Evidence map›Paper›PMID 34581754›Full record

ArticleBlood advances2021

Impact of cryopreservation and transit times of allogeneic grafts on hematopoietic and immune reconstitution.

Katie Maurer, Haesook T Kim, Thomas M Kuczmarski, Heather M Garrity, Augustine Weber, Carol G Reynolds, Deborah Liney, Corey Cutler, Joseph H Antin, John Koreth and 8 more

Abstract read
In one paragraph

Article in Blood advances, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing 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

21 citing papers in PubMed.

  1. Trial
  2. Observational
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  9. Review
  10. Review
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  14. [PCR for COVID in the transplant protocol].Revista medica del Instituto Mexicano del Seguro Social · 2023
    Observational
  15. Article
  16. Article
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  18. Article
  19. 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

18 authors.

Katie MaurerDepartment of Medical Oncology and.ORCID 0000-0002-4160-181X
Haesook T KimDepartment of Data Science, Dana-Farber Cancer Institute, Harvard School of Public Health, Boston, MA; and.
Thomas M KuczmarskiDepartment of Medicine, Brigham and Women's Hospital, Boston, MA.
Heather M GarrityDepartment of Medical Oncology and.
Augustine WeberDepartment of Medical Oncology and.
Carol G ReynoldsDepartment of Medical Oncology and.
Deborah LineyDepartment of Medical Oncology and.
Corey CutlerDepartment of Medical Oncology and.ORCID 0000-0001-8728-4314
Joseph H AntinDepartment of Medical Oncology and.
John KorethDepartment of Medical Oncology and.
Jerome RitzDepartment of Medical Oncology and.ORCID 0000-0001-5526-4669
Roman M ShapiroDepartment of Medical Oncology and.
Rizwan RomeeDepartment of Medical Oncology and.
Catherine J WuDepartment of Medical Oncology and.ORCID 0000-0002-3348-5054
Robert J SoifferDepartment of Medical Oncology and.
Sarah NikiforowDepartment of Medical Oncology and.
Vincent T HoDepartment of Medical Oncology and.
Mahasweta GooptuDepartment of Medical Oncology and.

Funding

Single Cell and ImmunogenomicsP01CA229092 · NCI · DANA-FARBER CANCER INST · PI SOIFFER, ROBERT JON · 2019 to 2023
$13.8M
Training Program in Molecular HematologyT32HL116324 · NHLBI · BRIGHAM AND WOMEN'S HOSPITAL · PI NANCY BERLINER · 2013 to 2026
$7.4M
NCI NIH HHS P01 CA229092NHLBI NIH HHS T32 HL116324
6 · The paper itself

Abstract

We sought to evaluate the impact of cryopreservation of unrelated donor (URD) peripheral blood stem cell (PBSC) grafts on engraftment, chimerism, and immune reconstitution in the context of the COVID-19 pandemic. We reviewed stem cell product characteristics and clinical outcomes in 101 patients receiving cryopreserved PBSCs from URDs between January 1, 2019 and 31 December, 2020, compared with 203 patients receiving fresh URD PBSCs. We observed no differences in 6-month overall survival, progression-free survival, or nonrelapse mortality. Patients receiving cryopreserved PBSCs had delayed platelet engraftment and impaired reconstitution of white blood cells and T-cell subsets at day 30. Thirty-four percent of patients receiving cryopreserved grafts had CD3 chimerism <50% at day 30 after transplantation, compared with 14% of patients receiving fresh PBSCs (P = .0002). At day 100, this difference persisted (CD3+ chimerism <50%: 17% of cryopreserved cohort vs 6% of fresh cohort; P = .016). Greater product age at infusion was associated with increased graft failure, independent of cryopreservation. Receipt of grafts >48 hours old at time of cryopreservation or infusion significantly increased the risk of graft failure (subdistribution hazard ratio = 4.57; 95% confidence interval, 1.71-12.3; P = .0025). Our data indicate that cryopreservation is associated with similar overall short-term clinical outcomes compared with fresh PBSC. However, patients must be monitored closely for increased risk of other potentially adverse outcomes, including graft failure and poor immune recovery, particularly for grafts with older overall age at infusion. Longer-term follow-up is needed to determine impact on relapse and survival.

Indexed as

COVID-19Hematopoietic Stem Cell TransplantationImmune ReconstitutionAllograftsCryopreservationHumansPandemicsSARS-CoV-2

Identifiers

PMID34581754
PMCPMC9153034

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

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.