Evidence map›Paper›PMID 32941647›Full record

Trial reportBlood advances2020

Nonmyeloablative allogeneic transplantation achieves clinical and molecular remission in cutaneous T-cell lymphoma.

Wen-Kai Weng, Sally Arai, Andrew Rezvani, Laura Johnston, Robert Lowsky, David Miklos, Judith Shizuru, Lori Muffly, Everett Meyer, Robert S Negrin and 7 more

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

Trial report in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00896493 (A Phase II Study of Non-myeloablative Allogeneic Transplantation Using Total Lymphoid Irradiation), which is not on this map. Cited by 21 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 3 pooled it
3.4field-weighted citation impact, top 6% 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.

NCT00896493 phase2completednot on this map

A Phase II Study of Non-myeloablative Allogeneic Transplantation Using Total Lymphoid Irradiation (TLI) and Antithymocyte Globulin (ATG) In Patients With Cutaneous T Cell Lymphoma

TypeinterventionalSponsorStanford UniversityRan2009 to 2022Enrolled38ConditionsMycoses, Sezary Syndrome, Lymphoma, T-Cell, Cutaneous, Bone Marrow Transplant FailureArmsanti-thymocyte globulin, cyclosporine, Lymphoid radiation
3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 3 syntheses or guidelines pooled it, 46 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Pooled it
  4. Trial
  5. Article
  6. Article
  7. Review
  8. Total skin electron beam therapy.Frontiers in oncology · 2025
    Article
  9. The role of stem cell transplant (auto and allo) in PTCL and CTCL.Hematology. American Society of Hematology. Education Program · 2024
    Review
  10. Through thick and thin: confronting the aggressive cutaneous T-cell lymphomas.Hematology. American Society of Hematology. Education Program · 2024
    Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Observational
  16. Article
  17. Article
  18. What factors guide treatment selection in mycosis fungoides and Sezary syndrome?Hematology. American Society of Hematology. Education Program · 2021
    Article
  19. Article
  20. Case Report: GraftFrontiers in oncology · 2021
    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

17 authors at 1 institution in 1 country.

Wen-Kai WengDivision of Blood and Marrow Transplantation, Department of Medicine.
Sally AraiDivision of Blood and Marrow Transplantation, Department of Medicine.
Andrew RezvaniDivision of Blood and Marrow Transplantation, Department of Medicine.
Laura JohnstonDivision of Blood and Marrow Transplantation, Department of Medicine.
Robert LowskyDivision of Blood and Marrow Transplantation, Department of Medicine.
David MiklosDivision of Blood and Marrow Transplantation, Department of Medicine.
Judith ShizuruDivision of Blood and Marrow Transplantation, Department of Medicine.
Lori MufflyDivision of Blood and Marrow Transplantation, Department of Medicine.
Everett MeyerDivision of Blood and Marrow Transplantation, Department of Medicine.
Robert S NegrinDivision of Blood and Marrow Transplantation, Department of Medicine.
Erica WangDepartment of Dermatology.
Timothy AlmazanDepartment of Dermatology.
Lynn MillionDepartment of Radiation Oncology, and.
Michael KhodadoustDepartment of Dermatology.
Shufeng LiDepartment of Dermatology.
Richard T HoppeDepartment of Radiation Oncology, and.
Youn H KimDepartment of Dermatology.
Stanford University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The majority of patients with refractory, advanced-stage mycosis fungoides (MF) or Sézary syndrome (SS) have a life expectancy of <5 years. Here, we report a phase 2 study of a novel nonmyeloablative allogeneic transplantation strategy tailored for this patient population. This study has completed the enrollment, and 35 patients (13 MF, 22 SS) have undergone transplant as planned. The majority (80%) of the patients had stage IV disease and received multiple previous systemic therapies. All patients had active disease at the time of conditioning using total skin electron beam therapy, total lymphoid irradiation, and antithymocyte globulin, and received allograft infusion as outpatients. Cyclosporine or tacrolimus and mycophenolate mofetil were used for graft-versus-host disease (GVHD) prophylaxis. Patients tolerated the transplant well, with 1- and 2-year nonrelapse mortality of 3% and 14%, respectively. The day +180 cumulative incidence of grade 2 to 4 acute GVHD was 16%, and the 2-year incidence of moderate/severe chronic GVHD was 32%. With a median posttransplant follow-up of 5.4 years, the 2-, 3-, and 5-year overall survival rates were 68%, 62%, and 56%. Using high-throughput sequencing of the T-cell receptor for minimal residual disease monitoring, we observed that 43% achieved molecular remission, which was associated with a lower incidence of disease progression or relapse (9% vs 87%; P = .02). Our study also showed that patients who were aged ≥65 years at the time of allotransplant had similar clinical outcomes compared with younger patients. Thus, we have developed an alternative and potentially curative nonmyeloablative allogeneic transplant regimen for patients with advanced stage MF/SS. This trial was registered at www.clinicaltrials.gov as #NCT00896493.

Indexed as

Lymphoma, T-Cell, CutaneousSkin NeoplasmsAgedHumansNeoplasm Recurrence, LocalTransplantation ConditioningTransplantation, Homologous

Identifiers

PMID32941647
PMCPMC7509879
OpenAlexW3087542677

What OpenQuestion holds

Textmetadata
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.