Evidence map›Paper›PMID 32573983›Full record

Trial reportStem cells translational medicine2020

Treatment of chronic GvHD with mesenchymal stromal cells induces durable responses: A phase II study.

Erik Boberg, Lena von Bahr, Gabriel Afram, Carina Lindström, Per Ljungman, Nina Heldring, Peter Petzelbauer, Karin Garming Legert, Nadir Kadri, Katarina Le Blanc

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Stem cells translational medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01522716 (Mesenchymal Stromal Cells as Treatment of Chronic Graft-versus-host Disease), which is not on this map. Cited by 51 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
51citing papers in PubMed, 3 pooled it
14.2field-weighted citation impact, top 1% 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.

NCT01522716 phase1terminatednot on this map

Mesenchymal Stromal Cells as Treatment of Chronic Graft-versus-host Disease

TypeinterventionalSponsorKarolinska InstitutetRan2011 to 2017Enrolled11ConditionsGraft-Versus-Host DiseaseArmsMesenchymal stromal cells
3 · Its place in the literature

Who cites it

51 citing papers in PubMed, 3 syntheses or guidelines pooled it, 65 citations in OpenAlex.

  1. Pooled it
  2. The Efficacy of Stem Cells in Wound Healing: A Systematic Review.International journal of molecular sciences · 2024
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  8. Review
  9. [Research advances in mesenchymal stem cell therapy for graft-versus-host disease].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    Review
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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

10 authors at 3 institutions in 2 countries.

Erik BobergDepartment of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.ORCID 0000-0003-1304-0784
Lena von BahrDepartment of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Gabriel AframDepartment of Hematology, Karolinska University Hospital, Stockholm, Sweden.
Carina LindströmDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska University Hospital Huddinge, Stockholm, Sweden.
Per LjungmanDepartment of Medicine, Karolinska Institutet Huddinge, Stockholm, Sweden.
Nina HeldringDepartment of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Peter PetzelbauerSkin and Endothelial Research Division, Department of Dermatology, Medical University of Vienna, Vienna, Austria.
Karin Garming LegertDepartment of Dental Medicine, Karolinska Institutet, Stockholm, Sweden.
Nadir KadriDepartment of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Katarina Le BlancDepartment of Laboratory Medicine, Karolinska Institutet, Stockholm, Sweden.
Karolinska Institutet · SEKarolinska University Hospital · SEMedical University of Vienna · AT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Steroid-refractory chronic graft-vs-host disease (cGvHD) contributes to morbidity after allogeneic hematopoietic stem cell transplantation. Here, we report on 11 patients with severe, refractory cGvHD treated with repeated infusions of allogeneic bone marrow-derived mesenchymal stromal cells (MSC) over a 6- to 12-month period. Six patients responded to MSC treatment following National Institutes of Health response criteria, accompanied by improvement in GvHD-related symptoms and quality of life. This response was durable, with systemic immunosuppressive therapy withdrawn from two responders, and a further two free from steroids and tapering calcineurin inhibitors. All responders displayed a distinct immune phenotype characterized by higher levels of naïve T cells and B cells before treatment compared with the nonresponders, and a significantly higher fraction of CD31+ naïve CD4+ T cells. MSC treatment was associated with significant increases in naïve T cells, B cells, and Tregs 7 days after each infusion. Skin biopsies showed resolution of epidermal pathology. CXCL9 and CXCL10 showed differential responses in responder and nonresponder patients. Our data support the use of MSC infusions as treatment for steroid-refractory cGvHD with durable responses. We propose CXCL9 and CXCL10 as early biomarkers for responsiveness to MSC treatment. Our results highlight the importance of the MSC recipient immune phenotype in promoting treatment response. This trial was registered at www.ClinicalTrials.gov as #NCT01522716.

Indexed as

AdultChronic DiseaseFemaleGraft vs Host DiseaseHumansMaleMesenchymal Stem CellsMiddle AgedYoung Adultcellular therapyclinical trialshematopoietic stem cell transplantationmesenchymal stem cellsthymus

Identifiers

PMID32573983
PMCPMC7519760
OpenAlexW3036150173

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.