Evidence map›Paper›PMID 33080006›Full record

ArticleBlood advances2020

Allogeneic transplantation for Ph+ acute lymphoblastic leukemia with posttransplantation cyclophosphamide.

Jonathan A Webster, Leo Luznik, Hua-Ling Tsai, Philip H Imus, Amy E DeZern, Keith W Pratz, Mark J Levis, Ivana Gojo, Margaret M Showel, Gabrielle Prince and 16 more

Open access · goldAbstract read
In one paragraph

Article in Blood advances, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

18 citing papers in PubMed, 30 citations in OpenAlex.

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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

26 authors at 2 institutions in 1 country.

Jonathan A WebsterDivision of Hematologic Malignancy and.
Leo LuznikDivision of Hematologic Malignancy and.
Hua-Ling TsaiDivision of Biostatistics and Bioinformatics, Department of Oncology, Johns Hopkins University, Baltimore, MD; and.
Philip H ImusDivision of Hematologic Malignancy and.
Amy E DeZernDivision of Hematologic Malignancy and.
Keith W PratzHematology-Oncology Section, Department of Medicine, University of Pennsylvania, Philadelphia, PA.
Mark J LevisDivision of Hematologic Malignancy and.
Ivana GojoDivision of Hematologic Malignancy and.
Margaret M ShowelDivision of Hematologic Malignancy and.
Gabrielle PrinceDivision of Hematologic Malignancy and.
Javier Bolaños-MeadeDivision of Hematologic Malignancy and.
Lukasz P GondekDivision of Hematologic Malignancy and.
Gabriel GhiaurDivision of Hematologic Malignancy and.
W Brian DaltonDivision of Hematologic Malignancy and.
Tania JainDivision of Hematologic Malignancy and.
Ephraim J FuchsDivision of Hematologic Malignancy and.
Douglas E GladstoneDivision of Hematologic Malignancy and.
Christian B GockeDivision of Hematologic Malignancy and.
Syed Abbas AliDivision of Hematologic Malignancy and.
Carol Ann HuffDivision of Hematologic Malignancy and.
Ivan M BorrelloDivision of Hematologic Malignancy and.
Lode SwinnenDivision of Hematologic Malignancy and.
Nina Wagner-JohnstonDivision of Hematologic Malignancy and.
Richard F AmbinderDivision of Hematologic Malignancy and.
Richard J JonesDivision of Hematologic Malignancy and.
B Douglas SmithDivision of Hematologic Malignancy and.
Johns Hopkins University · USUniversity of Pennsylvania · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI WILLIAM George NELSON · 1985 to 2026
$208.6M
Targeting MRDP01CA225618 · NCI · JOHNS HOPKINS UNIVERSITY · PI RICHARD J JONES · 2019 to 2026
$15.1M
Role of Oncogenic RAS in Multiple Myeloma Disease ProgressionK08CA218893 · NCI · JOHNS HOPKINS UNIVERSITY · PI GOCKE, CHRISTIAN B · 2018 to 2022
$1.1M
Hedgehog Signaling in the Progression of Myelodysplastic SyndromesK08HL136894 · NHLBI · JOHNS HOPKINS UNIVERSITY · PI GONDEK, LUKASZ PAWEL · 2017 to 2021
$859k
NCI NIH HHS K08 CA218893NCI NIH HHS P01 CA225618NCI NIH HHS P30 CA006973NHLBI NIH HHS K08 HL136894
6 · The paper itself

Abstract

Allogeneic blood or marrow transplantation (alloBMT) is standard of care for adults with Philadelphia chromosome-positive acute lymphoblastic leukemia (Ph+ ALL) in first complete remission (CR1). The routine pretransplant and posttransplant use of tyrosine kinase inhibitors (TKIs) has dramatically improved outcomes, but the optimal conditioning regimen, donor type, and TKI remain undefined. The bone marrow transplant database at Johns Hopkins was queried for adult patients with de novo Ph+ ALL who received alloBMT using posttransplantation cyclophosphamide (PTCy) as a component of graft-versus-host disease (GVHD) prophylaxis from 2008 to 2018. Among transplants for Ph+ ALL, 69 (85%) were performed in CR1, and 12 (15%) were performed in second or greater remission (CR2+). The majority of transplants (58%) were HLA haploidentical. Nearly all patients (91.4%) initiated TKI posttransplant. For patients in CR1, the 5-year relapse-free survival (RFS) was 66%. The use of nonmyeloablative conditioning, absence of measurable residual disease (MRD) according to flow cytometry at transplant, and the use of dasatinib vs imatinib at diagnosis were associated with improved overall survival (OS) and RFS. Neither donor type nor recipient age ≥60 years affected RFS. When analyzing all transplants, alloBMT in CR1 (vs CR2+) and the absence of pretransplant MRD were associated with improved RFS. Most relapses were associated with the emergence of kinase domain mutations. The cumulative incidence of grade 3 to 4 acute GVHD at 1 year was 9%, and moderate to severe chronic GVHD at 2 years was 8%. Nonmyeloablative alloBMT with PTCy for Ph+ ALL in an MRD-negative CR1 after initial treatment with dasatinib yields favorable outcomes.

Indexed as

Graft vs Host DiseasePrecursor Cell Lymphoblastic Leukemia-LymphomaAdultCyclophosphamideHumansMiddle AgedTransplantation ConditioningTransplantation, HomologousCyclophosphamide

Identifiers

PMID33080006
PMCPMC7594402
OpenAlexW3094590251

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.