Evidence map›Paper›PMID 31817480›Full record

ArticleCells2019

Children and Adults with Refractory Acute Graft-versus-Host Disease Respond to Treatment with the Mesenchymal Stromal Cell Preparation "MSC-FFM"-Outcome Report of 92 Patients.

Halvard Bonig, Zyrafete Kuçi, Selim Kuçi, Shahrzad Bakhtiar, Oliver Basu, Gesine Bug, Mike Dennis, Johann Greil, Aniko Barta, Krisztián M Kállay and 27 more

Open access · goldAbstract read
In one paragraph

Article in Cells, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
4.6field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 68 citations in OpenAlex.

  1. Pooled it
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  13. Observational
  14. Simultaneous Co-transplantation for Highly Efficient Cell Therapy.Current stem cell research & therapy · 2025
    Review
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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

37 authors at 20 institutions in 6 countries.

Halvard BonigGoethe University Medical Center, Institute of Transfusion Medicine and Immunohematology, and German Red Cross Blood Center Frankfurt, Frankfurt am Main, 60528 Frankfurt, Germany.
Zyrafete KuçiDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Selim KuçiDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Shahrzad BakhtiarDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Oliver BasuUniversity Children's Hospital Essen, 45122 Essen, Germany.
Gesine BugDepartment of Medicine 2, Hematology and Oncology, University Hospital, Goethe University Frankfurt, 60590 Frankfurt am Main, Germany.
Mike DennisChristie Hospital, Department of Haematology, Manchester M20 4BX, UK.
Johann GreilUniversity Children's Hospital Heidelberg, 69120 Heidelberg, Germany.
Aniko BartaCentral Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, Department for Haematology and SCT, H1097 Budapest, Hungary.
Krisztián M KállayCentral Hospital of Southern Pest, National Institute of Hematology and Infectious Diseases, Pediatric Hematology and Stem Cell Transplantation Department, H1097 Budapest, Hungary.ORCID 0000-0002-4328-9612
Peter LangUniversity Children's Hospital Tübingen, 72076 Tübingen, Germany.
Giovanna LucchiniGreat Ormond Street Hospital, Department of Hematology/Oncology, London WC1N 3JH, UK.
Raj PolUniversity of Sheffield, Department of Haematology, Sheffield S10 2TN, UK.
Ansgar SchulzUniversity Medical Center Ulm, Department of Pediatrics, 89070 Ulm, Germany.ORCID 0000-0002-7798-7996
Karl-Walter SykoraChildren's Hospital, Medizinische Hochschule Hannover, 30625 Hannover, Germany.
Irene Teichert von LuettichauDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Kinderklinik München Schwabing, Klinikum Rechts der Isar, Technische Universität München, 80804 München, Germany.
Grit Herter-SprieDepartment I of Internal Medicine, Center for Integrated Oncology Aachen Bonn Cologne Duesseldorf, Center for Molecular Medicine Cologne, University of Cologne, 50937 Cologne, Germany.
Mohammad Ashab UddinDepartment for Stem Cells & Immunotherapies, NHSBT, Birmingham B15 2SG, UK.
Phil JenkinDepartment for Stem Cells & Immunotherapies, NHSBT, Birmingham B15 2SG, UK.
Abdulrahman AlsultanDepartment of Pediatric Hematology/Oncology, King Abdullah Specialist Children's Hospital, Riyadh 14611, Saudi Arabia.ORCID 0000-0001-5577-3228
Jochen BuechnerOslo University Hospital, Department of Pediatric Hematology and Oncology, 0424 Oslo, Norway.
Jerry SteinSchneider Children's Medical Center of Israel, Department for Hemato-Oncology, Petach Tikva 4920235, Israel.
Agnes KelemenB-A-Z County Hospital, Pediatric Haematology and Stem Cell Transplantation Unit, 3526 Miskolc, Hungary.
Andrea JarischDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Jan SoerensenDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Emilia Salzmann-ManriqueDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Martin HutterDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Richard SchäferGoethe University Medical Center, Institute of Transfusion Medicine and Immunohematology, and German Red Cross Blood Center Frankfurt, Frankfurt am Main, 60528 Frankfurt, Germany.
Erhard SeifriedGoethe University Medical Center, Institute of Transfusion Medicine and Immunohematology, and German Red Cross Blood Center Frankfurt, Frankfurt am Main, 60528 Frankfurt, Germany.
Shankara PaneeshaDepartment of Haematology & Stem Cell Transplantation, Birmingham Heartlands Hospital, Birmingham B9 5SS, UK.
Igor Novitzky-BassoQueen Elizabeth University Hospital, Glasgow, Glasgow G51 4TF, UK.
Aharon GefenRambam Medical Center, Ruth Rappaport Children's Hospital, Pediatric Hematology Oncology Division, The Reiner-Shudi Pediatric Bone Marrow Transplantation Unit, Haifa 3109601, Israel.
Neta NevoRambam Medical Center, Ruth Rappaport Children's Hospital, Pediatric Hematology Oncology Division, The Reiner-Shudi Pediatric Bone Marrow Transplantation Unit, Haifa 3109601, Israel.
Gernot BeutelHannover Medical School (MHH), Hannover, Department of Hematology, Hemostasis, Oncology and Stem Cell Transplantation, 30625 Hannover, Germany.
Paul-Gerhardt SchlegelUniversity Children's Hospital Würzburg, 97080 Würzburg, Germany.
Thomas KlingebielDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.
Peter BaderDepartment for Children and Adolescents, Division for Stem Cell Transplantation and Immunology, University Hospital Frankfurt, Frankfurt am Main, 60590 Frankfurt, Germany.ORCID 0000-0003-4554-0265
Goethe University Frankfurt · DEMedizinische Hochschule Hannover · DENHS Blood and Transplant · GBRambam Health Care Campus · ILEssen University Hospital · DEGreat Ormond Street Hospital · GBHeartlands Hospital · GBHeidelberg University · DEKing Abdullah Medical City · SAMünchen Klinik Schwabing · DENational Center for Epidemiology · HUOslo University Hospital · NOQueen Elizabeth University Hospital · GBSchneider Children's Medical Center · ILThe Christie Hospital · GBUniversitätsklinikum Würzburg · DEUniversity Children's Hospital Tübingen · DEUniversity of Cologne · DEUniversity of Miskolc · HUUniversity of Sheffield · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Refractory acute graft-versus-host disease (R-aGvHD) remains a leading cause of death after allogeneic stem cell transplantation. Survival rates of 15% after four years are currently achieved; deaths are only in part due to aGvHD itself, but mostly due to adverse effects of R-aGvHD treatment with immunosuppressive agents as these predispose patients to opportunistic infections and loss of graft-versus-leukemia surveillance resulting in relapse. Mesenchymal stromal cells (MSC) from different tissues and those generated by various protocols have been proposed as a remedy for R-aGvHD but the enthusiasm raised by initial reports has not been ubiquitously reproduced. (2) Methods: We previously reported on a unique MSC product, which was generated from pooled bone marrow mononuclear cells of multiple third-party donors. The products showed dose-to-dose equipotency and greater immunosuppressive capacity than individually expanded MSCs from the same donors. This product, MSC-FFM, has entered clinical routine in Germany where it is licensed with a national hospital exemption authorization. We previously reported satisfying initial clinical outcomes, which we are now updating. The data were collected in our post-approval pharmacovigilance program, i.e., this is not a clinical study and the data is high-level and non-monitored. (3) Results: Follow-up for 92 recipients of MSC-FFM was reported, 88 with GvHD ≥°III, one-third only steroid-refractory and two-thirds therapy resistant (refractory to steroids plus ≥2 additional lines of treatment). A median of three doses of MSC-FFM was administered without apparent toxicity. Overall response rates were 82% and 81% at the first and last evaluation, respectively. At six months, the estimated overall survival was 64%, while the cumulative incidence of death from underlying disease was 3%. (4) Conclusions: MSC-FFM promises to be a safe and efficient treatment for severe R-aGvHD.

Indexed as

Cell- and Tissue-Based TherapyMesenchymal Stem CellsMesenchymal Stem Cell TransplantationAdolescentAdultAgedBone Marrow TransplantationChildChild, PreschoolFemaleGraft vs Host DiseaseHumansInfantMaleMiddle AgedTransplantation Conditioningcell therapygraft-versus hosthospital exemptionmesenchymal stromal cellrefractory aGvHDsteroid-resistant aGvHDtransplantation

Identifiers

PMID31817480
PMCPMC6952775
OpenAlexW2993278748

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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.