Evidence map›Paper›PMID 32375860›Full record

ArticleJournal of hematology & oncology2020

Post-transplant cyclophosphamide after matched sibling, unrelated and haploidentical donor transplants in patients with acute myeloid leukemia: a comparative study of the ALWP EBMT.

Jaime Sanz, Jacques-Emmanuel Galimard, Myriam Labopin, Boris Afanasyev, Emanuele Angelucci, Fabio Ciceri, Didier Blaise, Jan J Cornelissen, Ellen Meijer, J L Diez-Martin and 8 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of hematology & oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 78 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
78citing papers in PubMed, 2 pooled it
8.6field-weighted citation impact, top 2% 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

78 citing papers in PubMed, 2 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Post-transplant cyclophosphamideFrontiers in oncology · 2023
    Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

18 more citing papers are in PubMed but not listed here.

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 12 institutions in 8 countries.

Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Avinguda Fernando Abril Martorell, 106, 46026, Valencia, Spain. sanz_jai@gva.es.ORCID 0000-0001-6934-4619
Jacques-Emmanuel GalimardEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Myriam LabopinEBMT Paris Office, Hospital Saint Antoine, Paris, France.
Boris AfanasyevFirst State Pavlov Medical University of St. Petersburg, Raisa Gorbacheva Memorial Research Institute for Paediatric Oncology, Hematology, and Transplantation, St Petersburg, Russia.
Emanuele AngelucciDepartment of Haematology, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Fabio CiceriHaematology and BMT, Ospedale San Raffaele s.r.l., Milano, Italy.
Didier BlaiseProgramme de Transplantation & Therapie Cellulaire, Centre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.
Jan J CornelissenDepartment of Hematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Ellen MeijerDepartment of Hematology (Br 250), VU University Medical Center, Amsterdam, The Netherlands.
J L Diez-MartinHematology Department, Hospital GU Gregorio Marañon, Instituto de Investigación sanitaria Gregorio Marañon, Universidad Complutense Madrid, Madrid, Spain.
Yener KocStem Cell Transplant Unit, Medical Park Hospitals, Antalya, Turkey.
Montserrat RoviraDept. of Hematology, Institute of Hematology & Oncology, Hospital Clinic, Barcelona, Spain.
Luca CastagnaTransplantation Unit, Department of Oncology and Haematology, Istituto Clinico Humanitas, Milan, Italy.
Bipin SavaniVanderbilt University Medical Center, Nashville, TN, USA.
Annalisa RuggeriDepartment of Pediatric Hematology and Oncology, IRCCS Bambino Gesù Children's Hospital, Piazza S.Onofrio, 4, Rome, Italy.
Arnon NaglerDivision of Hematology and Bone Marrow Transplantation, The Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel.
Mohamad MohtyDepartment of Hematology, Hopital Saint Antoine, Sorbonne University, Paris, France.
Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation (EBMT)
First Pavlov State Medical University of St. Petersburg · RUHospital General Universitario Gregorio Marañón · ESHumanitas University · ITInstituto de Salud Carlos III · ESIRCCS Ospedale San Raffaele · ITSheba Medical Center · ILBambino Gesù Children's Hospital · ITCentre de Recherche en Cancérologie de Marseille · FRErasmus MC Cancer Institute · NLHôpital Saint-Antoine · FRHospital Clínic de Barcelona · ESSorbonne Université · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe use of post-transplant cyclophosphamide (PTCy) is highly effective in preventing graft-versus-host disease (GVHD) in the haploidentical (Haplo) transplant setting and is being increasingly used in matched sibling (MSD) and matched unrelated (MUD) transplants. There is no information on the impact of donor types using homogeneous prophylaxis with PTCy.

methodsWe retrospectively compared outcomes of adult patients with acute myeloid leukemia (AML) in first complete remission (CR1) who received a first allogeneic stem cell transplantation (SCT) with PTCy as GVHD prophylaxis from MSD (n = 215), MUD (n = 235), and Haplo (n = 789) donors registered in the EBMT database between 2010 and 2017.

resultsThe median follow-up was 2 years. Haplo-SCT carried a significantly increased risk of acute grade II-IV GVHD (HR 1.6; 95% CI 1.1-2.4) and NRM (HR 2.6; 95% CI 1.5-4.5) but a lower risk of relapse (HR 0.7; 95% CI 0.5-0.9) that translated to no differences in LFS (HR 1.1; 95% CI 0.8-1.4) or GVHD/relapse-free survival (HR 1; 95% CI 0.8-1.3). Interestingly, the use of peripheral blood was associated with an increased risk of acute (HR 1.9; 95% CI 1.4-2.6) and chronic GVHD (HR 1.7; 95% CI 1.2-2.4) but a lower risk of relapse (HR 0.7; 95% CI 0.5-0.9).

conclusionsThe use of PTCy in patients with AML in CR1 receiving SCT from MSD, MUD, and Haplo is safe and effective. Haplo-SCT had increased risk of acute GVHD and NRM and lower relapse incidence but no significant difference in survival.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedCyclophosphamideDonor SelectionFemaleGraft vs Host DiseaseHumansImmunosuppressive AgentsLeukemia, Myeloid, AcuteMaleMiddle AgedRetrospective StudiesSiblingsTissue DonorsTransplantation, HaploidenticalCyclophosphamideImmunosuppressive AgentsAcute leukemiaAllogeneic stem cell transplantAlternative donor transplantsHaploidentical transplantPost-transplant cyclophosphamide

Identifiers

PMID32375860
PMCPMC7201995
OpenAlexW3023020261

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.