Evidence map›Paper›PMID 33012083›Full record

Trial reportOral diseases2021

Oral mucositis after tacrolimus/sirolimus or cyclosporine/methotrexate as graft-versus-host disease prophylaxis.

Karin Garming Legert, Olle Ringdén, Mats Remberger, Johan Törlén, Jonas Mattsson, Göran Dahllöf

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Oral diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 26% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Article
  5. Review
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

6 authors at 3 institutions in 3 countries.

Karin Garming LegertDepartment of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.ORCID https://orcid.org/0000-0001-8276-0510
Olle RingdénDepartment of Clinical Sciences, Intervention and Technology, Translational cell therapy research group, Karolinska Institutet, Stockholm, Sweden.
Mats RembergerDepartment of Medical Sciences, Uppsala University and KFUE, Uppsala University Hospital, Uppsala, Sweden.
Johan TörlénCell Therapy and Allogeneic Stem Cell Transplantation (CAST), Karolinska University Hospital, Stockholm, Sweden.ORCID https://orcid.org/0000-0002-3039-5133
Jonas MattssonCell Therapy and Allogeneic Stem Cell Transplantation (CAST), Karolinska University Hospital, Stockholm, Sweden.
Göran DahllöfDepartment of Dental Medicine, Karolinska Institutet, Huddinge, Sweden.ORCID https://orcid.org/0000-0001-8536-5292
Karolinska Institutet · SEKarolinska University Hospital · SEUppsala University Hospital · SE

Funding

Astellas Pharma SE-09-RG-50Cancerfonden CF 2014-2016Cancerfonden KF2013-0011Cancerfonden PR2013-0022Marianne and Marcus Wallenberg Foundation 2013.0117Stockholms Läns Landsting 20140451Wyeth 0468x1-3329
6 · The paper itself

Abstract

objectivesTo determine whether treatment with tacrolimus plus sirolimus (Tac/Sir) as a prophylaxis for graft-versus-host disease worsens severe oral mucositis and delays healing compared to cyclosporine plus methotrexate (CsA/Mtx) following haematopoietic stem cell transplantation. SUBJECTS AND

methodsThe study comprised 141 patients: 73 randomized to receive Tac/Sir and 68 to receive CsA/Mtx. The oral mucositis assessment scale and toxicity grading according to WHO were used to assess the severity, peak and duration of oral mucositis from the day -3 to day 24 post-transplant.

resultsEighty-seven patients developed oral mucositis in the first 24 days post-transplant. No significant difference in oral mucositis severity between the Tac/Sir and CsA/Mtx groups was observed. The peak oral mucositis score occurred on day 10 in both groups. Although oral mucositis scores had returned to baseline in the CsA/Mtx group on day 24 post-transplant, no significant difference compared with the Tac/Sir group was found.

conclusionsThe introduction of tacrolimus/sirolimus as a graft-versus-host disease prophylaxis in haematopoietic stem cell transplantation increased neither the incidence nor severity of oral mucositis compared with cyclosporine/methotrexate. Furthermore, oral mucositis healing was not prolonged and followed the same time pattern as cyclosporine/methotrexate.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationStomatitisCyclosporineHumansImmunosuppressive AgentsMethotrexateSirolimusTacrolimusCyclosporineImmunosuppressive AgentsMethotrexateSirolimusTacrolimusdentalgraft-versus-host diseasehaematopoietic stem cell transplantationlongitudinalmucosa

Identifiers

PMID33012083
PMCPMC8247364
OpenAlexW3091735987

What OpenQuestion holds

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Registered trials

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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.