Evidence map›Paper›PMID 31972009›Full record

ArticleBlood2020

Assessment of ST2 for risk of death following graft-versus-host disease in pediatric and adult age groups.

Courtney M Rowan, Francis Pike, Kenneth R Cooke, Robert Krance, Paul A Carpenter, Christine Duncan, David A Jacobsohn, Catherine M Bollard, Conrad Russell Y Cruz, Abhijeet Malatpure and 6 more

Registry-linked trialOpen access · bronzeAbstract readComparative StudyMulticenter Study
In one paragraph

Article in Blood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02194439 (Bridging Pediatric and Adult Biomarkers in Graft-Versus-Host Disease), which is not on this map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
4.9field-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.

NCT02194439 completednot on this map

Bridging Pediatric and Adult Biomarkers in Graft-Versus-Host Disease

TypeobservationalSponsorIndiana UniversityRan2014 to 2019Enrolled415ConditionsGraft-Versus-Host Disease
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
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  14. Review
  15. Biomarkers for Allogeneic HCT Outcomes.Frontiers in immunology · 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

16 authors at 7 institutions in 1 country.

Courtney M RowanIndiana University School of Medicine, Indianapolis, IN.
Francis PikeIndiana University School of Medicine, Indianapolis, IN.
Kenneth R CookeJohns Hopkins University School of Medicine, Baltimore, MD.
Robert KranceTexas Children's Hospital, Houston, TX.
Paul A CarpenterFred Hutchinson Cancer Research Center, Seattle, WA.
Christine DuncanBoston Children's Hospital, Boston, MA.
David A JacobsohnChildren's National Medical Center and George Washington University, Washington, DC; and.
Catherine M BollardChildren's National Medical Center and George Washington University, Washington, DC; and.
Conrad Russell Y CruzChildren's National Medical Center and George Washington University, Washington, DC; and.
Abhijeet MalatpureIndiana University School of Medicine, Indianapolis, IN.
Sherif S FaragIndiana University School of Medicine, Indianapolis, IN.
Jamie RenbargerIndiana University School of Medicine, Indianapolis, IN.
Hao LiuIndiana University School of Medicine, Indianapolis, IN.
Giorgos BakoyannisIndiana University School of Medicine, Indianapolis, IN.
Samir HanashMD Anderson Cancer Center, Houston, TX.
Sophie PaczesnyIndiana University School of Medicine, Indianapolis, IN.
Indiana University School of MedicineChildren's National · USBoston Children's Hospital · USFred Hutch Cancer Center · USJohns Hopkins University · USTexas Children's Hospital · USThe University of Texas MD Anderson Cancer Center · US

Funding

Translating Novel Drug-Targetable Biomarkers to Treat Graft versus Host DiseaseR01CA168814 · NCI · MEDICAL UNIVERSITY OF SOUTH CAROLINA · PI PACZESNY, SOPHIE · 2013 to 2024
$3.0M
Bridging Pediatric and Adult Biomarkers of Graft-Versus-Host-DiseaseR01HD074587 · NICHD · INDIANA UNIVERSITY INDIANAPOLIS · PI PACZESNY, SOPHIE, RENBARGER, JAMIE L · 2013 to 2017
$2.4M
NCI NIH HHS R01 CA168814NICHD NIH HHS R01 HD074587
6 · The paper itself

Abstract

Assessment of prognostic biomarkers of nonrelapse mortality (NRM) after allogeneic hematopoietic cell transplantation (HCT) in the pediatric age group is lacking. To address this need, we conducted a prospective cohort study with 415 patients at 6 centers: 170 were children age 10 years or younger and 245 were patients older than age 10 years (both children and adults were accrued from 2013 to 2018). The following 4 plasma biomarkers were assessed pre-HCT and at days +7, +14, and +21 post-HCT: stimulation-2 (ST2), tumor necrosis factor receptor 1 (TNFR1), regenerating islet-derived protein 3α (REG3α), and interleukin-6 (IL-6). We performed landmark analyses for NRM, dichotomizing the cohort at age 10 years or younger and using each biomarker median as a cutoff for high- and low-risk groups. Post-HCT biomarker analysis showed that ST2 (>26 ng/mL), TNFR1 (>3441 pg/mL), and REG3α (>25 ng/mL) are associated with NRM in children age 10 years or younger (ST2: hazard ratio [HR], 9.13; 95% confidence interval [CI], 2.74-30.38; P = .0003; TNFR1: HR, 4.29; 95% CI, 1.48-12.48; P = .0073; REG3α: HR, 7.28; 95% CI, 2.05-25.93; P = .0022); and in children and adults older than age 10 years (ST2: HR, 2.60; 95% CI, 1.15-5.86; P = .021; TNFR1: HR, 2.09; 95% CI, 0.96-4.58; P = .06; and REG3α: HR, 2.57; 95% CI, 1.19-5.55; P = .016). When pre-HCT biomarkers were included, only ST2 remained significant in both cohorts. After adjustment for significant covariates (race/ethnicity, malignant disease, graft, and graft-versus-host-disease prophylaxis), ST2 remained associated with NRM only in recipients age 10 years or younger (HR, 4.82; 95% CI, 1.89-14.66; P = .0056). Assays of ST2, TNFR1, and REG3α in the first 3 weeks after HCT have prognostic value for NRM in both children and adults. The presence of ST2 before HCT is a prognostic biomarker for NRM in children age 10 years or younger allowing for additional stratification. This trial was registered at www.clinicaltrials.gov as #NCT02194439.

Indexed as

AdolescentAdultAgedAge FactorsBiomarkers, TumorChildChild, PreschoolFemaleFollow-Up StudiesGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansInfantInfant, NewbornInterleukin-1 Receptor-Like 1 ProteinBiomarkers, TumorIL1RL1 protein, humanInterleukin-1 Receptor-Like 1 Protein

Identifiers

PMID31972009
PMCPMC7180084
OpenAlexW3002800746

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.