Evidence map›Paper›PMID 34396331›Full record

ArticleJACC. CardioOncology2021

Early Cardiac Toxicity Associated With Post-Transplant Cyclophosphamide in Allogeneic Stem Cell Transplantation.

Rémy Duléry, Razan Mohty, Myriam Labopin, Simona Sestili, Florent Malard, Eolia Brissot, Giorgia Battipaglia, Clémence Médiavilla, Anne Banet, Zoé Van de Wyngaert and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in JACC. CardioOncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07719946 (Phase II Trial of Reduced Dose Post Transplant Cyclophosphamide After Haploidentical Hematopoietic Stem Cell Transplant in Hematological Malignancies), which is not on this map. Cited by 81 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
81citing papers in PubMed, 2 pooled it
12.6field-weighted citation impact, top 1% 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.

NCT07719946 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Phase II Trial of Reduced Dose Post Transplant Cyclophosphamide After Haploidentical Hematopoietic Stem Cell Transplant in Hematological Malignancies

TypeinterventionalSponsorTata Memorial CentreRan2025 to 2028Enrolled20ConditionsHaploidentical Hematopoietic Stem Cell Transplant, Hematological MalignanciesArmsCyclophosphamide
3 · Its place in the literature

Who cites it

81 citing papers in PubMed, 2 syntheses or guidelines pooled it, 133 citations in OpenAlex.

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21 more citing papers are in PubMed but not listed here.

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

22 authors at 4 institutions in 1 country.

Rémy DuléryDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Razan MohtyDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Myriam LabopinDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Simona SestiliDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Florent MalardDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Eolia BrissotDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Giorgia BattipagliaDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Clémence MédiavillaDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Anne BanetDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Zoé Van de WyngaertDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Annalisa PaviglianitiDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Ramdane BelhocineDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Françoise IsnardDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Simona LapusanDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Rosa AdaevaDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Anne VekhoffDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Tounes LedraaDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Ollivier LegrandDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Ariel CohenDepartment of Hematology, Sorbonne University, Paris, France.
Agnès BonninDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Stéphane EderhyDepartment of Cardiology, UNICO-GRECO Cardio-oncology Program, Sorbonne University, Saint Antoine Hospital, Assistance Publique - Hôpitaux de Paris, Paris, France.
Mohamad MohtyDepartment of Clinical Hematology and Cellular Therapy, Saint Antoine Hospital, Assistance Publique-Hôpitaux de Paris, Paris, France.
Assistance Publique – Hôpitaux de Paris · FRSorbonne Université · FRHôpital Saint-Antoine · FRCentre de Recherche Saint-Antoine · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPost-transplant cyclophosphamide (PT-Cy) has become a standard of care in haploidentical hematopoietic stem cell transplantation (HSCT) to reduce the risk of graft-versus-host disease. However, data on cardiac events associated with PT-Cy are scarce.

objectivesThis study sought to assess the incidence and clinical features of cardiac events associated with PT-Cy.

methodsThe study compared clinical outcomes between patients who received PT-Cy (n = 136) and patients who did not (n = 195), with a focus on early cardiac events (ECE) occurring within the first 100 days after HSCT. All patients had the same systematic cardiac monitoring.

resultsThe cumulative incidence of ECE was 19% in the PT-Cy group and 6% in the no-PT-Cy group (p < 0.001). The main ECE occurring after PT-Cy were left ventricular systolic dysfunction (13%), acute pulmonary edema (7%), pericarditis (4%), arrhythmia (3%), and acute coronary syndrome (2%). Cardiovascular risk factors were not associated with ECE. In multivariable analysis, the use of PT-Cy was associated with ECE (hazard ratio: 2.7; 95% confidence interval: 1.4 to 4.9; p = 0.002]. Older age, sequential conditioning regimen, and Cy exposure before HSCT were also associated with a higher incidence of ECE. Finally, a history of cardiac events before HSCT and ECE had a detrimental impact on overall survival.

conclusionsPT-Cy is associated with a higher incidence of ECE occurring within the first 100 days after HSCT. Patients who have a cardiac event after HSCT have lower overall survival. These results may help to improve the selection of patients who are eligible to undergo HSCT with PT-Cy, especially older adult patients and patients with previous exposure to Cy.

Indexed as

allogeneic stem cell transplantationcardiotoxicityCI, confidence intervalCVD, cardiovascular diseaseCVRF, cardiovascular risk factorCy, cyclophosphamideECE, early cardiac eventsGRFS, graft-versus-host disease-free, relapse-free survivalGVHD, graft-versus-host diseasehaploidentical transplantationHR, hazard ratioHSCT, hematopoietic stem cell transplantationleft ventricular systolic dysfunctionLVEF, left ventricular ejection fractionLVSD, left ventricular systolic dysfunctionpost-transplant cyclophosphamidePT-Cy, post-transplant cyclophosphamide

Identifiers

PMID34396331
PMCPMC8352028
OpenAlexW3167244443

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.