Evidence map›Paper›PMID 33775615›Full record

Trial reportTransplantation and cellular therapy2021

Myeloablative versus Reduced-Intensity Conditioning for Hematopoietic Cell Transplantation in Acute Myelogenous Leukemia and Myelodysplastic Syndromes-Long-Term Follow-Up of the BMT CTN 0901 Clinical Trial.

Bart L Scott, Marcelo C Pasquini, Mingwei Fei, Raphael Fraser, Juan Wu, Steve M Devine, David L Porter, Richard T Maziarz, Erica Warlick, Hugo F Fernandez and 13 more

Open access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Transplantation and cellular therapy, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 89 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
89citing papers in PubMed, 1 pooled it
13.6field-weighted citation impact, top 1% 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

89 citing papers in PubMed, 1 synthesis or guideline pooled it, 139 citations in OpenAlex.

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29 more citing papers are in PubMed but not listed here.

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

23 authors at 13 institutions in 1 country.

Bart L ScottFred Hutchinson Cancer Research Center, Seattle, Washington. Electronic address: bscott@fhcrc.org.
Marcelo C PasquiniBMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
Mingwei FeiBMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
Raphael FraserBMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
Juan WuThe Emmes Corporation, Rockville, Maryland.
Steve M DevineThe Ohio State University Comprehensive Cancer Center, Columbus, Ohio.
David L PorterUniversity of Pennsylvania, Philadelphia, Pennsylvania.
Richard T MaziarzOrgeon Health and Science University, Portland, Oregon.
Erica WarlickUniversity of Minnesota, Minneapolis, Minnesota.
Hugo F FernandezMoffitt Cancer Center, Tampa, Florida.
Robert J SoifferDana Farber Cancer Institute, Boston, Massachusetts.
Edwin AlyeaDuke University, Durham, North Carolina.
Mehdi HamadaniBMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
Asad BasheyNorthside Hospital Cancer Institute, Atlanta, Georgia.
Sergio GiraltMemorial Sloan Kettering Cancer Center, New York, New York.
Nancy L GellerNational Heart Lung and Blood Institute, Bethesda, Maryland.
Eric LeiferNational Heart Lung and Blood Institute, Bethesda, Maryland.
Christopher S HouriganNational Heart Lung and Blood Institute, Bethesda, Maryland.
Gege GuiNational Heart Lung and Blood Institute, Bethesda, Maryland.
Adam MendizabalThe Emmes Corporation, Rockville, Maryland.
Mary M HorowitzBMT & Cellular Therapy Program, Medical College of Wisconsin, Milwaukee, Wisconsin.
H Joachim DeegFred Hutchinson Cancer Research Center, Seattle, Washington.
Mitchell E HorwitzDuke University, Durham, North Carolina.
Medical College of Wisconsin · USNational Heart Lung and Blood Institute · USDuke University · USEmmes (United States) · USFred Hutch Cancer Center · USDana-Farber Cancer Institute · USMemorial Sloan Kettering Cancer Center · USMoffitt Cancer Center · USNorthside Hospital · USOregon Health & Science University · USThe Ohio State University · USUniversity of Minnesota System · USUniversity of Pennsylvania · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
Detection, prevention and treatment of acute myeloid leukemia (AML) relapse.ZIAHL006163 · NHLBI · NATIONAL HEART, LUNG, AND BLOOD INSTITUTE · PI HOURIGAN, CHRISTOPHER · 2013 to 2023
$21.0M
BMT CTN Core - Fred Hutchinson Cancer CenterUG1HL069246 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI STEPHANIE J LEE · 2017 to 2026
$2.2M
MSKCC BMT CTN RenewalUG1HL069315 · NHLBI · SLOAN-KETTERING INST CAN RESEARCH · PI MIGUEL-ANGEL PERALES · 2017 to 2026
$2.2M
Core Clinical Centers for the Blood and Marrow Transplant Clinical Trials Network (UG1)UG1HL108987 · NHLBI · H. LEE MOFFITT CANCER CTR & RES INST · PI Joseph A Pidala · 2017 to 2026
$2.1M
Blood and Marrow Transplant Clinical Trials NetworkUG1HL069274 · NHLBI · DUKE UNIVERSITY · PI MITCHELL E HORWITZ · 2017 to 2026
$2.0M
BMT CTN Core - University of MinnesotaUG1HL069290 · NHLBI · UNIVERSITY OF MINNESOTA · PI Mark Juckett, Margaret L MacMillan · 2017 to 2026
$1.9M
Core Clinical Center Application for Duke University Me*U01HL069274 · NHLBI · DUKE UNIVERSITY · PI KURTZBERG, JOANNE · 2001 to 2010
$1.8M
Novel Strategies for Assessing and Optimizing Therapy for Minimal Residual Disease after Allogeneic Transplantation for AML and MDSUG1HL138658 · NHLBI · OREGON HEALTH & SCIENCE UNIVERSITY · PI MAZIARZ, RICHARD THOMAS · 2017 to 2022
$1.1M
NCI NIH HHS P30 CA008748NCI NIH HHS U24 CA076518NHLBI NIH HHS U01 HL069274NHLBI NIH HHS U10 HL069274NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U24 HL138660NHLBI NIH HHS UG1 HL069246NHLBI NIH HHS UG1 HL069274NHLBI NIH HHS UG1 HL069290NHLBI NIH HHS UG1 HL069315NHLBI NIH HHS UG1 HL108987
6 · The paper itself

Abstract

Several prospective randomized trials comparing conditioning intensity before allogeneic hematopoietic cell transplantation (HCT) have been performed, with conflicting results. Although reduced-intensity conditioning (RIC) leads to lower treatment-related mortality (TRM), this is offset by higher rates of relapse. Long-term follow-up of randomized comparative trials are limited. Here we present long-term follow-up of a randomized comparison of myeloablative conditioning (MAC) compared with RIC before HCT for acute myelogenous leukemia (AML) or myelodysplasia (MDS). Long-term comparative analyses of overall survival, relapse, and relapse-free survival were performed. Patients age 18 to 65 years with <5% marrow myeloblasts were randomized to receive MAC (n = 135) or RIC (n = 137), followed by HCT from an HLA-matched donor. The primary endpoint of the trial was an 18-month pointwise comparison of overall survival. The analyses were performed using a proportional hazards model. The median follow-up of the entire cohort was 51 months. At 4 years, the transplant-related mortality (TRM) was 25.1% for MAC, compared with 9.9% for RIC (P < .001). Patients who received RIC had a significantly higher risk of relapse compared to those who received MAC (hazard ratio [HR], 4.06; 95% CI, 2.59 to 6.35; P < 0.001). Among the patients who relapsed after HCT, postrelapse survival was similar at 3 years (24% for MAC and 26% for RIC). Overall survival was superior for patients who received MAC compared to those who received RIC (HR, 1.54; 95% CI, 1.07 to 2.2; P = .03). Our data show that patients who received MAC were at higher risk of late TRM compared with those who received RIC; however, because of the exceedingly high rates of relapse in the RIC arm, overall survival remained significantly better for patients who received MAC. Among patients with MDS or AML eligible for either MAC or RIC regimens, long-term follow up demonstrates a survival advantage for patients who received MAC.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMyelodysplastic SyndromesAdolescentAdultAgedDiterpenesFollow-Up StudiesHumansMiddle AgedProspective StudiesTransplantation ConditioningTransplantation, HomologousYoung AdultDiterpenesAcute myelogenous leukemiaConditioning intensityHematopoietic cell transplantationMyelodysplastic syndrome

Identifiers

PMID33775615
PMCPMC8217373
OpenAlexW3133628729

What OpenQuestion holds

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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.