Evidence map›Paper›PMID 32364845›Full record

ArticleJournal of clinical oncology : official journal of the American Society of Clinical Oncology2020

Composite GRFS and CRFS Outcomes After Adult Alternative Donor HCT.

Rohtesh S Mehta, Shernan G Holtan, Tao Wang, Michael T Hemmer, Stephen R Spellman, Mukta Arora, Daniel R Couriel, Amin M Alousi, Joseph Pidala, Hisham Abdel-Azim and 43 more

Open access · bronzeAbstract read
In one paragraph

Article in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed
4.4field-weighted citation impact, top 4% 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

29 citing papers in PubMed, 49 citations in OpenAlex.

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  10. Endpoint selection and evaluation in hematology studies.Best practice & research. Clinical haematology · 2023
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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

53 authors at 20 institutions in 12 countries.

Rohtesh S MehtaDepartment of Stem Cell Transplantation, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
Shernan G HoltanUniversity of Minnesota, Minneapolis, MN.
Tao WangCenter for International Blood and Marrow Transplant Research (CIBMTR), Medical College of Wisconsin, Milwaukee, WI.
Michael T HemmerCenter for International Blood and Marrow Transplant Research (CIBMTR), Medical College of Wisconsin, Milwaukee, WI.
Stephen R SpellmanCIBMTR, National Marrow Donor Program/Be the Match, Minneapolis, MN.
Mukta AroraDivision of Hematology, Oncology and Transplantation, Department of Medicine, University of Minnesota Medical Center, Minneapolis, MN.
Daniel R CourielUtah Blood and Marrow Transplant Program, Salt Lake City, UT.
Amin M AlousiDepartment of Stem Cell Transplantation, Division of Cancer Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
Joseph PidalaDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center, Tampa, FL.
Hisham Abdel-AzimDivision of Hematology, Oncology and Blood & Marrow Transplantation, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA.
Vaibhav AgrawalDivision of Hematology-Oncology, Indiana University School of Medicine, Indianapolis, IN.
Ibrahim AhmedDepartment of Hematology Oncology and Bone Marrow Transplantation, The Children's Mercy Hospitals and Clinics, Kansas City, MO.
A Samer Al-HomsiNew York University Langone Medical Center, New York, NY.
Mahmoud AljurfDepartment of Oncology, King Faisal Specialist Hospital Center & Research, Riyadh, Saudi Arabia.
Joseph H AntinDivision of Hematologic Malignancies, Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA.
Medhat AskarDepartment of Pathology and Laboratory Medicine, Baylor University Medical Center, Dallas, TX.
Jeffery J AulettaBlood and Marrow Transplant Program and Host Defense Program, Divisions of Hematology/Oncology/Bone Marrow Transplant and Infectious Diseases, Nationwide Children's Hospital, Columbus, OH.
Vijaya Raj BhattThe Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, NE.
Lynette CheeRoyal Melbourne Hospital City Campus, Victoria, Australia.
Saurabh ChhabraDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI.
Andrew DalyTom Baker Cancer Center, Calgary, Alberta, Canada.
Zachariah DeFilippBlood and Marrow Transplant Program, Massachusetts General Hospital, Boston, MA.
James GajewskiOregon Health and Science University, Portland, OR.
Robert Peter GaleHematology Research Centre, Division of Experimental Medicine, Department of Medicine, Imperial College London, London, United Kingdom.
Usama GergisHematolgic Malignancies & Bone Marrow Transplant, Department of Medical Oncology, New York Presbyterian Hospital/Weill Cornell Medical Center, New York, NY.
Peiman HemattiDivision of Hematology/Oncology/Bone Marrow Transplantation, Department of Medicine, University of Wisconsin Hospital and Clinics, Madison, WI.
Gerhard C HildebrandtMarkey Cancer Center, University of Kentucky, Lexington, KY.
William J HoganDivision of Hematology/Bone Marrow Transplantation, Mayo Clinic, Rochester, MN.
Yoshihiro InamotoDivision of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Rodrigo MartinoDivision of Clinical Hematology, Hospital de la Santa Creu I Sant Pau, Barcelona, Spain.
Navneet S MajhailBlood & Marrow Transplant Program, Cleveland Clinic Taussig Cancer Institute, Cleveland, OH.
David I MarksAdult Bone Marrow Transplant, University Hospitals Bristol National Health Service Trust, Bristol, United Kingdom.
Taiga NishihoriDepartment of Blood and Marrow Transplantation, H. Lee Moffitt Cancer Center, Tampa, FL.
Richard F OlssonTranslational Cell Therapy Research, Clintec, Karolinska Institutet, Stockholm, Sweden.
Attaphol PawarodeBlood and Marrow Transplantation Program, Division of Hematology/Oncology, Department of Internal Medicine, The University of Michigan Medical School, Ann Arbor, MI.
Miguel Angel DiazDepartment of Hematology/Oncology, Hospital Infantil Universitario Nino Jesus, Madrid, Spain.
Tim PrestidgeBlood and Cancer Centre, Starship Children's Hospital, Auckland, New Zealand.
Hemalatha G RangarajanBlood and Marrow Transplant Program and Host Defense Program, Divisions of Hematology/Oncology/Bone Marrow Transplant and Infectious Diseases, Nationwide Children's Hospital, Columbus, OH.
Olle RingdenTranslational Cell Therapy Research, Clintec, Karolinska Institutet, Stockholm, Sweden.
Ayman SaadDivision of Hematology, Ohio State University, Columbus, OH.
Bipin N SavaniDivision of Pediatric Hematology/Oncology, Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.
Hélène SchoemansUniversity Hospital Leuven and Katholieke Universiteit Leuven, Leuven, Belgium.
Sachiko SeoDepartment of Hematology & Oncology, National Cancer Research Center East, Chiba, Japan.
Kirk R SchultzDepartment of Pediatric Hematology, Oncology and Bone Marrow Transplant, British Columbia's Children's Hospital, The University of British Columbia, Vancouver, BC, Canada.
Melhem SolhThe Blood and Marrow Transplant Group of Georgia, Northside Hospital, Atlanta, GA.
Thomas SpitzerTom Baker Cancer Center, Calgary, Alberta, Canada.
Jan StorekDepartment of Medicine, University of Calgary, Calgary, Alberta, Canada.
Takanori TeshimaHokkaido University Hospital, Sapporo, Japan.
Leo F VerdonckDepartment of Hematology/Oncology, Isala Clinic, Zwolle, The Netherlands.
Baldeep WirkDivision of Bone Marrow Transplant, Seattle Cancer Care Alliance, Seattle, WA.
Jean A YaredBlood & Marrow Transplantation Program, Division of Hematology/Oncology, Department of Medicine, Greenebaum Comprehensive Cancer Center, University of Maryland, Baltimore, MD.
Jean-Yves CahnDepartment of Hematology, Centre Hospitalier Universitaire Grenoble Alpes, Grenoble, France.
Daniel J WeisdorfUniversity of Minnesota, Minneapolis, MN.
KU Leuven · BEMedical College of Wisconsin · USMoffitt Cancer Center · USNationwide Children's Hospital · USThe University of Texas MD Anderson Cancer Center · USUniversity of Minnesota · USBaylor University Medical Center · USCentre Hospitalier Universitaire de Grenoble · FRChildren's Mercy Hospital · USCleveland Clinic · USCornell University · USDana-Farber Cancer Institute · USHokkaido University Hospital · JPHospital de Sant Pau · ESHospital Infantil Universitario Niño Jesús · ESIndiana University School of MedicineIsala · NLKarolinska Institutet · SEKing Faisal Specialist Hospital & Research Centre · SAMassachusetts General Hospital · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Scott Kopetz · 1985 to 2026
$290.8M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
NCI NIH HHS P30 CA016672NCI NIH HHS U24 CA076518NHLBI NIH HHS U24 HL138660
6 · The paper itself

Abstract

purposeThere is no consensus on the best choice of an alternative donor (umbilical cord blood [UCB], haploidentical, one-antigen mismatched [7/8]-bone marrow [BM], or 7/8-peripheral blood [PB]) for hematopoietic cell transplantation (HCT) for patients lacking an HLA-matched related or unrelated donor.

methodsWe report composite end points of graft-versus-host disease (GVHD)-free relapse-free survival (GRFS) and chronic GVHD (cGVHD)-free relapse-free survival (CRFS) in 2,198 patients who underwent UCB (n = 838), haploidentical (n = 159), 7/8-BM (n = 241), or 7/8-PB (n = 960) HCT. All groups were divided by myeloablative conditioning (MAC) intensity or reduced intensity conditioning (RIC), except haploidentical group in which most received RIC. To account for multiple testing,

resultsIn multivariable analysis, haploidentical group had the best GRFS, CRFS, and overall survival (OS). In the direct pairwise comparison of other groups, among those who received MAC, there was no difference in GRFS or CRFS among UCB, 7/8-BM, and 7/8-PB with serotherapy (alemtuzumab or antithymocyte globulin) groups. In contrast, the 7/8-PB without serotherapy group had significantly inferior GRFS, higher cGVHD, and a trend toward worse CRFS (hazard ratio [HR], 1.38; 95% CI, 1.13 to 1.69;

conclusionRecognizing the limitations of a registry retrospective analysis and the possibility of center selection bias in choosing donors, our data support the use of UCB, 7/8-BM, or 7/8-PB (with serotherapy) grafts for patients undergoing MAC HCT and haploidentical grafts for patients undergoing RIC HCT. The haploidentical group had the best GRFS, CRFS, and OS of all groups.

Indexed as

AdultAgedChronic DiseaseCord Blood Stem Cell TransplantationFemaleGraft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationHumansMaleMiddle AgedRecurrenceRetrospective StudiesYoung Adult

Identifiers

PMID32364845
PMCPMC7302955
OpenAlexW3022930418

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.