Evidence map›Paper›PMID 33234127›Full record

ArticleBMC cancer2020

Haploidentical related donor compared to HLA-identical donor transplantation for chemosensitive Hodgkin lymphoma patients.

Luca Castagna, Alessandro Busca, Stefania Bramanti, Maria Raiola Anna, Michele Malagola, Fabio Ciceri, William Arcese, Daniele Vallisa, Francesca Patriarca, Giorgina Specchia and 15 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in BMC cancer, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. When to use stem cell transplantation for classical Hodgkin lymphoma.Hematology. American Society of Hematology. Education Program · 2024
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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

25 authors at 15 institutions in 2 countries.

Luca CastagnaHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy. lcastagna63@gmail.com.ORCID http://orcid.org/0000-0002-6239-7387
Alessandro BuscaHematology Department Azienda ospedaliera Universitaria S Giovanni Battista, Torino, Italy.
Stefania BramantiHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy.
Maria Raiola AnnaDivision of Hematology and Hematopoietic Stem Cell Transplantation Unit, Ospedale Policlinico San Martino-IRCCS per l'Oncologia, Genoa, Italy.
Michele MalagolaDepartment of Clinical and Experimental Sciences, Unit of Blood Diseases and Stem Cells Transplantation, ASST Spedali Civili of Brescia, University of Brescia, Brescia, Italy.
Fabio CiceriHematology and BMT Unit, Ospedale S Raffaele, Milan, Italy.
William ArceseDepartment of Hematology, Stem Cell Transplant Unit, Rome Transplant Network, "Tor Vergata" University Hospital, Rome, Italy.
Daniele VallisaHematology Department, Ospedale Gda Saliceto di Piacenza, Piacenza, Italy.
Francesca PatriarcaHematology, Department of Medical Area, University of Udine, Udine, Italy.
Giorgina SpecchiaHematology Section, DAP University of Bari, Bari, Italy.
Roberto RaimondiHematology Department, S. Bortolo Hospital, Vicenza, Italy.
Raynier DevillierHematology Department, Transplantation and Cellular Therapy Unit, Institut Paoli-Calmettes, Marseille, France.
Sabine FurstHematology Department, Transplantation and Cellular Therapy Unit, Institut Paoli-Calmettes, Marseille, France.
Laura GiordanoHumanitas Cancer Center, Statistical Unit, Humanitas Research Hospital, Rozzano, Italy.
Barbara SarinaHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy.
Jacopo MariottiHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy.
Attilio OlivieriDepartment of Hematology, Medical School, University of Ancona, Ancona, Italy.
Reda BouabdallahHematology Department, Lymphoma Program, Institut Paoli-Calmettes, Marseille, France.
Carmelo Carlo-StellaHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy.
Alessandro RambaldiHematology and Bone Marrow Transplant Unit, Azienda Ospedaliera Papa Giovanni XXIII, Bergamo, Italy.
Armando SantoroHumanitas Cancer Center, BMT Unit, Humanitas Research Hospital, IRCCS, Via Manzoni 56, Rozzano, MI, Italy.
Paolo CorradiniHematology and Bone Marrow Transplant Unit, Fondazione IRCCS Istituto Nazionale Tumori and University of Milano, Milan, Italy.
Andrea BacigalupoIstituto di Ematologia, Università Cattolica del Sacro Cuore, Fondazione Policlinico Universitario Gemelli, Rome, Italy.
Francesca BonifaziInstitute of Hematology and Medical Oncology, L and A Seràgnoli, St Orsola-Malpighi Hospital, University of Bologna, Bologna, Italy.
Didier BlaiseHematology Department, Transplantation and Cellular Therapy Unit, Institut Paoli-Calmettes, Marseille, France.
IRCCS Humanitas Research Hospital · ITInstitut Paoli-Calmettes · FRAzienda Ospedaliero Universitaria San Giovanni Battista · ITIRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola · ITIRCCS Ospedale San Raffaele · ITOspedale Papa Giovanni XXIII · ITOspedale Policlinico San Martino · ITOspedale San Bortolo · ITOspedaliera di Piacenza · ITOspedali Riuniti di Ancona · ITUniversità Cattolica del Sacro Cuore · ITUniversity of Bari Aldo Moro · ITUniversity of Brescia · ITUniversity of Milan · ITUniversity of Udine · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAllogeneic stem cell transplantation from haploidentical donor using an unmanipulated graft and post-transplantation cyclophosphamide (PT-Cy) is growing. Haploidentical transplantation with PT-Cy showed a major activity in Hodgkin lymphoma (HL), reducing the relapse incidence. The most important predictive factor of survival and toxicity was disease status before transplantation, which was better in patients with well controlled disease.

methodsWe included 198 HL in complete (CR) or partial remission (PR) before transplantation. Sixty-five patients were transplanted from haploidentical donor and 133 from a HLA identical donor (both sibling and unrelated donors). Survival analysis was defined according to the EBMT criteria. Survival curves were generated by using Kaplan-Meier method and differences between groups were compared by the log rank test or by the log rank test for trend when appropriated.

resultsThe PFS, OS, and RI were significantly better in patients in CR compared to PR (55% vs 29% p = 0.001, 74% vs 55% p = 0.03, 27% vs 55% p <  0.001, respectively). The 2-year PFS was significantly better for HAPLO than HLA-id (63% vs 37%, p = 0.03), without difference in OS. The 1-year NRM was not different. The 2-year relapse incidence (RI) was lower in the HAPLO group (24% vs 44%, p = 0.008). Patients in CR receiving haplo HSCT showed higher 2-year PFS and lower 2-year RI than those allografted with HLA-id donor (75% vs 47%, p <  0.001 and 11% vs 34%, p < 0.001, respectively). In multivariate analysis, donor type and disease status before transplantation were independent predictors of PFS as well as they predict the risk of relapse. Disease status at transplantation and age were independently associated to OS.

conclusionsNonetheless this is a retrospective study, limiting the wide applicability of results, data from this analysis suggest that HLA mismatch can induce a strong graft versus lymphoma effect leading to an enhanced PFS.

Indexed as

AdolescentAdultAgedAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyFemaleFollow-Up StudiesHematopoietic Stem Cell TransplantationHLA AntigensHodgkin DiseaseHumansMaleMiddle AgedPrognosisRetrospective StudiesSiblingsHLA AntigensHaploidentical transplantationHodgkin lymphomaReduced intensity conditioning regimen

Identifiers

PMID33234127
PMCPMC7685618
OpenAlexW3110100866

What OpenQuestion holds

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LicenceCC BY
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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.