Evidence map›Paper›PMID 32354866›Full record

ArticleHaematologica2021

Post-transplant cyclophosphamide versus anti-thymocyte globulin for graft-versus-host disease prevention in haploidentical transplantation for adult acute lymphoblastic leukemia.

Arnon Nagler, Abraham S Kanate, Myriam Labopin, Fabio Ciceri, Emanuele Angelucci, Yener Koc, Zafer Gülbas, William Arcese, Johanna Tischer, Pietro Pioltelli and 8 more

Open access · goldAbstract read
In one paragraph

Article in Haematologica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 2 pooled it
3.9field-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.

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

38 citing papers in PubMed, 2 syntheses or guidelines pooled it, 53 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Trial
  7. Trial
  8. Article
  9. Article
  10. Anti-thymocyte globulin-resistant CD4Blood science (Baltimore, Md.) · 2026
    Article
  11. Article
  12. Towards graft-Haematologica · 2025
    Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Haploidentical Hematopoietic Stem Cell Transplantation in India-Bridging the Gap.Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2024
    Article
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

18 authors at 17 institutions in 10 countries.

Arnon NaglerChaim Sheba Medical Center, Tel Aviv University, Tel-Hashomer, Israel.
Abraham S KanateWest Virginia University, Morgantown, WV, USA.
Myriam LabopinHaematology and EBMT Paris study office / CEREST-TC, Saint Antoine Hospital, Paris, France.
Fabio CiceriOspedale San Raffaele s.r.l., Milano, Italy.
Emanuele AngelucciOspedale San Martino, Department of Haematology II, Genova, Italy.
Yener KocMedical Park Hospitals, Stem Cell Transplant Unit, Antalya, Turkey.
Zafer GülbasAnadolu Medical Center Hospital, Bone Marrow Transplantation Department, Kocaeli, Turkey.
William ArceseTor Vergata University of Rome, Stem Cell Transplant Unit, Rome, Italy.
Johanna TischerKlinikum Grosshadern, Med. Klinik III, Munich, Germany.
Pietro PioltelliOspedale San Gerardo, Clinica Ematologica dell`Universita Milano-Biocca, Monza, Italy.
Hakan OzdoguBaskent University Hospital, Haematology Division, BMT Unit, Adana, Turkey.
Boris AfanasyevFirst State Pavlov Medical University of St. Petersburg, Russia.
Depei WuFirst Affiliated Hospital of Soochow University, Department of Hematology, Suzhou, China.
Mutlu AratFlorence Nightingale Sisli Hospital, Hematopoietic SCT Unit, Istanbul, Turkey.
Zinaida PericUniversity Hospital Centre Zagreb, School of Medicine, University of Zagreb, Zagreb, Croatia.
Sebastian GiebelMaria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice, Poland.
Bipin SavaniDepartment of Hematology-Oncology, Vanderbilt University Medical Center, Nashville, TN, USA.
Mohamad MohtySaint Antoine Hospital and Université Pierre et Marie Curie, Paris, France.
Antalya IVF · TRAzienda Ospedaliera San Gerardo · ITBaşkent University · TRFirst Pavlov State Medical University of St. Petersburg · RUHôpital Saint-Antoine · FRIRCCS Ospedale San Raffaele · ITIstanbul Florence Nightingale Hospital · TRLMU Klinikum · DEOspedale Policlinico San Martino · ITSoochow University · CNSorbonne Université · FRTel Aviv University · ILThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversity Hospital Centre Zagreb · HRUniversity of Rome Tor Vergata · ITVanderbilt University Medical Center · USWest Virginia University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) prophylaxis for unmanipulated haploidentical hematopoietic cell transplantation (haplo-HCT) include post-transplant cyclophosphamide (PTCy) and anti-thymocyte globulin (ATG). Utilizing EBMT registry, we compared ATG versus PTCy based GVHD prophylaxis in adult acute lymphoblastic leukemia (ALL) patients undergoing haplo-HCT. Included were 434 patients; ATG (n=98) and PTCy (n=336). Median follow-up was ~2 years. Baseline characteristics were similar between the groups except that the ATG-group was more likely to have relapsed/refractory ALL (P=0.008), non-TBI conditioning (P<0.001), peripheral blood graft source (P=<0.001) and transplanted at an earlier time-period (median year of HCT 2011 vs. 2015). The 100-day grade II-IV and III-IV acute-GVHD was similar between ATG and PTCy, as was 2-year chronic-GVHD. On multivariate analysis (MVA), leukemia-free survival (LFS) and overall survival (OS) was better with PTCy compared to ATG prophylaxis. Relapse incidence (RI) was lower in the PTCy group (P=0.03), while non-relapse mortality (NRM) was not different. Advanced disease and lower performance score were associated with poorer LFS and OS and advanced disease with inferior GVHD-free/relapse-free survival (GRFS). Peripheral grafts were associated with higher GVHD compared to bone marrow grafts. In ALL patients undergoing unmanipulated haplo-HCT, PTCy for GVHD prevention resulted in lower RI and improved LFS and OS compared to ATG.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPrecursor Cell Lymphoblastic Leukemia-LymphomaAdultAntilymphocyte SerumCyclophosphamideHumansTransplantation ConditioningTransplantation, HaploidenticalAntilymphocyte SerumCyclophosphamide

Identifiers

PMID32354866
PMCPMC8168508
OpenAlexW3023466866

What OpenQuestion holds

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LicenceCC BY-NC
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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.