Evidence map›Paper›PMID 31700138›Full record

ArticleBone marrow transplantation2020

Ruxolitinib in refractory acute and chronic graft-versus-host disease: a multicenter survey study.

Virginia Escamilla Gómez, Valentín García-Gutiérrez, Lucía López Corral, Irene García Cadenas, Ariadna Pérez Martínez, Francisco J Márquez Malaver, Teresa Caballero-Velázquez, Pedro A González Sierra, María C Viguria Alegría, Ingrid M Parra Salinas and 26 more

Open access · hybridAbstract readMulticenter Study
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 34 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 3 pooled it
8.8field-weighted citation impact, top 2% 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

34 citing papers in PubMed, 3 syntheses or guidelines pooled it, 90 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

36 authors at 11 institutions in 1 country.

Virginia Escamilla GómezDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.ORCID http://orcid.org/0000-0002-0639-574X
Valentín García-GutiérrezDepartment of Hematology, University Hospital Ramon y Cajal, IRYCIS, Madrid, Spain. jvalentingg@gmail.com.
Lucía López CorralComplejo Asistencial Universitario de Salamanca-IBSAL, Centro de Investigación del Cáncer-IBMCC, Salamanca, Spain.
Irene García CadenasHospital Santa Creu I Sant Pau, Barcelona, Spain.ORCID http://orcid.org/0000-0002-2994-9055
Ariadna Pérez MartínezClinic University Hospital of Valencia, Valencia, Spain.
Francisco J Márquez MalaverDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.ORCID http://orcid.org/0000-0002-6145-0414
Teresa Caballero-VelázquezDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.ORCID http://orcid.org/0000-0001-7487-3793
Pedro A González SierraUniversity Hospital, Granada, Spain.
María C Viguria AlegríaHospital of Navarra, Navarra, Spain.
Ingrid M Parra SalinasUniversity Hospital Miguel Servet, Zaragoza, Spain.
Cristina Calderón CabreraDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.
Marta González VicentHospital Niño Jesús, Madrid, Spain.
Nancy Rodríguez TorresDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.
Rocío Parody PorrasInstituto Catalá de Oncología Hospitalet, Barcelona, Spain.
Christelle Ferra CollInstituto Catalá de Oncología Germans Trias, Badalona, Spain.ORCID http://orcid.org/0000-0003-4571-5125
Guillermo OrtiUniversity Hospital Vall d´Hebron, Barcelona, Spain.
David Valcárcel FerreirasUniversity Hospital Vall d´Hebron, Barcelona, Spain.
Rafael De la Cámara LLanzáHospital La Princesa, Madrid, Spain.ORCID http://orcid.org/0000-0002-8189-5779
Paula MolésHospital La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-5005-0503
Kyra Velázquez-KennedyDepartment of Hematology, University Hospital Ramon y Cajal, IRYCIS, Madrid, Spain.
María João MendeComplejo Asistencial Universitario de Salamanca-IBSAL, Centro de Investigación del Cáncer-IBMCC, Salamanca, Spain.
Dolores Caballero BarrigónComplejo Asistencial Universitario de Salamanca-IBSAL, Centro de Investigación del Cáncer-IBMCC, Salamanca, Spain.
Estefanía PérezComplejo Asistencial Universitario de Salamanca-IBSAL, Centro de Investigación del Cáncer-IBMCC, Salamanca, Spain.
Rodrigo Martino BofarullHospital Santa Creu I Sant Pau, Barcelona, Spain.
Silvanna Saavedra GerosaHospital Santa Creu I Sant Pau, Barcelona, Spain.
Jorge SierraHospital Santa Creu I Sant Pau, Barcelona, Spain.
Marc PochClinic University Hospital of Valencia, Valencia, Spain.
María T Zudaire RipaHospital of Navarra, Navarra, Spain.
Miguel A Díaz PérezHospital Niño Jesús, Madrid, Spain.
Blanca Molina AnguloHospital Niño Jesús, Madrid, Spain.
Isabel Sánchez OrtegaInstituto Catalá de Oncología Hospitalet, Barcelona, Spain.
Jaime Sanz CaballerHospital La Fe, Valencia, Spain.
Juan Montoro GómezHospital La Fe, Valencia, Spain.
Ildefonso Espigado TocinoDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain.
José A Pérez-SimónDepartment of Hematology of the University Hospital Virgen del Rocío, Instituto de Biomedicina (IBIS/CSIC/CIBERONC, CB16/12/00480), Universidad de Sevilla, Seville, Spain. josea.perez.simon.sspa@juntadeandalucia.es.
Grupo Español de Trasplante Hematopoyético (GETH)
Hospital de Sant Pau · ESInstitut Català d'Oncologia · ESInstituto de Biomedicina de Sevilla · ESHospital Infantil Universitario Niño Jesús · ESLeitat Technological Center · ESComplejo Hospitalario de Salamanca · ESHospital Clínico Universitario de Valencia · ESHospital Universitario Miguel Servet · ESVall d'Hebron Hospital Universitari · ESInstituto Cajal · ESInstituto Ramón y Cajal de Investigación Sanitaria · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft-versus-host disease is the main cause of morbidity and mortality after allogeneic hematopoietic stem cell transplantation. First-line treatment is based on the use of high doses of corticosteroids. Unfortunately, second-line treatment for both acute and chronic graft-versus-host disease, remains a challenge. Ruxolitinib has been shown as an effective and safe treatment option for these patients. Seventy-nine patients received ruxolitinib and were evaluated in this retrospective and multicenter study. Twenty-three patients received ruxolitinib for refractory acute graft-versus-host disease after a median of 3 (range 1-5) previous lines of therapy. Overall response rate was 69.5% (16/23) which was obtained after a median of 2 weeks of treatment, and 21.7% (5/23) reached complete remission. Fifty-six patients were evaluated for refractory chronic graft-versus-host disease. The median number of previous lines of therapy was 3 (range 1-10). Overall response rate was 57.1% (32/56) with 3.5% (2/56) obtaining complete remission after a median of 4 weeks. Tapering of corticosteroids was possible in both acute (17/23, 73%) and chronic graft-versus-host disease (32/56, 57.1%) groups. Overall survival was 47% (CI: 23-67%) at 6 months for patients with aGVHD (62 vs 28% in responders vs non-responders) and 81% (CI: 63-89%) at 1 year for patients with cGVHD (83 vs 76% in responders vs non-responders). Ruxolitinib in the real life setting is an effective and safe treatment option for GVHD, with an ORR of 69.5% and 57.1% for refractory acute and chronic graft-versus-host disease, respectively, in heavily pretreated patients.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationAcute DiseaseChronic DiseaseHumansNitrilesPyrazolesPyrimidinesRetrospective StudiesNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

PMID31700138
PMCPMC7051903
OpenAlexW2984187799

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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.