Evidence map›Paper›PMID 34254289›Full record

ArticleBritish journal of haematology2021

Ruxolitinib resistance or intolerance in steroid-refractory acute graft-versus-host disease - a real-world outcomes analysis.

Sameem Abedin, Nahid Rashid, Mark Schroeder, Rizwan Romee, Mary Nauffal, Muhamad Alhaj Moustafa, Mohamed A Kharfan-Dabaja, Jeanne Palmer, William Hogan, Mehrdad Hefazi and 10 more

Abstract readMulticenter Study
In one paragraph

Article in British journal of haematology, 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
–field-weighted citation impact
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.

  1. Article
  2. Article
  3. Is There a Place for Anti-Thymocyte Globulin in Steroid-Refractory Acute Graft-Versus-Host Disease??Indian journal of hematology & blood transfusion : an official journal of Indian Society of Hematology and Blood Transfusion · 2026
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

20 authors.

Sameem AbedinBlood & Marrow Transplantation and Cellular Therapy Program, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0003-1165-4766
Nahid RashidDivision of Hematology, University of Washington, Seattle, WA, USA.
Mark SchroederDivision of Oncology, Washington University, St Louis, MO, USA.
Rizwan RomeeDepartment of Medical Oncology, Dana-Farber Cancer Institute and Harvard Medical School, Boston, MA, USA.
Mary NauffalDepartment of Pharmacy, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Muhamad Alhaj MoustafaDivision of Hematology-Oncology and Blood and Marrow Transplantation Program, Mayo Clinic, Jacksonville, FL, USA.
Mohamed A Kharfan-DabajaDivision of Hematology-Oncology and Blood and Marrow Transplantation Program, Mayo Clinic, Jacksonville, FL, USA.ORCID 0000-0001-7394-5185
Jeanne PalmerDivision of Hematology/Oncology, Mayo Clinic Arizona, Phoenix, AZ, USA.
William HoganDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN, USA.
Mehrdad HefaziDivision of Hematology, Department of Medicine, Mayo Clinic Rochester, Rochester, MN, USA.
Samantha LarsonHematology/Oncology Pharmacy Program, M Health Fairview, Maple Grove, MN, USA.
Shernan HoltanDivision of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, MN, USA.
Zachariah DeFilippHematopoietic Cell Transplant and Cell Therapy Program, Massachusetts General Hospital, Boston, MA, USA.
Reena JayaniDivision of Hematology and Oncology, Vanderbilt University, Nashville, TN, USA.
Bhagirathbhai DholariaDivision of Hematology and Oncology, Vanderbilt University, Nashville, TN, USA.
Joseph PidalaBlood and Marrow Transplantation and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Farhad KhimaniBlood and Marrow Transplantation and Cellular Immunotherapy, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL, USA.
Michael R GrunwaldDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Atrium Health, Charlotte, NC, USA.
Candace ButlerDepartment of Hematologic Oncology and Blood Disorders, Levine Cancer Institute, Atrium Health, Charlotte, NC, USA.
Mehdi HamadaniBlood & Marrow Transplantation and Cellular Therapy Program, Division of Hematology and Oncology, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID 0000-0001-5372-510X

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Ruxolitinib for steroid-refractory acute graft-versus-host disease (SR-aGVHD) results in resistance or intolerance in 1/5 of patients. Outcomes of such patients are undefined. We identified these patients in a multicentre review and reported outcomes. Ruxolitinib-resistant aGVHD was identified in 48/307 patients. Among patients receiving additional therapy, the overall response rate to next therapy was 36%. Median survival was 21 days. Ruxolitinib intolerance led to treatment discontinuation in 16/307 patients. Ten intolerant patients received additional therapy with 50% experiencing continued improvement of aGVHD. Median survival was 50 days in these patients. These data serve as a baseline for future SR-aGVHD studies.

Indexed as

Acute DiseaseAdultAgedAllograftsBone Marrow TransplantationCord Blood Stem Cell TransplantationDrug ResistanceFemaleGraft vs Host DiseaseHumansImmunosuppressive AgentsMaleMiddle AgedNitrilesPeripheral Blood Stem Cell TransplantationPyrazolesImmunosuppressive AgentsNitrilesPyrazolesPyrimidinesruxolitinibgraft-versus-host diseasestem cell transplantationtransplant

Identifiers

PMID34254289
PMCPMC9293486

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.