Evidence map›Paper›PMID 33976382›Full record

ArticleBone marrow transplantation2021

Second allogeneic transplants for multiple myeloma: a report from the EBMT Chronic Malignancies Working Party.

Patrick J Hayden, Dirk-Jan Eikema, Liesbeth C de Wreede, Linda Koster, Nicolaus Kröger, Hermann Einsele, Monique Minnema, Alida Dominietto, Michael Potter, Jacob Passweg and 18 more

Open access · hybridAbstract read
In one paragraph

Article in Bone marrow transplantation, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. 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

28 authors at 20 institutions in 10 countries.

Patrick J HaydenDepartment of Haematology, Trinity College Dublin, St. James's Hospital, Dublin, Ireland. phayden@stjames.ie.ORCID http://orcid.org/0000-0003-1374-4503
Dirk-Jan EikemaEBMT Statistical Unit, Leiden, The Netherlands.
Liesbeth C de WreedeDepartment of Biomedical Data Sciences, LUMC, Leiden, The Netherlands.
Linda KosterEBMT Data Office Leiden, Leiden, The Netherlands.
Nicolaus KrögerUniversity Hospital Eppendorf, Hamburg, Germany.
Hermann EinseleUniversitätsklinikum Würzburg, Würzburg, Germany.
Monique MinnemaUniversity Medical Center Utrecht, Utrecht, The Netherlands.
Alida DominiettoIRCCS Ospedale Policlinico San Martino, Genova, Italy.
Michael PotterRoyal Marsden Hospital, London, UK.
Jacob PasswegUniversity Hospital, Basel, Switzerland.
Arancha BermúdezHospital Universitario Marqués de Valdecilla, Santander, Spain.
Stephanie Nguyen-QuocHopital la Pitié-Salpêtrière, Paris, France.
Uwe PlatzbeckerMedical Clinic and Policinic 1, Leipzig, Germany.
Johanna TischerKlinikum Grosshadern, Munich, Germany.
Fabio CiceriOspedale San Raffaele s.r.l., Milano, Italy.
Joan Hendrik VeelkenLeiden University Hospital, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-9108-3125
Per LjungmanKarolinska University Hospital, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-8281-3245
Nicolaas SchaapRadboud University Medical Centre, Nijmegen, The Netherlands.
Edouard ForcadeCHU Bordeaux, Pessac, France.ORCID http://orcid.org/0000-0002-8873-2868
Angelo Michele CarellaCasa Sollievo della Sofferenza, San Giovanni, Italy.
Virginie GandemerCentre Hospitalier Universitaire de Rennes Hôpital sud, Rennes, France.
William ArceseRome Transplant Network ¨Tor Vergata¨ University of Rome, Rome, Italy.ORCID http://orcid.org/0000-0001-5697-366X
Adrian BloorChristie NHS Trust Hospital, Manchester, UK.ORCID http://orcid.org/0000-0003-4550-220X
Attilio OlivieriAzienda Ospedali Riuniti di Ancona, Ancona, Italy.
Laure VincentCHU Lapeyronie, Montpellier, France.ORCID http://orcid.org/0000-0001-5904-1286
Meral BeksacAnkara University Faculty of Medicine, Ankara, Turkey.
Stefan SchönlandMedical Department V, University Hospital Heidelberg, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-4853-5579
Ibrahim Yakoub-AghaUniv. Lille, CHU Lille, INSERM, Infinite, U1286, Lille, France.ORCID http://orcid.org/0000-0003-4524-8782
European Society for Blood and Marrow Transplantation · NLAnkara University · TRCasa Sollievo della Sofferenza · ITCentre Hospitalier Universitaire de Bordeaux · FRCentre Hospitalier Universitaire de Rennes · FRHeidelberg University · DEHôpital Lapeyronie · FRInserm · FRIRCCS Ospedale San Raffaele · ITKarolinska University Hospital · SELeiden University · NLLMU Klinikum · DEMarqués de Valdecilla University Hospital · ESOspedale Policlinico San Martino · ITOspedali Riuniti di Ancona · ITRadboud University Nijmegen · NLRoyal Marsden Hospital · GBSorbonne Université · FRThe Christie Hospital · GBTrinity College Dublin · IE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The EBMT Chronic Malignancies Working Party performed a retrospective analysis of 215 patients who underwent a second allo-HCT for myeloma between 1994 and 2017, 159 for relapse and 56 for graft failure. In the relapse group, overall survival (OS) was 38% (30-46%) at 2 years and 25% (17-32%) at 5 years. Patients who had a HLA-identical sibling (HLAid-Sib) donor for their first and second transplants had superior OS (5 year OS: HLAid-Sib/HLAid-Sib: 35% (24-46%); Others 9% (0-17%), p < 0.001). There was a significantly higher incidence of acute grade II-IV GvHD in those patients who had also developed GvHD following their initial HLA-identical sibling allo-HCT (HLAid-Sib/HLAid-Sib: 50% (33-67%); Other 22% (8-36%), p = 0.03). More as opposed to fewer than 2 years between transplants was associated with superior 5-yr OS (31% (21-40%) vs. 10% (1-20%), P = 0.005). On multivariate analysis, consecutive HLA-identical sibling donor transplants conferred a significant OS advantage (0.4 (0.24-0.67), p < 0.001). In the graft failure group, OS was 41% at 2 years. In summary, a second allo-HCT using a HLA-identical sibling donor, if available, provides the best transplant outcomes for relapsed myeloma in this setting.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationMultiple MyelomaAllograftsHumansNeoplasm Recurrence, LocalRetrospective StudiesTransplantation Conditioning

Identifiers

PMID33976382
PMCPMC8486670
OpenAlexW3163367239

What OpenQuestion holds

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Registered trials

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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.