Evidence map›Paper›PMID 31645668›Full record

ArticleBone marrow transplantation2020

Fludarabine/busulfan versus fludarabine/total-body-irradiation (2 Gy) as conditioning prior to allogeneic stem cell transplantation in patients (≥60 years) with acute myelogenous leukemia: a study of the acute leukemia working party of the EBMT.

Thomas Heinicke, Myriam Labopin, Emmanuelle Polge, Dietger Niederwieser, Uwe Platzbecker, Henrik Sengelov, Goda Choi, Jan Cornelissen, Didier Blaise, Jürgen Kuball and 7 more

Open access · bronzeAbstract read
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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 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.3field-weighted citation impact, top 36% 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

6 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. New age HCT conditioning regimens: what works and why?Hematology. American Society of Hematology. Education Program · 2025
    Review
  3. Article
  4. Article
  5. Article
  6. Article
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

17 authors at 14 institutions in 7 countries.

Thomas HeinickeDepartment of Hematology and Oncology, Otto-von-Guericke University, Magdeburg, Germany. thomas.heinicke@med.ovgu.de.ORCID http://orcid.org/0000-0002-4049-7854
Myriam LabopinDepartment of Hematology and Cell Therapy and ALWP EBMT Office, Hospital Saint Antoine Paris, Paris, France.
Emmanuelle PolgeDepartment of Hematology and Cell Therapy and ALWP EBMT Office, Hospital Saint Antoine Paris, Paris, France.
Dietger NiederwieserMedical Clinic and Policlinic 1, Hematology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.ORCID http://orcid.org/0000-0002-4737-1103
Uwe PlatzbeckerMedical Clinic and Policlinic 1, Hematology and Cellular Therapy, University Hospital Leipzig, Leipzig, Germany.
Henrik SengelovBone Marrow Transplant Unit L 4043, National University Hospital, Rigshospitalet, Copenhagen, Denmark.
Goda ChoiDepartment of Hematology, University Medical Center Groningen (UMCG), Groningen, The Netherlands.
Jan CornelissenDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Didier BlaiseInstitut Paoli Calmettes, Department of Hematology, Centre de Recherche en Cancérologie de Marseille (CRCM), Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
Jürgen KuballDepartment of Haematology, University Medical Centre, Utrecht, The Netherlands.
Gwendolyn van GorkomUniversity Hospital Maastricht Dept. Internal Med.Hematology/Oncology, Maastricht, Maastricht, The Netherlands.
Nicolaas SchaapDepartment of Hematology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Victoria PotterDepartment of Haematological Medicine, GKT School of Medicine, King's College Hospital, London, UK.
Franciane PaulDépartement d'Hématologie Clinique, CHU Lapeyronie, Montpellier, France.
Bipin N SavaniDepartment of Medicine, Division of Hematology-Oncology, Vanderbilt University Medical Center, Brentwood, TN, USA.
Arnon NaglerHematology Division and Bone Marrow Transplantation, Chaim Sheba Medical Center, Tel-Hashomer and Tel Aviv University, Tel-Aviv, Israel.
Mohamad MohtyDepartment of Hematology and Cell Therapy and ALWP EBMT Office, Hospital Saint Antoine Paris, Paris, France.
Sorbonne Université · FRUniversity Hospital Leipzig · DECentre de Recherche en Cancérologie de Marseille · FRErasmus MC · NLHeidelberg University · DEHôpital Lapeyronie · FRKing's College Hospital · GBMaastricht University Medical Centre · NLOtto-von-Guericke-Universität Magdeburg · DERadboud University Nijmegen · NLRigshospitalet · DKTel Aviv University · ILUniversity Medical Center Groningen · NLVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Nonmyeloablative (NMA) conditioning regimens facilitate allogeneic stem cell transplantation (alloSCT) in elderly patients and/or in those with comorbidities. The acute leukemia working party (ALWP) of the European Society for Blood and Marrow Transplantation (EBMT) compared the outcomes of patients ≥60 years with AML in first complete remission (CR1), that had received an alloSCT following NMA conditioning, i.e. either fludarabine/busulfan (FB2) or fludarabine/total-body-irradiation-2Gy (FluTBI2Gy). A total of 1088 patients were included (median age 65 years). Donors were matched siblings (MSD) and matched unrelated donors (MUD) in 47% and 53%, respectively. In vivo T-cell depletion (TCD) was applied to 79% and none (0%) of patients in the FB2 and FluTBI2Gy groups, respectively. In the MSD group we found a trend for less extensive cGVHD in patients receiving FB2 with in vivo TCD, HR: 0.49, p = 0.08, and in those without worse NRM, HR: 2.14, p = 0.04, and a trend for more total cGVHD, HR: 1.61, p = 0.09. Patients transplanted from MUDs had a significantly higher incidence of total cGVHD, extensive cGVHD and a worse GRFS with FluTBI2Gy in comparison to FB2, HR: 2.44; p < 0.0001; HR 4.59; p < 0.00001 and HR: 1.35; p = 0.03, respectively. No differences were observed with respect to LFS, OS, RI, NRM, and aGVHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAgedBusulfanHumansRetrospective StudiesTransplantation ConditioningVidarabineBusulfanfludarabineVidarabine

Identifiers

PMID31645668
OpenAlexW2981871996

What OpenQuestion holds

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Registered trials

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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.