Evidence map›Paper›PMID 34700343›Full record

Trial reportBlood advances2022

Primary graft failure, but not relapse, may be identified by early chimerism following double cord blood unit transplantation.

Rachael Hough, Andre Lopes, Pip Patrick, Nigel Russell, Kavita Raj, Eleni Tholouli, John A Snowden, Matthew Collin, Nadjet El-Mehidi, Anthony Lawrie and 7 more

Registry-linked trialAbstract readClinical Trial
In one paragraph

Trial report in Blood advances, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT00959231 (Transplantation of Umbilical Cord Blood From Unrelated Donors in Patients With Haematological Diseases Using a Reduced Intensity Conditioning Regimen), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT00959231 phase2unknown statusnot on this map

Transplantation of Umbilical Cord Blood From Unrelated Donors in Patients With Haematological Diseases Using a Reduced Intensity Conditioning Regimen

TypeinterventionalSponsorCancer Research UKRan2009Enrolled60ConditionsHematopoietic/Lymphoid CancerArmscyclophosphamide, cyclosporine, fludarabine phosphate, mycophenolate mofetil, laboratory biomarker analysis
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

17 authors.

Rachael HoughDepartment of Haematology, University College London Hospital's NHS Foundation Trust, London, United Kingdom.
Andre LopesCancer Research UK Clinical Trials Unit, University College London Cancer Trials Centre, London, United Kingdom.
Pip PatrickCancer Research UK Clinical Trials Unit, University College London Cancer Trials Centre, London, United Kingdom.
Nigel RussellDepartment of Haematology, Nottingham City Hospital, Nottingham, United Kingdom.
Kavita RajDepartment of Haematology, Kings College Hospital NHS Foundation Trust, London, United Kingdom.
Eleni TholouliDepartment of Haematology, Central Manchester University Hospitals NHS Foundation Trust, Manchester, United Kingdom.
John A SnowdenDepartment of Haematology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, United Kingdom.ORCID 0000-0001-6819-3476
Matthew CollinDepartment of Haematology, Newcastle Upon Tyne Hospitals NHS Foundation Trust, Newcastle, United Kingdom.
Nadjet El-MehidiCancer Research UK Clinical Trials Unit, University College London Cancer Trials Centre, London, United Kingdom.
Anthony LawrieCancer Research UK Clinical Trials Unit, University College London Cancer Trials Centre, London, United Kingdom.
Laura Clifton-HadleyCancer Research UK Clinical Trials Unit, University College London Cancer Trials Centre, London, United Kingdom.
Paul VeysDepartment of Bone Marrow Transplantation, Great Ormond Street Hospital, London, United Kingdom.
Charles CraddockDepartment of Haematology and Bone Marrow Transplantation, Queen Elizabeth Hospital, Birmingham, United Kingdom.ORCID 0000-0001-5041-6678
Stephen MackinnonDepartment of Haematology, University College London Hospital's NHS Foundation Trust, London, United Kingdom.
Gordon CookDepartment of Haematology and Bone Marrow Transplantation, St James University Hospital, Leeds, United Kingdom.
Bronwen ShawCIBMTR, Froedtert & the Medical College of Wisconsin, Milwaukee, WI; and.
David MarksDepartment of Haematology and Bone Marrow Transplantation, University Hospitals Bristol NHS Trust, Bristol, United Kingdom.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Umbilical cord blood transplantation (UCBT) has increased access to potentially curative therapy for patients with life-threatening disorders of the bone marrow and immune system. The introduction of reduced intensity conditioning (RIC) regimens and double umbilical cord unit infusions (DUCBT) has broadened the applicability of UCBT to more frail or larger recipients. The kinetics of chimerism after RIC DUCBT and their clinical utility are poorly understood. The RIC CBT trial reported here sought to prospectively evaluate the role of lineage-specific chimerism after DUCBT in adult patients with hematologic malignancies in the United Kingdom. Fifty-eight patients with a median age of 52 years were recruited, with overall and progression-free survivals of 59% (95% confidence interval [CI], 45%-71%) and 52% (95% CI, 39%-64%), respectively, at 2 years. Nonrelapse mortality was 4% (95% CI, 1%-13%) at day 100, and the relapse rate was 31% (95% CI, 21%-45%) at 1 year. Peripheral blood lineage-specific chimerism was feasible from day 7 after transplant onward. Five patterns of chimerism were observed including (1) complete single unit dominance (39 patients), (2) sustained donor-donor mixed chimerism (3 patients), (3) sustained donor-recipient mixed chimerism (5 patients), (4) dominance reversion (1 patient), and (5) primary graft failure (4 patients). The RIC CBT trial enabled adult patients with high-risk hematologic malignancies to safely access UCBT in the United Kingdom and provided novel insights into the kinetics of donor and recipient chimerism after RIC DUCBT that are clinically relevant. This trial was registered at https://www.clinicaltrialsregister.eu/ctr-search/trial/2004-003845-41/GB as #NCT00959231 and EudraCT 2004-003845-41.

Indexed as

Graft vs Host DiseaseHematologic NeoplasmsAdultChimerismCord Blood Stem Cell TransplantationFetal BloodHumansMiddle AgedNeoplasm Recurrence, Local

Identifiers

PMID34700343
PMCPMC9006284

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.