Evidence map›Paper›PMID 33570642›Full record

Trial reportBlood advances2021

αβ T-cell graft depletion for allogeneic HSCT in adults with hematological malignancies.

Moniek A de Witte, Anke Janssen, Klaartje Nijssen, Froso Karaiskaki, Luuk Swanenberg, Anna van Rhenen, Rick Admiraal, Lotte van der Wagen, Monique C Minnema, Eefke Petersen and 6 more

Open access · goldAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.2field-weighted citation impact, top 5% 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

30 citing papers in PubMed, 46 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. Article
  5. Article
  6. Posttransplant cells for the win? DLI and adoptive cell therapy to eradicate MRD.Hematology. American Society of Hematology. Education Program · 2025
    Review
  7. Article
  8. Review
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  10. Review
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Novel approaches to acute graft-versus-host disease prevention.Hematology. American Society of Hematology. Education Program · 2023
    Review
  20. γδ T cells: origin and fate, subsets, diseases and immunotherapy.Signal transduction and targeted therapy · 2023
    Review
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

16 authors at 4 institutions in 2 countries.

Moniek A de WitteDepartment of Hematology and.
Anke JanssenDepartment of Hematology and.
Klaartje NijssenDepartment of Hematology and.
Froso KaraiskakiCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Luuk SwanenbergCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Anna van RhenenDepartment of Hematology and.
Rick AdmiraalPaediatric Blood and Marrow Transplant Program, Princes Maxima Center for Pediatric Oncology, Utrecht, The Netherlands.
Lotte van der WagenDepartment of Hematology and.
Monique C MinnemaDepartment of Hematology and.
Eefke PetersenDepartment of Hematology and.
Reinier A P RaymakersDepartment of Hematology and.
Kasper WestingaCell Therapy Facility, University Medical Center Utrecht, Utrecht, The Netherlands.
Trudy StraetemansCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
Constantijn J M HalkesDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands; and.
Jaap-Jan BoelensStem Cell Transplantation and Cellular Therapies, MSK Kids, Memorial Sloan Kettering Cancer Center, New York, NY.
Jürgen KuballDepartment of Hematology and.
University Medical Center Utrecht · NLLeiden University Medical Center · NLMemorial Sloan Kettering Cancer Center · USPrincess Máxima Center · NL

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

We conducted a multicenter prospective single-arm phase 1/2 study that assesses the outcome of αβ T-cell depleted allogeneic hematopoietic stem cell transplantation (allo-HSCT) of peripheral blood derived stem cells from matched related, or unrelated donors (10/10 and 9/10) in adults, with the incidence of acute graft-versus-host disease (aGVHD) as the primary end point at day 100. Thirty-five adults (median age, 59; range, 19-69 years) were enrolled. Conditioning consisted of antithymocyte globulin, busulfan, and fludarabine, followed by 28 days of mycophenolic acid after allo-HSCT. The minimal follow-up time was 24 months. The median number of infused CD34+ cells and αβ T cells were 6.1 × 106 and 16.3 × 103 cells per kg, respectively. The cumulative incidence (CI) of aGVHD grades 2-4 and 3-4 at day 100 was 26% and 14%. One secondary graft failure was observed. A prophylactic donor lymphocyte infusion (DLI) (1 × 105 CD3+ T cells per kg) was administered to 54% of the subjects, resulting in a CI of aGVHD grades 2-4 and 3-4 to 37% and 17% at 2 years. Immune monitoring revealed an early reconstitution of natural killer (NK) and γδ T cells. Cytomegalovirus reactivation associated with expansion of memory-like NK cells. The CI of relapse was 29%, and the nonrelapse mortality 32% at 2 years. The 2-year CI of chronic GVHD (cGVHD) was 23%, of which 17% was moderate. We conclude that only 26% of patients developed aGVHD 2-4 after αβ T-cell-depleted allo-HSCT within 100 days and was associated with a low incidence of cGVHD after 2 years. This trial was registered at www.trialregister.nl as #NL4767.

Indexed as

Graft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationAdultHumansMiddle AgedNeoplasm Recurrence, LocalProspective StudiesT-Lymphocytes

Identifiers

PMID33570642
PMCPMC7805311
OpenAlexW3118446437

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.