Evidence map›Paper›PMID 34049582›Full record

ArticleJournal of hematology & oncology2021

Post-transplant cyclophosphamide containing regimens after matched sibling, matched unrelated and haploidentical donor transplants in patients with acute lymphoblastic leukemia in first complete remission, a comparative study of the ALWP of the EBMT.

Jaime Sanz, Jacques-Emmanuel Galimard, Myriam Labopin, Boris Afanasyev, Moiseev Ivan Sergeevich, Emanuele Angelucci, Nicolaus Kröger, Yener Koc, Fabio Ciceri, J L Diez-Martin and 9 more

Open access · goldAbstract readComparative Study
In one paragraph

Article in Journal of hematology & oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed, 1 pooled it
4.8field-weighted citation impact, top 4% 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

34 citing papers in PubMed, 1 synthesis or guideline pooled it, 48 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

19 authors at 14 institutions in 9 countries.

Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia, Spain. sanz_jai@gva.es.ORCID 0000-0001-6934-4619
Jacques-Emmanuel GalimardEBMT Paris Study Office, Department of Haematology, Saint Antoine Hospital, INSERM UMR 938, Sorbonne University, Paris, France.
Myriam LabopinEBMT Paris Study Office, Department of Haematology, Saint Antoine Hospital, INSERM UMR 938, Sorbonne University, Paris, France.
Boris AfanasyevRM Gorbacheva Research Institute, Pavlov University, Lva Tolstogo 6/8, 197022, Saint-Petersburg, Russian Federation.
Moiseev Ivan SergeevichRM Gorbacheva Research Institute, Pavlov University, Lva Tolstogo 6/8, 197022, Saint-Petersburg, Russian Federation.
Emanuele AngelucciHematology and Transplant Center, IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Nicolaus KrögerBone Marrow Transplantation Centre, University Hospital Eppendorf, Hamburg, Germany.
Yener KocMedicana International, Istanbul, Turkey.
Fabio CiceriOspedale San Raffaele s.r.l., Haematology and BMT, Milan, Italy.
J L Diez-MartinHematology Department, Hospital GU Gregorio Marañon, Instituto de Investigación Sanitaria Gregorio Marañon, Universidad Complutense Madrid, Madrid, Spain.
Mutlu AratFlorence Nightingale Sisli Hospital, Hematopoietic SCT Unit, Istanbul, Turkey.
Simona SicaIstituto di Ematologia, Universita Cattolica S. Cuore, Rome, Italy.
Montserrat RoviraDepartment of Hematology, Hospital Clinic, Institute of Hematology and Oncology, Barcelona, Spain.
Mahmoud AljurfKing Faisal Specialist Hospital and Research Centre Oncology (Section of Adult Haematolgy/BMT), Riyadh, Saudi Arabia.
Johanna TischerDepartment of Internal Medicine III, Grosshadern, LMU, University Hospital of Munich, Munich, Germany.
Bipin SavaniVanderbilt University Medical Center, Nashville, TN, USA.
Annalisa RuggeriOspedale San Raffaele s.r.l., Haematology and BMT, Milan, Italy.
Arnon NaglerDivision of Hematology and Bone Marrow Transplantation, The Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel.
Mohamad MohtyDepartment of Hematology, and INSERM UMRs 938, Hopital Saint Antoine, Sorbonne University, Paris, France.
Inserm · FRFirst Pavlov State Medical University of St. Petersburg · RUIRCCS Ospedale San Raffaele · ITHospital Clínic de Barcelona · ESInstituto de Salud Carlos III · ESIstanbul Florence Nightingale Hospital · TRKing Faisal Specialist Hospital & Research Centre · SALMU Klinikum · DEOspedale Policlinico San Martino · ITSheba Medical Center · ILUniversidad Complutense de Madrid · ESUniversità Cattolica del Sacro Cuore · ITUniversität Hamburg · DEVanderbilt University Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is no information on the impact of donor type in allogeneic hematopoietic stem cell transplantation (HCT) using homogeneous graft-versus-host (GVHD) prophylaxis with post-transplant cyclophosphamide (PTCy) in acute lymphoblastic leukemia (ALL).

methodsWe retrospectively analyzed outcomes of adult patients with ALL in CR1 that had received HCT with PTCy as GVHD prophylaxis from HLA-matched sibling (MSD) (n = 78), matched unrelated (MUD) (n = 94) and haploidentical family (Haplo) (n = 297) donors registered in the EBMT database between 2010 and 2018. The median follow-up period of the entire cohort was 2.2 years.

resultsMedian age of patients was 38 years (range 18-76). Compared to MSD and MUD, Haplo patients received peripheral blood less frequently. For Haplo, MUD, and MSD, the cumulative incidence of 100-day acute GVHD grade II-IV and III-IV, and 2-year chronic and extensive chronic GVHD were 32%, 41%, and 34% (p = 0.4); 13%, 15%, and 15% (p = 0.8); 35%, 50%, and 42% (p = 0.01); and 11%, 17%, and 21% (p = 0.2), respectively. At 2 years, the cumulative incidence of relapse and non-relapse mortality was 20%, 20%, and 28% (p = 0.8); and 21%, 18%, and 21% (p = 0.8) for Haplo, MUD, and MSD, respectively. The leukemia-free survival, overall survival and GVHD-free, relapse-free survival for Haplo, MUD, and MSD was 59%, 62%, and 51% (p = 0.8); 66%, 69%, and 62% (p = 0.8); and 46%, 44%, and 35% (p = 0.9), respectively. On multivariable analysis, transplant outcomes did not differ significantly between donor types. TBI-based conditioning was associated with better LFS.

conclusionsDonor type did not significantly affect transplant outcome in patient with ALL receiving SCT with PTCy.

Indexed as

Hematopoietic Stem Cell TransplantationAdultAgedAntineoplastic Agents, AlkylatingCyclophosphamideFemaleGraft vs Host DiseaseHumansMaleMiddle AgedPrecursor Cell Lymphoblastic Leukemia-LymphomaRetrospective StudiesTransplantation, HaploidenticalTransplantation, HomologousTreatment OutcomeYoung AdultAntineoplastic Agents, AlkylatingCyclophosphamideAcute lymphoblastic leukemiaAllogeneic stem cell transplantAlternative donor transplantsHaploidentical transplantPost-transplant cyclophosphamide

Identifiers

PMID34049582
PMCPMC8161915
OpenAlexW3164618377

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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.