Evidence map›Paper›PMID 33836313›Full record

ArticleTransplantation and cellular therapy2021

National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: IIb. The 2020 Preemptive Therapy Working Group Report.

Joseph Pidala, Carrie Kitko, Stephanie J Lee, Paul Carpenter, Geoffrey D E Cuvelier, Shernan Holtan, Mary E Flowers, Corey Cutler, Madan Jagasia, Ted Gooley and 20 more

Open access · greenAbstract readConsensus Statement
In one paragraph

Article 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 30 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 1 pooled it
3.8field-weighted citation impact, top 6% 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, 1 synthesis or guideline pooled it, 40 citations in OpenAlex.

  1. Guideline
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  6. Frontiers in immunology · 2026
    Article
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  10. Observational
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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

30 authors at 20 institutions in 7 countries.

Joseph PidalaBlood and Marrow Transplantation and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida. Electronic address: joseph.pidala@moffitt.org.
Carrie KitkoDivision of Pediatric Hematology/Oncology, Dpeartment of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee.
Stephanie J LeeClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Paul CarpenterClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Geoffrey D E CuvelierCancer Care Manitoba, University of Manitoba, Winnipeg, Manitoba, Canada.
Shernan HoltanDivision of Hematology, Oncology, and Transplantation, Department of Medicine, University of Minnesota Medical School, Minneapolis, Minnesota.
Mary E FlowersClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Corey CutlerDivision of Stem Cell Transplantation and Cellular Therapy, Dana-Farber Cancer Institute, Boston, Massachusetts.
Madan JagasiaDivision of Hematology and Oncology, Vanderbilt University Medical Center, Nashville, Tennessee.
Ted GooleyClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Joycelynne PalmerDivision of Biostatistics, Department of Computational and Quantitative Medicine, City of Hope, Duarte, California.
Tim RandolphClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
John E LevineTisch Cancer Institute, Icahn School of Medicine at Mount Sinai, New York, New York.
Francis AyukDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Fiona DignanDepartment of Clinical Haematology, Manchester Royal Infirmary, Manchester University NHS Foundation Trust, Manchester, United Kingdom.
Helene SchoemansDepartment of Hematology, University Hospitals Leuven and Department of Public Health, KU Leuven, Leuven, Belgium.
Eric TkaczykDepartment of Veterans Affairs and Departments of Dermatology and Biomedical Engineering, Vanderbilt University Medical Center, Nashville, Tennessee.
Nosha FarhadfarDivision of Hematology and Oncology, Department of Medicine, University of Florida, Gainesville, Florida.
Anita LawitschkaStem Cell Transplantation Unit, St Anna Children's Hospital, Medical University of Vienna, Vienna, Austria; Children's Cancer Research Institute, Vienna, Austria.
Kirk R SchultzPediatric Hematology/Oncology/BMT, BC Children's Hospital, Vancouver, British Columbia, Canada.
Paul J MartinClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Stefanie SarantopoulosDivision of Hematological Malignancies and Cellular Therapy, Duke Cancer Institute, Duke University Department of Medicine, Durham, North Carolina.
Yoshihiro InamotoDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Gerard SocieHematology and Bone Marrow Transplant Department, AP-HP Saint Louis Hospital and University of Paris, Paris, France.
Daniel WolffDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Bruce BlazarDepartment of Pediatrics, Division of Blood & Marrow Transplantation & Cellular Therapy, University of Minnesota, Minneapolis, Minnesota.
Hildegard GreinixClinical Division of Hematology, Medical University of Graz, Graz, Austria.
Sophie PaczesnyDepartment of Microbiology and Immunology and Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Steven PavleticCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Geoffrey HillClinical Research Division, Fred Hutchinson Cancer Research Center, Seattle, Washington.
Fred Hutch Cancer Center · USVanderbilt University Medical Center · USBritish Columbia Children's Hospital · CACancerCare Manitoba · CACity of Hope · USDana-Farber Cancer Institute · USDuke University · USIcahn School of Medicine at Mount Sinai · USKU Leuven · BEManchester University NHS Foundation Trust · GBMedical University of Graz · ATMedical University of South Carolina · USMedical University of Vienna · ATMoffitt Cancer Center · USNational Cancer Institute · USUniversität Hamburg · DEUniversité Paris Cité · FRUniversity Hospital Regensburg · DEUniversity of Florida · USUniversity of Manitoba · CA

Funding

NIH Chronic GVHD Study GroupZIABC011743 · NCI · DIVISION OF BASIC SCIENCES - NCI · PI PAVLETIC, STEVEN · 2016 to 2025
$10.2M
Improving Outcomes Assessment in Chronic GVHDR01CA118953 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI LEE, STEPHANIE J · 2011 to 2025
$8.3M
GVHD quantitative assessment in skin of Veterans post-HCTIK2CX001785 · VA · VETERANS HEALTH ADMINISTRATION · PI TKACZYK, ERIC R · 2019 to 2024
–
CSRD VA IK2 CX001785Intramural NIH HHS ZIA BC011743NCI NIH HHS R01 CA118953
6 · The paper itself

Abstract

Chronic graft-versus-host disease (GVHD) commonly occurs after allogeneic hematopoietic cell transplantation (HCT) despite standard prophylactic immune suppression. Intensified universal prophylaxis approaches are effective but risk possible overtreatment and may interfere with the graft-versus-malignancy immune response. Here we summarize conceptual and practical considerations regarding preemptive therapy of chronic GVHD, namely interventions applied after HCT based on evidence that the risk of developing chronic GVHD is higher than previously appreciated. This risk may be anticipated by clinical factors or risk assignment biomarkers or may be indicated by early signs and symptoms of chronic GVHD that do not fully meet National Institutes of Health diagnostic criteria. However, truly preemptive, individualized, and targeted chronic GVHD therapies currently do not exist. In this report, we (1) review current knowledge regarding clinical risk factors for chronic GVHD, (2) review what is known about chronic GVHD risk assignment biomarkers, (3) examine how chronic GVHD pathogenesis intersects with available targeted therapeutic agents, and (4) summarize considerations for preemptive therapy for chronic GVHD, emphasizing trial development, including trial design and statistical considerations. We conclude that robust risk assignment models that accurately predict chronic GVHD after HCT and early-phase preemptive therapy trials represent the most urgent priorities for advancing this novel area of research.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationChronic DiseaseHumansNational Institutes of Health (U.S.)United StatesAllogeneic hematopoietic cell transplantationChronic graft-versus-host diseaseConsensusPreemptive therapyRisk assignment biomarkers

Identifiers

PMID33836313
PMCPMC8934187
OpenAlexW3146762921

What OpenQuestion holds

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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.