Evidence map›Paper›PMID 32371901›Full record

ArticleBone marrow transplantation2020

Uniform graft-versus-host disease prophylaxis with posttransplant cyclophosphamide, sirolimus, and mycophenolate mofetil following hematopoietic stem cell transplantation from haploidentical, matched sibling and unrelated donors.

Juan Montoro, José Luis Piñana, Juan C Hernández-Boluda, Rafael Hernani, Ignacio Lorenzo, Ariadna Pérez, Manuel Guerreiro, Aitana Balaguer-Rosello, Guillermo F Sanz, Carlos Carretero and 5 more

Abstract 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. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
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.

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

22 citing papers in PubMed, 55 citations in OpenAlex.

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  19. PTCy and "The Story of the Three Bears".Bone marrow transplantation · 2021
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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

15 authors at 4 institutions in 1 country.

Juan Montoro *Department of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
José Luis Piñana *Department of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain. jlpinana@gmail.com.ORCID http://orcid.org/0000-0001-8533-2562
Juan C Hernández-BoludaDepartment of Hematology, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.ORCID http://orcid.org/0000-0002-4289-3113
Rafael HernaniDepartment of Hematology, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.
Ignacio LorenzoDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Ariadna PérezDepartment of Hematology, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.
Manuel GuerreiroDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Aitana Balaguer-RoselloDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Guillermo F SanzDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-2767-8191
Carlos CarreteroDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Eliseo AlbertMicrobiology Service, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.
David NavarroDepartment of Medicine, University of Valencia, Valencia, Spain.ORCID http://orcid.org/0000-0003-3010-4110
Miguel A SanzDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Carlos Solano *Department of Hematology, Hospital Clínico Universitario, Institute for Research INCLIVA, Valencia, Spain.ORCID http://orcid.org/0000-0003-3702-0817
Jaime Sanz *Department of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0001-6934-4619
Universitat de València · ESHospital Universitari i Politècnic La Fe · ESINCLIVA Health Research Institute · ESInstituto de Salud Carlos III · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Following the success of posttransplant cyclophosphamide (PT-CY) as graft-versus-host disease (GVHD) prophylaxis in haploidentical transplantation, this prevention strategy has progressively been used for allogeneic hematopoietic stem cell transplantation (allo-HSCT) from HLA-matched sibling (MSD) and unrelated donor (MUD). We have introduced PT-CY plus sirolimus and micophenolate mofetil (PT-CY-Sir-MMF) as GVHD prophylaxis in allo-HSCT, irrespective of donor type. This study reports on the safety and efficacy of PT-CY-Sir-MMF in 158 consecutive allo-HSCT from MSD (n = 52), MUD (n = 64), and haploidentical (n = 42) donor. Median age was 53 years and 66% had acute leukemia or myelodysplastic syndrome. Cumulative incidences of acute GHVD grade II-IV, III-IV and moderate to severe cGVHD were 27%, 9% and 27%, respectively. The incidence of hepatic sinusoidal obstruction syndrome was 9.5%. The 1-year cumulative incidence of non-relapse mortality, relapse and event-free survival were 14%, 12% and 75%, respectively. Compared with MSD and MUD, haploidentical transplantation had a higher incidence of CMV DNAemia requiring therapy (34% vs 35% and 52%, respectively, p = 0.04) and was a risk factor for grade III-IV acute GVHD (RR 2.8, p = 0.05). Our study shows that PT-CY-Sir-MMF is not only feasible and effective in preventing GVHD after haploidentical HSCT, but also in allo-HSCT from MSD and MUD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationCyclophosphamideHumansMiddle AgedMycophenolic AcidSiblingsSirolimusUnrelated DonorsCyclophosphamideMycophenolic AcidSirolimus

Identifiers

PMID32371901
OpenAlexW3023469261

What OpenQuestion holds

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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.