Evidence map›Paper›PMID 34147469›Full record

ArticleTransplantation and cellular therapy2021

National Institutes of Health Consensus Development Project on Criteria for Clinical Trials in Chronic Graft-versus-Host Disease: III. The 2020 Treatment of Chronic GVHD Report.

Zachariah DeFilipp, Daniel R Couriel, Aleksandr Lazaryan, Vijaya Raj Bhatt, Nataliya P Buxbaum, Amin M Alousi, Attilio Olivieri, Drazen Pulanic, Joerg P Halter, Lori A Henderson and 17 more

Registry-linked trialOpen access · hybridAbstract 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. It is linked to trial NCT06756061 (A Nation-wide, Multi-center, Prospective, Randomized, Parallel-group, Open-label, Investigator Initiated Pilot Study to Evaluate Efficacy and Safety of Systemic Corticosteroid Plus Ruxolitinib as First-line Therapy in Patients With New-onset Moderate to Severe Chronic Graft-versus-host Disease), which is not on this map. Cited by 37 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 2 pooled it
6.1field-weighted citation impact, top 3% 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.

NCT06756061 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

A Nation-wide, Multi-center, Prospective, Randomized, Parallel-group, Open-label, Investigator Initiated Pilot Study to Evaluate Efficacy and Safety of Systemic Corticosteroid Plus Ruxolitinib as First-line Therapy in Patients With New-onset Moderate to Severe Chronic Graft-versus-host Disease

TypeinterventionalSponsorByung-Sik ChoRan2025 to 2029Enrolled88ConditionsGVHD - Graft-Versus-Host Disease, Neoplasms, Haematopoietic Stem Cell TransplantationArmsPrednisone + Jakavi(ruxolitinib), Prednisone
3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 2 syntheses or guidelines pooled it, 54 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Trial
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  5. A Multicenter Phase II Trial of Ruxolitinib for Treatment of Corticosteroid Refractory Sclerotic Chronic Graft-Versus-Host Disease.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2024
    Trial
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  7. Trial
  8. Article
  9. Review
  10. Review
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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

27 authors at 15 institutions in 4 countries.

Zachariah DeFilippHematopoietic Cell Transplant and Cellular Therapy Program, Massachusetts General Hospital, Boston, Massachusetts.
Daniel R CourielHuntsman Cancer Center, University of Utah, Salt Lake City, Utah.
Aleksandr LazaryanBlood and Marrow Transplantation and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Vijaya Raj BhattThe Fred and Pamela Buffett Cancer Center, University of Nebraska Medical Center, Omaha, Nebraska.
Nataliya P BuxbaumDepartment of Pediatrics, Roswell Park Comprehensive Cancer Center, Buffalo, New York.
Amin M AlousiDepartment of Stem Cell Transplantation and Cellular Therapy, The University of Texas MD Anderson Cancer Center, Houston, Texas.
Attilio OlivieriHematology and Stem Cell Transplant, Università Politecnica delle Marche, Ancona, Italy.
Drazen PulanicDivision of Hematology, Department of Internal Medicine, University Hospital Centre Zagreb, Medical School, University of Zagreb, Zagreb, Croatia.
Joerg P HalterDivision of Hematology, Department of Medicine, University Hospital of Basel, Basel, Switzerland.
Lori A HendersonClinical Investigations Branch, Cancer Therapy Evaluation Program, Division of Cancer Treatment and Diagnosis, National Cancer Institute, National Institutes of Health, Rockville, Maryland.
Robert ZeiserDepartment of Internal Medicine I, Medical Center - University of Freiburg, Faculty of Medicine, Division of Hematology, Oncology and Stem Cell Transplantation, University clinic of Freiburg, Freiburg, Germany.
Ted A GooleyClinical Research Division. Fred Hutchinson Cancer Research Center, Seattle, Washington.
Kelli P A MacDonaldDepartment of Immunology, Queensland Institute of Medical Research Berghofer Medical Research Institute, Herston, Queensland, Australia.
Daniel WolffDepartment of Internal Medicine III, University Hospital of Regensburg, Regensburg, Germany.
Kirk R SchultzPediatric Hematology/Oncology/BMT, BC Children's Hospital, Vancouver, British Columbia, Canada.
Sophie PaczesnyDepartment of Microbiology and Immunology and Department of Pediatrics, Medical University of South Carolina, Charleston, South Carolina.
Yoshihiro InamotoDepartment of Hematopoietic Stem Cell Transplantation, National Cancer Center Hospital, Tokyo, Japan.
Corey S CutlerDivision of Hematologic Malignancies, Dana Farber Cancer Institute, Boston, Massachusetts.
Carrie L KitkoPediatric Blood and Marrow Transplantation Program, Vanderbilt University Medical Center, Nashville, Tennessee.
Joseph A PidalaBlood and Marrow Transplantation and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.
Stephanie J LeeClinical Research Division. Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Gerard SocieHematology Transplantation, AP-HP Saint Louis Hospital & University of Paris, Paris, France.
Stefanie SarantopoulosDivision of Hematological Malignancies and Cellular Therapy, Duke University Department of Medicine, Duke Cancer Institute, Durham, North Carolina.
Steven Z PavleticCenter for Cancer Research, National Cancer Institute, National Institutes of Health, Bethesda, Maryland.
Paul J MartinClinical Research Division. Fred Hutchinson Cancer Research Center, Seattle, Washington; Department of Medicine, University of Washington, Seattle, Washington.
Bruce R BlazarDepartment of Pediatrics, Division of Blood & Marrow Transplantation & Cellular Therapy, University of Minnesota, Minneapolis, Minnesota.
Hildegard T GreinixClinical Division of Hematology, Medical University of Graz, Graz, Austria. Electronic address: hildegard.greinix@medunigraz.at.
Moffitt Cancer Center · USBritish Columbia Children's Hospital · CADana-Farber Cancer Institute · USDuke Cancer InstituteMassachusetts General Hospital · USMedical University of South Carolina · USNational Institutes of Health · USRoswell Park Comprehensive Cancer Center · USThe University of Texas MD Anderson Cancer Center · USUniversity Hospital Centre Zagreb · HRUniversity Hospital Regensburg · DEUniversity of Minnesota · USUniversity of Nebraska Medical Center · USUniversity of Utah · USVanderbilt University Medical Center · US

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
Intramural NIH HHS ZIA BC011743NCI NIH HHS R01 CA118953
6 · The paper itself

Abstract

Positive results from recent clinical trials have significantly expanded current therapeutic options for patients with chronic graft-versus-host disease (GVHD). However, new insights into the associations between clinical characteristics of chronic GVHD, pathophysiologic mechanisms of disease, and the clinical and biological effects of novel therapeutic agents are required to allow for a more individualized approach to treatment. The current report is focused on setting research priorities and direction in the treatment of chronic GVHD. Detailed correlative scientific studies should be conducted in the context of clinical trials to evaluate associations between clinical outcomes and the biological effect of systemic therapeutics. For patients who require systemic therapy but not urgent initiation of glucocorticoids, clinical trials for initial systemic treatment of chronic GVHD should investigate novel agents as monotherapy without concurrently starting glucocorticoids, to avoid confounding biological, pathological, and clinical assessments. Clinical trials for treatment-refractory disease should specifically target patients with incomplete or suboptimal responses to most recent therapy who are early in their disease course. Close collaboration between academic medical centers, medical societies, and industry is needed to support an individualized, biology-based strategic approach to chronic GVHD therapy.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationChronic DiseaseClinical Trials as TopicHumansNational Institutes of Health (U.S.)United StatesAllogeneic hematopoietic cell transplantationChronic graft-versus-host diseaseConsensusInitial therapyTreatment refractory

Identifiers

PMID34147469
PMCPMC8944207
OpenAlexW3171632039

What OpenQuestion holds

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Registered trials

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.