Evidence map›Paper›PMID 33203951›Full record

ArticleBone marrow transplantation2021

Ruxolitinib-ECP combination treatment for refractory severe chronic graft-versus-host disease.

Kristina Maas-Bauer, Chrissoula Kiote-Schmidt, Hartmut Bertz, Petya Apostolova, Ralph Wäsch, Gabriele Ihorst, Jürgen Finke, Robert Zeiser

Registry-linked trialAbstract read
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In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06074874 (Intestinal Biomarker Analysis After ECP for ICI Colitis), which is not on this map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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.

NCT06074874 completednot on this mapstarted 2023, after this paper: background citation

Intestinal Biomarker Analysis After ECP for ICI Colitis

TypeobservationalSponsorUniversity of FreiburgRan2023 to 2024Enrolled20ConditionsColitis, Immune Checkpoint Inhibitor-Related ColitisArmsIntestinal tissue analysis
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 4 syntheses or guidelines pooled it.

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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

8 authors.

Kristina Maas-Bauer *Department of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Chrissoula Kiote-Schmidt *Department of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Hartmut BertzDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Petya ApostolovaDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Ralph WäschDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-0813-3444
Gabriele IhorstClinical Trials Unit, Faculty of Medicine, Medical Center - University of Freiburg, Freiburg, Germany.ORCID http://orcid.org/0000-0002-8091-1589
Jürgen FinkeDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany.
Robert ZeiserDepartment of Medicine I, Faculty of Medicine, Medical Center-University of Freiburg, Freiburg, Germany. robert.zeiser@uniklinik-freiburg.de.ORCID http://orcid.org/0000-0001-6565-3393

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Glucocorticoid-refractory (SR) chronic (c) graft-versus-host disease (GVHD) is a multisystem immunological disease and the leading cause of non-relapse mortality (NRM) in patients surviving longer than 2 years after allogeneic hematopoietic cell transplantation. Both ruxolitinib (RUX) and extracorporeal photopheresis (ECP) have shown activity for SR-cGVHD which motivated us to treat refractory cGHVD patients with the RUX-ECP combination. In this retrospective survey, 23 patients received RUX-ECP as salvage therapy for SR-cGVHD. The best response (CR or PR) at any time point during treatment was 74% (17/23) including 9% (2/23) CR and 65% (15/23) PR. The 24-months-survival was 75% (CI 56.0-94.1). Newly diagnosed cytopenia occurred in 22% (5/23) and CMV reactivation was observed in 26% (6/23) of the patients. Serum levels of soluble interleukin-2 receptor (sIL-2R) correlated with response. Our retrospective analysis shows that the RUX-ECP combination is safe and has activity in a fraction of patients with SR-cGVHD, which needs validation in a prospective trial.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationPhotopheresisChronic DiseaseHumansNitrilesProspective StudiesPyrazolesPyrimidinesRetrospective StudiesNitrilesPyrazolesPyrimidinesruxolitinib

Identifiers

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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.