Evidence map›Paper›PMID 31664185›Full record

ArticleBone marrow transplantation2020

Letermovir prophylaxis through day 100 post transplant is safe and effective compared with alternative CMV prophylaxis strategies following adult cord blood and haploidentical cord blood transplantation.

Prashant Sharma, Neel Gakhar, Jennifer MacDonald, Maheen Z Abidi, Esther Benamu, Valida Bajrovic, Enkhtsetseg Purev, Bradley M Haverkos, Jennifer Tobin, Jeff Kaiser and 4 more

Abstract 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 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
–field-weighted citation impact
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

22 citing papers in PubMed.

  1. Article
  2. Article
  3. The indirect effects of cytomegalovirus infection-mechanisms and consequences.Philosophical transactions of the Royal Society of London. Series B, Biological sciences · 2025
    Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Refractory and Resistant Cytomegalovirus After Hematopoietic Cell Transplant in the Letermovir Primary Prophylaxis Era.Clinical infectious diseases : an official publication of the Infectious Diseases Society of America · 2021
    Article
  13. Article
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Article
  20. Moving Past Ganciclovir and Foscarnet: Advances in CMV Therapy.Current hematologic malignancy reports · 2020
    Review
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

14 authors.

Prashant SharmaDepartment of Medicine, University of Colorado, Denver, CO, USA.
Neel GakharDepartment of Medicine, University of Colorado, Denver, CO, USA.
Jennifer MacDonaldDivision of Pharmacy, University of Colorado, Denver, CO, USA.
Maheen Z AbidiDepartment of Medicine, University of Colorado, Denver, CO, USA.
Esther BenamuDepartment of Medicine, University of Colorado, Denver, CO, USA.
Valida BajrovicDepartment of Medicine, University of Colorado, Denver, CO, USA.
Enkhtsetseg PurevDepartment of Medicine, University of Colorado, Denver, CO, USA.
Bradley M HaverkosDepartment of Medicine, University of Colorado, Denver, CO, USA.ORCID http://orcid.org/0000-0003-0056-6023
Jennifer TobinDivision of Pharmacy, University of Colorado, Denver, CO, USA.
Jeff KaiserDivision of Pharmacy, University of Colorado, Denver, CO, USA.
Stephanie ChaseDivision of Pharmacy, University of Colorado, Denver, CO, USA.
Matthew MillerDivision of Pharmacy, University of Colorado, Denver, CO, USA.
Adriana WeinbergDepartment of Medicine, University of Colorado, Denver, CO, USA.
Jonathan A GutmanDepartment of Medicine, University of Colorado, Denver, CO, USA. jonathan.gutman@ucdenver.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared CMV outcomes of three prophylactic approaches used for CBT and haploidentical cord transplants from December 2009 through 2018: letermovir (n = 32) through day 100 post transplant, "valacyclovir day 100" (valacyclovir 2 g orally three times daily through day 100) (n = 60), and "valacyclovir hospital discharge" (valacyclovir 2 g orally three times daily through hospital discharge then acyclovir 800 mg twice daily) (n = 41). Through day 100, none in the letermovir group, six (10%) in the "valacyclovir day 100," and nine (22%) in the "valacyclovir hospital discharge" group required CMV directed treatment (p = 0.005 and 0.06 comparing letermovir to "valacyclovir hospital discharge" and "valacyclovir day 100"). Fewer patients in the letermovir group (n = 7, 22%) had any CMV reactivation versus the "valacyclovir day 100" group (n = 20, 33%) versus the "valacyclovir hospital discharge" group (n = 23, 57%) (p = 0.003 and 0.21 comparing letermovir to "valacyclovir hospital discharge" and "valacyclovir day 100"). Among patients not reactivating CMV before 100 days, reactivation rates between day 100 and 180 were higher in the letermovir and "valacyclovir day 100" groups than the "valacyclovir hospital discharge" group. Letermovir is safe and effective compared with alternative prophylaxis approaches following CBT through day 100. Reactivation and monitoring after day 100 remain potential concerns.

Indexed as

Cord Blood Stem Cell TransplantationCytomegalovirus InfectionsAcetatesAdultAntiviral AgentsFetal BloodHumansQuinazolinesAcetatesAntiviral AgentsletermovirQuinazolines

Identifiers

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Read underepoch 390

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.