Evidence map›Paper›PMID 32203257›Full record

ArticleBone marrow transplantation2020

Treatment of steroid resistant acute graft versus host disease with an anti-CD26 monoclonal antibody-Begelomab.

Andrea Bacigalupo, Emanuele Angelucci, Anna Maria Raiola, Riccardo Varaldo, Carmen Di Grazia, Francesca Gualandi, Edoardo Benedetti, Antonio Risitano, Maurizio Musso, Francesco Zallio and 15 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 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Begelomab (BEGESANDJournal of clinical medicine · 2026
    Article
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  18. Current and Emerging Targeted Therapies for Acute Graft-Versus-Host Disease.BioDrugs : clinical immunotherapeutics, biopharmaceuticals and gene therapy · 2021
    Review
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  20. 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

25 authors at 17 institutions in 2 countries.

Andrea BacigalupoUniversita' Cattolica del Sacro Cuore, Roma, Italy. Andrea.bacigalupo@unicatt.it.
Emanuele AngelucciUOC Ematologia e Trapianto di Midollo Osseo, IRCCS Ospedale Policlinico San Martino Genova, Genova, Italy.
Anna Maria RaiolaUOC Ematologia e Trapianto di Midollo Osseo, IRCCS Ospedale Policlinico San Martino Genova, Genova, Italy.
Riccardo VaraldoUOC Ematologia e Trapianto di Midollo Osseo, IRCCS Ospedale Policlinico San Martino Genova, Genova, Italy.
Carmen Di GraziaUOC Ematologia e Trapianto di Midollo Osseo, IRCCS Ospedale Policlinico San Martino Genova, Genova, Italy.
Francesca GualandiUOC Ematologia e Trapianto di Midollo Osseo, IRCCS Ospedale Policlinico San Martino Genova, Genova, Italy.
Edoardo BenedettiDepartment of Translational Research on New Technology in Medicine and Surgery; Universita' di Pisa, Pisa, Italy.
Antonio RisitanoDipartimento di Medicina Clinica e Chirurgica, Universita' Federico II, Napoli, Italy.
Maurizio MussoUOC di oncoematologia e TMO, Dipartimento Oncologico "la Maddalena", Palermo, Italy.
Francesco ZallioDivisione di Ematologia, Azienda Ospedaliera SS. Antonio e Biagio e Cesare Arrigo, Alessandria, Italy.
Fabio CiceriIRCCS Ospedale San Raffaele; University Vita-Salute San Raffaele, Milano, Italy.
Patrizia ChiusoloUniversita' Cattolica del Sacro Cuore, Roma, Italy.ORCID http://orcid.org/0000-0002-1355-1587
Simona SicaUniversita' Cattolica del Sacro Cuore, Roma, Italy.
Alessandro RambaldiDipartimento di Oncologia ed Ematologia Università di Milano e Azienda Socio-Sanitaria Territoriale Papa Giovanni XXIII, Bergamo, Bergamo, Italy.ORCID http://orcid.org/0000-0002-3739-7502
Francesca BonifaziDepartment of Hematology "L. & A. Seràgnoli" University Hospital S. Orsola-Malpighi, Bologna, Italy.
Matteo ParmaIstituto di Ematologia, Ospedale S Gerardo, Monza, Italy.
Massimo MartinoCentro Trapianti Midollo Osseo, Grande Ospedale Metropolitano "BMM", Reggio Calabria, Calabria, Italy.ORCID http://orcid.org/0000-0002-3987-419X
Francesco OnidaHematology-BMT Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico - University of Milan, Milano, Italy.
Anna Paola IoriUOC Ematologia, Policlinico Umberto 1, Roma, Italy.
Carmine SelleriDivisione di Ematologia, Ospedale S Giovanni di Dio, Salerno, Italy.
Carlo BorgheroDivisione di Ematologia, Ospedale San Bortolo, Vicenza, Italy.
Alice BertainaDivision of Stem Cell Transplantation and Regenerative Medicine, Department of Pediatrics, Stanford School of Medicine, Stanford, CA, USA.
Lucia PreziosoUO Ematologia e CTMO, Universita' di Parma, Parma, Italy.
Mattia AlgeriDipartimento di Oncoematologia Pediatrica, IRCCS, Ospedale Pediatrico Bambino Gesu', Sapienza, Università di Roma, Roma, Italy.
Franco LocatelliDipartimento di Oncoematologia Pediatrica, IRCCS, Ospedale Pediatrico Bambino Gesu', Sapienza, Università di Roma, Roma, Italy.
Ospedale Policlinico San Martino · ITUniversità Cattolica del Sacro Cuore · ITBambino Gesù Children's Hospital · ITAzienda Ospedaliera Nazionale SS. Antonio e Biagio e Cesare Arrigo · ITAzienda Ospedaliera San Gerardo · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITLa Maddalena · ITNuovo Ospedale San Giovanni di Dio · ITOspedale Papa Giovanni XXIII · ITOspedale San Bortolo · ITPoliclinico Umberto I · ITStanford Medicine · USUniversity of Milan · ITUniversity of Naples Federico II · ITUniversity of Parma · ITUniversity of Pisa · ITVita-Salute San Raffaele University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We have treated 69 patients with steroid refractory acute graft versus host disease (SR-aGvHD), with an anti-CD26 monoclonal antibody (Begelomab): 28 patients in two prospective studies (EudraCT No. 2007-005809-21; EudraCT No. 2012-001353-19), and 41 patients on a compassionate use study. The median age of patients was 42 and 44 years; the severity of GvHD was as follows: grade II in 8 patients, grade III in 33, and grade IV in 28 patients. There were no adverse events directly attributable to the antibody. Day 28 response was 75% in the prospective studies and 61% in the compassionate use patients, with complete response rates of 11 and 12%. Response for grade III GvHD was 83 and 73% in the two groups; response in grade IV GvHD was 66 and 56% in the two groups. Non relapse mortality (NRM) at 6 months was 28 and 38%. Overall there were 64, 56, 68% responses for skin, liver, and gut stage 3-4 GvHD. The overall survival at 1 year was 50% for the prospective studies and 33% for the compassionate use patients. In conclusion, Begelomab induces over 60% responses in SR-aGvHD, including patients with severe gut and liver GvHD, having failed one or more lines of treatment.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationAcute DiseaseAdultAntibodies, MonoclonalHumansProspective StudiesSteroidsAntibodies, MonoclonalSteroids

Identifiers

PMID32203257
OpenAlexW3011563019

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.