Evidence map›Paper›PMID 32071418›Full record

ArticleBone marrow transplantation2020

Long-term outcomes of ruxolitinib therapy in steroid-refractory graft-versus-host disease in children and adults.

I S Moiseev, E V Morozova, T A Bykova, O V Paina, A G Smirnova, A A Dotsenko, E S Borzenkova, A N Galimov, Ya V Gudognikova, K A Ekushov and 14 more

2 registry-linked trialsAbstract read
PubMed Publisher
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. It is linked to 2 registered trials, which are not on this map. Cited by 18 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 3 pooled it
3.2field-weighted citation impact, top 7% 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.

NCT02997280 phase2completednot on this map

Treatment of Steroid-refractory Acute and Chronic Graft-versus-host Disease With Inhibitor of Janus Kinases

TypeinterventionalSponsorSt. Petersburg State Pavlov Medical UniversityRan2016 to 2019Enrolled75ConditionsGraft Vs Host DiseaseArmsRuxolitinib Oral Tablet
NCT07285889 phase1 / phase2recruitingnot on this mapstarted 2025, after this paper: background citation

The Safety and Efficacy of Gecacitinib (Also Known as Jaktinib) Combined Glucocorticoids as First-line Treatment for Grade II-IV Acute Graft-versus-host Disease.

TypeinterventionalSponsorFirst Affiliated Hospital of Zhejiang UniversityRan2025 to 2027Enrolled35ConditionsAcute Graft Versus Host DiseaseArmsGecacitinib (also known as Jaktinib) combined glucocorticoids
3 · Its place in the literature

Who cites it

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

24 authors at 2 institutions in 1 country.

I S MoiseevR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation. moisiv@mail.ru.ORCID http://orcid.org/0000-0002-4332-0114
E V MorozovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
T A BykovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
O V PainaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
A G SmirnovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
A A DotsenkoR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
E S BorzenkovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
A N GalimovR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
Ya V GudognikovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
K A EkushovR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
P V KozhokarR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
A A OsipovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
O V PirogovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
T A RudakovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
O U KlimovaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
N Yu TcvetkovR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
E A KulaginR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
E A SurkovaLaboratory of Autoimmune Diagnostics, Pavlov University, Saint-Petersburg, Russian Federation.
S V LapinLaboratory of Autoimmune Diagnostics, Pavlov University, Saint-Petersburg, Russian Federation.
G G RodionovNikiforov's All-Russian Center for Emergency and Radiation Medicine, Saint-Petersburg, Russian Federation.
S I MoiseevNikiforov's All-Russian Center for Emergency and Radiation Medicine, Saint-Petersburg, Russian Federation.
Yu A SerovR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.ORCID http://orcid.org/0000-0002-7348-8479
L S ZubarovskayaR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
B V AfanasyevR.M. Gorbacheva Memorial Institute of Hematology, Oncology and Transplantation, Pavlov University, Saint-Petersburg, Russian Federation.
First Pavlov State Medical University of St. Petersburg · RUNikiforov Russian Center of Emergency and Radiation Medicine · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Acute and chronic steroid-refractory graft-versus-host disease (srGVHD) is a life-threatening complication of allogeneic stem cell transplantation. There are a number of reports on case series describing efficacy of ruxolitinib in both acute and chronic srGVHD. We conducted a prospective study (NCT02997280) in 75 patients with srGVHD (32 acute, 43 chronic, 41 adults, and 34 children). Patients with chronic GVHD had severe disease in 83% of cases, and acute GVHD patients had grade III-IV disease in 66% of cases. The overall response rate (ORR) was 75% (95% CI 57-89%) in acute GVHD and 81% (95% CI 67-92%) in chronic. Overall survival was 59% (95% CI 49-74%) in acute group and 85% (95% CI 70-93%). The major risk factors for lower survival were grade III-IV gastrointestinal involvement (29% vs 93%, p = 0.0001) in acute form and high disease risk score in chronic (65% vs 90%, p = 0.038). Toxicity was predominantly hematologic with 79% and 44% of grade III-IV neutropenia in acute and chronic groups, respectively. There was no difference between adults and children in terms of ORR (p = 0.31, p = 0.35), survival (p = 0.44, p = 0.12) and toxicity (p > 0.93). The study demonstrated that ruxolitinib is an effective option in acute and chronic srGVHD and can be used both in adults and children.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationAcute DiseaseAdultChildHumansNitrilesProspective StudiesPyrazolesPyrimidinesSteroidsNitrilesPyrazolesPyrimidinesruxolitinibSteroids

Identifiers

PMID32071418
OpenAlexW3008131517

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.