Evidence map›Paper›PMID 32620146›Full record

ArticleJournal of hematology & oncology2020

Post-transplant cyclophosphamide versus antithymocyte globulin in patients with acute myeloid leukemia in first complete remission undergoing allogeneic stem cell transplantation from 10/10 HLA-matched unrelated donors.

Eolia Brissot, Myriam Labopin, Ian Moiseev, J J Cornelissen, Ellen Meijer, Gwendolyn Van Gorkom, Montserrat Rovira, Fabio Ciceri, Laimonas Griskevicius, Didier Blaise and 13 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 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
5.6field-weighted citation impact, top 3% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Post-transplant cyclophosphamideFrontiers in oncology · 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

23 authors at 20 institutions in 12 countries.

Eolia BrissotSorbonne Université, AP-HP, INSERM UMRs938, Paris, France. eolia.brissot@aphp.fr.ORCID 0000-0003-4471-418X
Myriam LabopinEuropean Society for Blood and Marrow Transplantation Paris Study Office/CEREST-TC, Paris, France.
Ian MoiseevR.M. Gorbacheva Memorial Institute of Oncology, Hematology and Transplantation, Pavlov First Saint Petersburg State Medical University, St. Petersburg, Russian Federation.
J J CornelissenDepartment of Hematology, Erasmus University Medical Center, Rotterdam, the Netherlands.
Ellen MeijerAmsterdam University Medical Center, VU Medical Center, Department of Hematology, Cancer Center Amsterdam, Amsterdam, Netherlands.
Gwendolyn Van GorkomDept. Internal Medicine, Hematology/Oncology, University Hospital Maastricht, Maastricht, The Netherlands.
Montserrat RoviraApheresis & Cellular Therapy Unit, Department of Hemotherapy and Hemostasis, ICMHO, Hospital Clínic, University of Barcelona, Barcelona, Spain.
Fabio CiceriHematology and Bone Marrow Transplantation, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Laimonas GriskeviciusHematology, Oncology & Transfusion Center, Vilnius University Hospital Santaros Klinikos, Vilnius University, Vilnius, Lithuania.
Didier BlaiseCentre de Recherche en Cancérologie de Marseille, Institut Paoli Calmettes, Marseille, France.
Edouard ForcadeCHU Bordeaux, Hospital Haut-Leveque, Pessac, France.
Martin MistrikDepartment of Haematology and Transfusion Medicine, University Hospital and Comenius University, Bratislava, Slovak Republic.
Stephan MielkeDepartment of Internal Medicine II, University Hospital of Würzburg, Oberdürrbacher Str. 6, D-97080, Würzburg, Germany.
Claude Eric BulaboisDepartment of Hematology, CHU de Grenoble, Grenoble, France.
Riitta NiittyvuopioHUCH Comprehensive Cancer Center, Stem Cell Transplantation Unit, Helsinki, Finland.
Eric DeconinckService d'Hématologie, Hopital Jean Minjoz, Besançon, France.
Annalisa RuggeriHematology and Bone Marrow Transplantation, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Jaime SanzDepartment of Haematology, University Hospital La Fe, University of Valencia, Valencia, Spain.
Alexandros SpyridonidisDepartment of Internal Medicine, Bone Marrow Transplantation Unit, University Hospital of Patras, Patras, Greece.
Bipin SavaniLong Term Transplant Clinic, Vanderbilt University Medical Center, Nashville, TN, USA.
Sebastian GiebelDepartment of Bone Marrow Transplantation and Oncohematology, Maria Sklodowska-Curie Memorial Cencer Center and Institute of Oncology, Gliwice, Poland.
Arnon NaglerHematology Division, BMT and Cord Blood Bank, Chaim Sheba Medical Center, Tel-Hashomer, Israel.
Mohamad MohtySorbonne Université, AP-HP, INSERM UMRs938, Paris, France.
Vita-Salute San Raffaele University · ITCancer Center Amsterdam · NLCentre de Recherche en Cancérologie de Marseille · FRCentre Hospitalier Universitaire de Grenoble · FRComenius University Bratislava · SKDélégation Paris 5 · FRErasmus MC · NLEuropean Society for Blood and Marrow Transplantation · FRFirst Pavlov State Medical University of St. Petersburg · RUGeneral University Hospital of Patras · GRHôpital Cardiologique du Haut-Lévêque · FRHôpital Privé Jean Mermo · FRInserm · FRMaastricht University Medical Centre · NLSheba Medical Center · ILThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversitat de Barcelona · ESUniversitat de València · ESUniversitätsklinikum Würzburg · DEVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGraft-versus-host disease (GVHD) remains a major contributor to mortality and morbidity after allogeneic stem-cell transplantation (allo-HSCT). The updated recommendations suggest that rabbit antithymocyte globulin or anti-T-lymphocyte globulin (ATG) should be used for GVHD prophylaxis in patients undergoing matched-unrelated donor (MUD) allo-HSCT. More recently, using post-transplant cyclophosphamide (PTCY) in the haploidentical setting has resulted in low incidences of both acute (aGVHD) and chronic GVHD (cGVHD). Therefore, the aim of our study was to compare GVHD prophylaxis using either PTCY or ATG in patients with acute myeloid leukemia (AML) who underwent allo-HSCT in first remission (CR1) from a 10/10 HLA-MUD.

methodsOverall, 174 and 1452 patients from the EBMT registry receiving PTCY and ATG were included. Cumulative incidence of aGVHD and cGVHD, leukemia-free survival, overall survival, non-relapse mortality, cumulative incidence of relapse, and refined GVHD-free, relapse-free survival were compared between the 2 groups. Propensity score matching was also performed in order to confirm the results of the main analysis

resultsNo statistical difference between the PTCY and ATG groups was observed for the incidence of grade II-IV aGVHD. The same held true for the incidence of cGVHD and for extensive cGVHD. In univariate and multivariate analyses, no statistical differences were observed for all other transplant outcomes. These results were also confirmed using matched-pair analysis.

conclusionThese results highlight that, in the10/10 HLA-MUD setting, the use of PTCY for GVHD prophylaxis may provide similar outcomes to those obtained with ATG in patients with AML in CR1.

Indexed as

Unrelated DonorsAdolescentAdultAgedAllograftsAntilymphocyte SerumAntineoplastic Combined Chemotherapy ProtocolsCause of DeathCombined Modality TherapyCyclophosphamideDisease-Free SurvivalFemaleGraft SurvivalGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHistocompatibilityAntilymphocyte SerumCyclophosphamideImmunosuppressive AgentsthymoglobulinAcute myeloid leukemiaAntithymocyte globulinMatched unrelated donorPost-transplant cyclophosphamide

Identifiers

PMID32620146
PMCPMC7333262
OpenAlexW3038797253

What OpenQuestion holds

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LicenceCC BY
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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.