Evidence map›Paper›PMID 33140137›Full record

Trial reportAnnals of hematology2021

Post-transplant cyclophosphamide for GVHD prophylaxis compared to ATG-based prophylaxis in unrelated donor transplantation.

Rebeca Bailén, Mi Kwon, María Jesús Pascual-Cascón, Christelle Ferrà, Jaime Sanz, Anabel Gallardo-Morillo, Abel García-Sola, Anna Torrent, María José Jiménez-Lorenzo, José Luis Piñana and 10 more

Abstract readClinical TrialComparative StudyMulticenter Study
PubMed Publisher
In one paragraph

Trial report in Annals of hematology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
3.2field-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.

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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 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

20 authors at 5 institutions in 1 country.

Rebeca Bailén *Department of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain. rebeca.bailen@salud.madrid.org.ORCID http://orcid.org/0000-0003-2838-1776
Mi Kwon *Department of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
María Jesús Pascual-CascónDepartment of Hematology and Hemotherapy, Hospital Regional Universitario de Málaga, Málaga, Spain.
Christelle FerràDepartment of Hematology and Hemotherapy, Institut Català d'Oncologia Badalona, Barcelona, Spain.
Jaime SanzDepartment of Hematology and Hemotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Anabel Gallardo-MorilloDepartment of Hematology and Hemotherapy, Hospital Regional Universitario de Málaga, Málaga, Spain.
Abel García-SolaDepartment of Hematology and Hemotherapy, Hospital Regional Universitario de Málaga, Málaga, Spain.
Anna TorrentDepartment of Hematology and Hemotherapy, Institut Català d'Oncologia Badalona, Barcelona, Spain.
María José Jiménez-LorenzoDepartment of Hematology and Hemotherapy, Institut Català d'Oncologia Badalona, Barcelona, Spain.
José Luis PiñanaDepartment of Hematology and Hemotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Juan MontoroDepartment of Hematology and Hemotherapy, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Gillen OarbeascoaDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Nieves DoradoDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Ignacio Gómez-CenturiónDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Cristina MuñozDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Carolina Martínez-LapercheDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Javier AnguitaDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Ismael BuñoDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
José Luis Díez-MartínDepartment of Hematology and Hemotherapy, Hospital General Universitario Gregorio Marañón, Madrid, Spain.
Grupo Español de Trasplante Hematopoyético y Terapia Celular (GETH)
Hospital General Universitario Gregorio Marañón · ESHospital Universitari i Politècnic La Fe · ESInstitut Català d'Oncologia · ESUniversidad Complutense de Madrid · ESHospital Regional Universitario de Málaga · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant cyclophosphamide (PTCY) effectively prevents graft-versus-host disease after unmanipulated HLA-haploidentical HSCT. The use of PTCY in the unrelated donor HSCT setting is less explored. We conducted a retrospective study of 132 consecutive patients undergoing a matched or 9/10 mismatched unrelated donor HSCT in 4 centers in Spain, 60 with anti-thymocyte globulin (ATG)-based prophylaxis combined with MTX-CsA, and 72 using a PTCY-based regimen. Peripheral blood stem cells were used as graft in most patients (111 patients, 84%); mMUD donors were balanced between groups. Cumulative incidences of grades II-IV and III-IV acute GVHD at 100 days were lower in the PTCy group (46% vs. 67%, p = 0.008; 3% vs. 34%, p = 0.003), without statistically significant differences in the 2-year cumulative incidence of chronic moderate-severe GVHD. At 2 years, no significant differences were observed in overall survival, event-free survival, cumulative incidence of relapse, and non-relapse mortality. GVHD was the most frequent cause of NRM in the ATG group. No differences were observed between groups in the composite endpoint of GVHD-free and relapse-free survival. In this study, PTCy combined with additional immunosuppression after MUD/mMUD HSCT showed a reduction of aGVHD rate with safety results comparable to those obtained with the ATG-based prophylaxis.

Indexed as

Graft vs Host DiseasePeripheral Blood Stem Cell TransplantationUnrelated DonorsAdolescentAdultAgedAllograftsAntilymphocyte SerumCyclophosphamideDisease-Free SurvivalFemaleFollow-Up StudiesHumansIncidenceMaleMiddle AgedAntilymphocyte SerumCyclophosphamideGVHD prophylaxisPost-transplant cyclophosphamideUnrelated donor HSCT

Identifiers

PMID33140137
OpenAlexW3097603104

What OpenQuestion holds

Textmetadata
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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.