelet engraftment in both the MUD and MMRD groups occurred on days 14 and 13, respectively. The incidence of secondary graft failure was 0.16 and 0.17 (P = .85), respectively. The cumulative incidence of acute GVHD grade 2 to 4 was 0.17 in the MUD group and 0.22 in the MMRD group (P = .7). The incidence of cytomegalovirus (CMV) viremia was 0.5 in the MUD group and 0.6 in the MMRD group (P = .35). The frequency of CMV disease was high (17%), and the most common manifestation was retinitis. The kinetics of immune recovery was similar in both groups. The overall survival was 0.86 in the MUD group and 0.87 in the MMRD group (P = .95). In our experience, there was no difference in the outcomes of HSCT performed from MUD and MMRD. Hence, given the immediate availability of donors, in the absence of HLA-identical siblings, HSCT with TCRαβ+/CD19+ graft depletion from MMRDs can be considered as the first choice in patients with PID.

Indexed as

AdolescentAntigens, CD19ChildChild, PreschoolGraft SurvivalGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibility TestingHumansImmunologic Deficiency SyndromesInfantProspective StudiesReceptors, Antigen, T-Cell, alpha-betaTreatment OutcomeUnrelated DonorsAntigens, CD19Receptors, Antigen, T-Cell, alpha-beta

Identifiers

PMID31558465
PMCPMC6856988
OpenAlexW2975502554

What OpenQuestion holds

Textmetadata
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.