Evidence map›Paper›PMID 33949798›Full record

ArticleImmunity, inflammation and disease2021

Predictors of breakthrough clinically significant cytomegalovirus infection during letermovir prophylaxis in high-risk hematopoietic cell transplant recipients.

Léna Royston, Eva Royston, Stavroula Masouridi-Levrat, Yves Chalandon, Christian Van Delden, Dionysios Neofytos

Open access · goldAbstract read
In one paragraph

Article in Immunity, inflammation and disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

16 citing papers in PubMed, 24 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Léna RoystonDivision of Infectious Diseases, University Hospital of Geneva, Geneva, Switzerland.ORCID 0000-0003-2367-7682
Eva RoystonDivision of Hematology, Bone Marrow Transplant Unit, University Hospital of Geneva, Geneva, Switzerland.
Stavroula Masouridi-LevratDivision of Hematology, Bone Marrow Transplant Unit, University Hospital of Geneva, Geneva, Switzerland.
Yves ChalandonDivision of Hematology, Bone Marrow Transplant Unit, University Hospital of Geneva, Geneva, Switzerland.
Christian Van DeldenDivision of Infectious Diseases, University Hospital of Geneva, Geneva, Switzerland.
Dionysios NeofytosDivision of Infectious Diseases, University Hospital of Geneva, Geneva, Switzerland.ORCID 0000-0001-6970-2869
University Hospital of Geneva · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Letermovir prophylaxis in allogeneic hematopoietic cell transplant recipients significantly reduces the incidence of clinically significant cytomegalovirus infection. However, breakthrough infections still occur despite adequate prophylaxis. In the present retrospective cohort study, we identified clinically relevant predictive factors for clinically significant CMV breakthrough infection during letermovir prophylaxis. Low-grade CMV replication (21-149 IU/ml), both at the time of letermovir initiation or during prophylaxis, was a significant risk factor for breakthrough clinically significant CMV infection. In addition, development of acute gastrointestinal graft-versus-host disease was significantly associated with breakthrough infection. Altogether these findings could call clinicians' attention to closer CMV monitoring and allow for prompt preemptive treatment initiation.

Indexed as

Cytomegalovirus InfectionsHematopoietic Stem Cell TransplantationAcetatesAntiviral AgentsCytomegalovirusHumansQuinazolinesRetrospective StudiesTransplant RecipientsAcetatesAntiviral AgentsletermovirQuinazolinesallogeneic hematopoietic cell transplant recipientsbreakthrough infectioncytomegalovirus (CMV)letermovirprophylaxisrisk factors

Identifiers

PMID33949798
PMCPMC8342239
OpenAlexW3159154710

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.