Evidence map›Paper›PMID 33512409›Full record

Observational studyBlood2021

Fecal microbiota diversity disruption and clinical outcomes after auto-HCT: a multicenter observational study.

Niloufer Khan, Sarah Lindner, Antonio L C Gomes, Sean M Devlin, Gunjan L Shah, Anthony D Sung, Craig S Sauter, Heather J Landau, Parastoo B Dahi, Miguel-Angel Perales and 26 more

3 registry-linked trialsAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Blood, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 53 papers.

0numbers the graph read from it
0cells of the map it votes in
53citing papers in PubMed
–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.

NCT05824689 terminatednot on this mapstarted 2022, after this paper: background citation

Exploratory Study of Fluoroquinolone Resistance for Patients Undergoing Autologous Hematopoietic Stem Cell (HSC) Transplantation in the Treatment of Multiple Myeloma

TypeobservationalSponsorHackensack Meridian HealthRan2022 to 2025Enrolled124ConditionsMultiple Myeloma
NCT06802406 narecruitingnot on this mapstarted 2025, after this paper: background citation

Nutrition OUtReach In Systems of Healthcare

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2025 to 2029Enrolled210ConditionsALLOGENEIC HEMATOPOIETIC STEM CELL TRANSPLANTATION, Autologous Haemopoietic Stem Cell Transplant, CAR-T Cell Therapy, Food InsecurityArmsFood Bags
NCT06953648 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Remotely Monitored, Mobile Health-supported, High Intensity Interval Training Before Hematopoietic Stem Cell Transplantation (REMM-HIIT-HCT)

TypeinterventionalSponsorUniversity of Kansas Medical CenterRan2025 to 2030Enrolled126ConditionsHematopoietic Stem Cell Transplantation, Cardiorespiratory FitnessArmsHigh Intensity Interval Training
3 · Its place in the literature

Who cites it

53 citing papers in PubMed.

  1. Trial
  2. GutBlood neoplasia · 2025
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  6. Observational
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

36 authors.

Niloufer KhanAdult Bone Marrow Transplantation Service, Department of Medicine.
Sarah LindnerDepartment of Immunology, Sloan Kettering Institute, and.
Antonio L C GomesDepartment of Immunology, Sloan Kettering Institute, and.
Sean M DevlinDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY.
Gunjan L ShahAdult Bone Marrow Transplantation Service, Department of Medicine.
Anthony D SungDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Craig S SauterAdult Bone Marrow Transplantation Service, Department of Medicine.
Heather J LandauAdult Bone Marrow Transplantation Service, Department of Medicine.
Parastoo B DahiAdult Bone Marrow Transplantation Service, Department of Medicine.
Miguel-Angel PeralesAdult Bone Marrow Transplantation Service, Department of Medicine.
David J ChungAdult Bone Marrow Transplantation Service, Department of Medicine.
Alexander M LesokhinWeill Cornell Medical College, New York, NY.
Anqi DaiDepartment of Immunology, Sloan Kettering Institute, and.
Annelie ClurmanAdult Bone Marrow Transplantation Service, Department of Medicine.
John B SlingerlandAdult Bone Marrow Transplantation Service, Department of Medicine.
Ann E SlingerlandAdult Bone Marrow Transplantation Service, Department of Medicine.
Daniel G BreretonAdult Bone Marrow Transplantation Service, Department of Medicine.
Paul A GiardinaAdult Bone Marrow Transplantation Service, Department of Medicine.
Molly MaloyAdult Bone Marrow Transplantation Service, Department of Medicine.
Gabriel K ArmijoDepartment of Immunology, Sloan Kettering Institute, and.
Carlos Rondon-ClavoAdult Bone Marrow Transplantation Service, Department of Medicine.
Emily FontanaDepartment of Immunology, Sloan Kettering Institute, and.
Lauren BohannonDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Sendhilnathan RamalingamDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Amy T BushDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Meagan V LewDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Julia A MessinaDivision of Infectious Diseases, Department of Medicine, Duke University School of Medicine, Durham, NC.
Eric LittmannDuchossois Family Institute, University of Chicago, Chicago, IL.
Ying TaurWeill Cornell Medical College, New York, NY.
Robert R JenqDepartment of Genomic Medicine, The University of Texas MD Anderson Cancer Center, Houston, TX.
Nelson J ChaoDivision of Hematologic Malignancies and Cellular Therapy, Department of Medicine, Duke University School of Medicine, Durham, NC.
Sergio GiraltAdult Bone Marrow Transplantation Service, Department of Medicine.
Kate A MarkeyAdult Bone Marrow Transplantation Service, Department of Medicine.
Eric G PamerDuchossois Family Institute, University of Chicago, Chicago, IL.
Marcel R M van den BrinkAdult Bone Marrow Transplantation Service, Department of Medicine.
Jonathan U PeledAdult Bone Marrow Transplantation Service, Department of Medicine.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Women's Cancer Research ProgramP30CA014236 · NCI · DUKE UNIVERSITY · PI JOHN N. NORTON · 1985 to 2026
$174.8M
T LYMPHOCYTE SUBSET FUNCTION POST-TRANSPLANTATIONP01CA023766 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SCHEINBERG, DAVID A · 1985 to 2023
$59.0M
ULTRASTRUCTURE AND CYTOMORPHOLOGY COREP30DK042086 · NIDDK · UNIVERSITY OF CHICAGO · PI CHANG, EUGENE B · 1990 to 2025
$29.8M
Resource Core 3 - Metabolomics CoreP30AG028716 · NIA · DUKE UNIVERSITY · PI Sarah B. Peskoe · 2006 to 2026
$24.6M
Thymic and Peripheral Aspects of T Cell Aging and RejuvenationP01AG052359 · NIA · UNIVERSITY OF ARIZONA · PI JANKO Z. NIKOLICH · 2017 to 2026
$23.5M
Systems Biology of Microbiome-mediated Resilience to Antibiotic-resistant PathogensU01AI124275 · NIAID · SLOAN-KETTERING INST CAN RESEARCH · PI PAMER, ERIC G., XAVIER, JOAO · 2016 to 2020
$8.9M
The role of intestinal microbiota in graft-versus-host diseaseR01CA228308 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Philip L Lorenzi, Marcel R M van den Brink · 2018 to 2026
$5.2M
The role of autophagy gene Atg16L1 in allogeneic hematopoietic stem cell transplantation - Resubmission - 1R01HL123340 · NHLBI · NEW YORK UNIVERSITY SCHOOL OF MEDICINE · PI CADWELL, KEN HASHIGIWA, VAN DEN BRINK, MARCEL R M · 2015 to 2022
$5.2M
Duke CTSA (Composite)KL2TR001115 · NCATS · DUKE UNIVERSITY · PI BOULWARE, LEIGH E, KRAFT, MONICA · 2013 to 2017
$5.1M
Regulation of the intestinal stem cell compartment after hematopoietic transplantationR01HL125571 · NHLBI · SLOAN-KETTERING INST CAN RESEARCH · PI Alan M Hanash · 2015 to 2026
$4.4M
Mathematical ecology models of host-microbiota interaction in auto microbiota transplants (auto-FMT)R01AI137269 · NIAID · SLOAN-KETTERING INST CAN RESEARCH · PI TAUR, YING, XAVIER, JOAO · 2019 to 2023
$3.8M
NCATS NIH HHS KL2 TR001115NCI NIH HHS P01 CA023766NCI NIH HHS P30 CA008748NCI NIH HHS P30 CA014236NCI NIH HHS R01 CA203950NCI NIH HHS R01 CA228308NCI NIH HHS R01 CA228358NHLBI NIH HHS K08 HL143189NHLBI NIH HHS R01 HL123340NHLBI NIH HHS R01 HL125571NHLBI NIH HHS R01 HL147584NIAID NIH HHS R01 AI137269NIAID NIH HHS U01 AI124275NIA NIH HHS P01 AG052359NIA NIH HHS P30 AG028716NIA NIH HHS R21 AG066388NIDDK NIH HHS P30 DK042086
6 · The paper itself

Abstract

We previously described clinically relevant reductions in fecal microbiota diversity in patients undergoing allogeneic hematopoietic cell transplantation (allo-HCT). Recipients of high-dose chemotherapy and autologous HCT (auto-HCT) incur similar antibiotic exposures and nutritional alterations. To characterize the fecal microbiota in the auto-HCT population, we analyzed 1161 fecal samples collected from 534 adult recipients of auto-HCT for lymphoma, myeloma, and amyloidosis in an observational study conducted at 2 transplantation centers in the United States. By using 16S ribosomal gene sequencing, we assessed fecal microbiota composition and diversity, as measured by the inverse Simpson index. At both centers, the diversity of early pretransplant fecal microbiota was lower in patients than in healthy controls and decreased further during the course of transplantation. Loss of diversity and domination by specific bacterial taxa occurred during auto-HCT in patterns similar to those with allo-HCT. Above-median fecal intestinal diversity in the periengraftment period was associated with decreased risk of death or progression (progression-free survival hazard ratio, 0.46; 95% confidence interval, 0.26-0.82; P = .008), adjusting for disease and disease status. This suggests that further investigation into the health of the intestinal microbiota in auto-HCT patients and posttransplant outcomes should be undertaken.

Indexed as

Gastrointestinal MicrobiomeHematopoietic Stem Cell TransplantationAdultAgedFecesFemaleHumansMaleMiddle AgedTransplantation, Homologous

Identifiers

PMID33512409
PMCPMC7976512

What OpenQuestion holds

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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.