Evidence map›Paper›PMID 32416253›Full record

ArticleBiology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation2020

Long-Term Outcomes of Allogeneic Hematopoietic Cell Transplant with Fludarabine and Melphalan Conditioning and Tacrolimus/Sirolimus as Graft-versus-Host Disease Prophylaxis in Patients with Acute Lymphoblastic Leukemia.

Matthew Mei, Ni-Chun Tsai, Sally Mokhtari, Monzr M Al Malki, Haris Ali, Amandeep Salhotra, Karamjeet Sandhu, Samer Khaled, Eileen Smith, David Snyder and 6 more

Open access · hybridAbstract read
In one paragraph

Article in Biology of blood and marrow transplantation : journal of the American Society for Blood and Marrow Transplantation, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.5field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Chronic GVHD: review advances in prevention, novel endpoints, and targeted strategies.Hematology. American Society of Hematology. Education Program · 2023
    Article
  5. Article
  6. 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

16 authors at 1 institution in 1 country.

Matthew MeiDepartment of Hematology and HCT, City of Hope, Duarte, California.
Ni-Chun TsaiDepartment of Computational Quantitative Medicine/BRI, City of Hope, Duarte, California.
Sally MokhtariDepartment of Clinical Translational Project Development, City of Hope, Duarte, California.
Monzr M Al MalkiDepartment of Hematology and HCT, City of Hope, Duarte, California.
Haris AliDepartment of Hematology and HCT, City of Hope, Duarte, California.
Amandeep SalhotraDepartment of Hematology and HCT, City of Hope, Duarte, California.
Karamjeet SandhuDepartment of Hematology and HCT, City of Hope, Duarte, California.
Samer KhaledDepartment of Hematology and HCT, City of Hope, Duarte, California.
Eileen SmithDepartment of Hematology and HCT, City of Hope, Duarte, California.
David SnyderDepartment of Hematology and HCT, City of Hope, Duarte, California.
Guido MarcucciDepartment of Hematology and HCT, City of Hope, Duarte, California.
Stephen J FormanDepartment of Hematology and HCT, City of Hope, Duarte, California.
Vinod PullarkatDepartment of Hematology and HCT, City of Hope, Duarte, California.
Anthony SteinDepartment of Hematology and HCT, City of Hope, Duarte, California.
Ibrahim AldossDepartment of Hematology and HCT, City of Hope, Duarte, California.
Ryotaro NakamuraDepartment of Hematology and HCT, City of Hope, Duarte, California; Department of Computational Quantitative Medicine/BRI, City of Hope, Duarte, California. Electronic address: rnakamura@coh.org.
City of Hope · US

Funding

Transgenic Mouse FacilityP30CA033572 · NCI · CITY OF HOPE/BECKMAN RESEARCH INSTITUTE · PI XIWEI WU · 1985 to 2026
$86.3M
NCI NIH HHS P30 CA033572
6 · The paper itself

Abstract

Acute lymphoblastic leukemia (ALL) is associated with poor survival in older adults, and allogeneic hematopoietic cell transplant (HCT) with reduced-intensity conditioning (RIC) has been an increasingly used strategy in this population. At City of Hope we conducted a retrospective analysis of 72 patients who underwent allogeneic HCT with fludarabine and melphalan (FluMel) as the conditioning regimen between 2005 and 2018, from either a matched sibling or fully matched unrelated donor while in complete remission. Tacrolimus and sirolimus (T/S) were used as graft-versus-host disease (GVHD) prophylaxis. Overall survival and progression-free survival at 4 years post-HCT were 58% and 44%, respectively. The cumulative incidences of relapse/progression and nonrelapse mortality at 4 years were 34% and 22%, respectively. Patients with Philadelphia chromosome-positive (Ph+) ALL had a significantly lower cumulative incidence of relapse/progression (20% versus 48% for patients with Ph-negative status, P = .007). In conclusion, RIC HCT with FluMel conditioning and T/S GVHD prophylaxis was associated with favorable outcomes in patients with Ph+ ALL and should be considered as a viable consolidative therapy for adult patients with ALL.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPrecursor Cell Lymphoblastic Leukemia-LymphomaAgedHumansMelphalanRetrospective StudiesSirolimusTacrolimusTransplantation ConditioningVidarabinefludarabineMelphalanSirolimusTacrolimusVidarabineAcute lymphoblastic leukemiaReduced-intensity conditioning with fludarabine and melphalanTacrolimus and sirolimus GVHD prophylactic regimen

Identifiers

PMID32416253
PMCPMC8822504
OpenAlexW3025676134

What OpenQuestion holds

Textmetadata
LicenceTDM
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.