Evidence map›Paper›PMID 34262142›Full record

ArticleBone marrow transplantation2021

Cytokine release syndrome after haploidentical hematopoietic cell transplantation: an international multicenter analysis.

Ramzi Abboud, Fei Wan, Jacopo Mariotti, Marcos Arango, Luca Castagna, Rizwan Romee, Mehdi Hamadani, Saurabh Chhabra

Registry-linked trialAbstract readMulticenter Study
PubMed Publisher
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. It is linked to trial NCT06828796 (Early Use of Tacrolimus in HLA-Mismatched Haploidentical Allogeneic Hematopoietic Transplantation With Post-Transplant Cyclophosphamide), which is not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
5.3field-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.

NCT06828796 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Early Use of Tacrolimus in HLA-Mismatched Haploidentical Allogeneic Hematopoietic Transplantation With Post-Transplant Cyclophosphamide

TypeinterventionalSponsorNorthside Hospital, Inc.Ran2025 to 2028Enrolled20ConditionsHematologic Disease and Disorders, Hematopoietic Cell TransplantArmsTacrolimus, Cyclophosphamide, Mycofenolate mofetil
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 41 citations in OpenAlex.

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  13. [CAR-T cell therapy-related long-term cytopenias].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2023
    Article
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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

8 authors at 5 institutions in 3 countries.

Ramzi AbboudDivision of Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Fei WanBiostatistics Shared Resource Siteman Cancer Center, Washington University School of Medicine, St. Louis, MO, USA.
Jacopo MariottiHumanitas Clinical and Research Center, IRCCS, Rozzano, Milan, Italy.ORCID http://orcid.org/0000-0001-6528-9296
Marcos ArangoHematology and Stem Cell Transplantation, Hospital Pablo Tobón Uribe, Medellín, Colombia.ORCID http://orcid.org/0000-0002-5326-8022
Luca CastagnaHumanitas Clinical and Research Center, IRCCS, Rozzano, Milan, Italy.
Rizwan RomeeBMT and Cellular Therapy Program, Dana Farber Cancer Center, Harvard Medical School, Boston, MA, USA.
Mehdi HamadaniBMT and Cellular Therapy Program, Division of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA.ORCID http://orcid.org/0000-0001-5372-510X
Saurabh ChhabraBMT and Cellular Therapy Program, Division of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, WI, USA. schhabra@mcw.edu.ORCID http://orcid.org/0000-0001-9117-8696
Humanitas University · ITMedical College of Wisconsin · USWashington University in St. Louis · USHarvard University · USHospital Pablo Tobon Uribe · CO

Funding

Washington University Cancer Genomics and Outcomes Research STRENGTH ProgramR25CA190190 · NCI · WASHINGTON UNIVERSITY · PI GOVINDAN, RAMASWAMY · 2015 to 2019
$1.0M
NCI NIH HHS R25 CA190190
6 · The paper itself

Abstract

Haploidentical related donor transplantation (haplo-HCT) is associated with cytokine release syndrome (CRS). We conducted a multicenter retrospective study to analyze risk factors for CRS and outcomes after haplo-HCT. We included 451 patients from four academic centers receiving both peripheral blood and bone marrow grafts. Severe CRS was more common with PB vs. BM grafts (19.5% vs 4.9%, OR 2.9, p = 0.05). Multivariable analysis identified recipient CMV sero-positivity, prior transplant, HCT-CI score and donor-recipient sex mismatch as risk factors for severe CRS. Outcomes were analyzed with no CRS as the comparison group. Overall survival (OS) was superior with mild CRS (HR 0.64, p = 0.05) and worst with severe CRS (HR 2.12, p = 0.0038). Relapse risk was significantly decreased in both mild CRS (HR 0.38, p < 0.0001) and severe CRS (HR 0.17, p < 0.0001) groups. The risk of non-relapse mortality was notably higher in severe CRS group (HR 8.0, p < 0.0001), but not in mild CRS group. Acute GVHD was similar among groups. Chronic GVHD at 1 year was 18.5% for no CRS, 23% for mild CRS, and 4.3% for severe CRS (p = 0.0023), with the competing risk of early mortality and short follow up of surviving patients contributing to the low chronic GVHD rates in the severe CRS group.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationCyclophosphamideCytokine Release SyndromeHumansRetrospective StudiesTransplantation ConditioningTransplantation, HaploidenticalCyclophosphamide

Identifiers

PMID34262142
OpenAlexW3179918147

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.