Evidence map›Paper›PMID 34750562›Full record

ArticleBone marrow transplantation2022

Long-term results and GvHD after prophylactic and preemptive donor lymphocyte infusion after allogeneic stem cell transplantation for acute leukemia.

Christoph Schmid, Myriam Labopin, Nicolaas Schaap, Hendrik Veelken, Arne Brecht, Michael Stadler, Juergen Finke, Frederic Baron, Matthew Collin, Gesine Bug and 12 more

Open access · hybridAbstract read
In one paragraph

Article in Bone marrow transplantation, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 2 pooled it
11.4field-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.

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

58 citing papers in PubMed, 2 syntheses or guidelines pooled it, 99 citations in OpenAlex.

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  20. Is There (Still) a Place for Sequential Conditioning?Current oncology (Toronto, Ont.) · 2025
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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

22 authors at 20 institutions in 12 countries.

Christoph SchmidDepartment of Hematology and Oncology, Augsburg University Hospital and Medical Faculty, Augsburg, Germany. Christoph.Schmid@uk-augsburg.de.ORCID http://orcid.org/0000-0001-7070-487X
Myriam LabopinEBMT Study Office, Saint Antoine Hospital, Paris, France.ORCID http://orcid.org/0000-0003-4514-4748
Nicolaas SchaapRadboud University Medical Centre Nijmegen, Nijmegen, The Netherlands.
Hendrik VeelkenDepartment of Hematology, Leiden University Medical Center, Leiden, The Netherlands.ORCID http://orcid.org/0000-0002-9108-3125
Arne BrechtHelios Dr. Horst Schmidt Kliniken, Wiesbaden, Germany.
Michael StadlerDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Juergen FinkeDepartment of Hematology and Medical Oncology, University of Freiburg, Freiburg, Germany.
Frederic BaronDepartment of Medicine, Division of Hematology, University of Liège, Belgium, Liege.ORCID http://orcid.org/0000-0002-2944-3812
Matthew CollinBone Marrow Transplant Unit, Northern Centre for Bone Marrow Transplantation, Newcastle-upon-Tyne, UK.ORCID http://orcid.org/0000-0001-6585-9586
Gesine BugDepartment of Medicine 2, Goethe University Frankfurt, Frankfurt am Main, Germany.
Per LjungmanDepartment of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska University Hospital Huddinge, Stockholm, Sweden.ORCID http://orcid.org/0000-0002-8281-3245
Didier BlaiseProgramme de Transplantation & Therapie Cellulaire-Centre de Recherche en Cancérologie de Marseille-Institut Paoli Calmettes, Marseille, France.ORCID http://orcid.org/0000-0002-5684-9447
Johanna TischerDepartment of Medicine 3, Hematology and Oncology, Ludwig-Maximilian-University, Munich, Germany.
Adrian BloorStem Cell Transplantation Unit, The Christie NHS Foundation Trust, Manchester, UK.ORCID http://orcid.org/0000-0003-4550-220X
Aleksander KulaginRM Gorbacheva Research Institute, Pavlov University, St. Petersburg, Russia.ORCID http://orcid.org/0000-0002-9589-4136
Sebastian GiebelDepartment of Bone Marrow Transplantation and Onco-Hematology, Maria Sklodowska-Curie Institute - Oncology Center, Gliwice Branch, Gliwice, Poland.ORCID http://orcid.org/0000-0002-4827-4401
Norbert-Claude GorinFaculté de Médicine Saint-Antoine and EBM study office, Saint Antoine Hospital, Paris, France.
Jordi EsteveHospital Clinic Barcelona, Institute of Hematology and Oncology, Barcelona, Spain.ORCID http://orcid.org/0000-0002-8056-648X
Fabio CiceriHematology and Bone Marrow Transplantation Unit, San Raffaele Scientific Institute, Milano, Italy.ORCID http://orcid.org/0000-0003-0873-0123
Bipin SavaniVanderbilt University Medical Center, Nashville, TN, USA.ORCID http://orcid.org/0000-0002-3304-9965
Arnon Nagler *BMT and Cord Blood Bank, Chaim Sheba Medical Center, Tel Aviv University, Tel-Hashomer, Israel.
Mohamad Mohty *EBMT Study Office, Saint Antoine Hospital, Paris, France.ORCID http://orcid.org/0000-0002-7264-808X
Inserm · FRFirst Pavlov State Medical University of St. Petersburg · RUGoethe University Frankfurt · DEHelios Dr. Horst Schmidt Kliniken Wiesbaden · DEHospital Clínic de Barcelona · ESInstitut Pprime · FRKarolinska University Hospital · SELeiden University Medical Center · NLLudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DENewcastle upon Tyne Hospitals NHS Foundation Trust · GBRadboud University Nijmegen · NLSan Raffaele University of Rome · ITSorbonne Université · FRTel Aviv University · ILThe Christie NHS Foundation Trust · GBThe Maria Sklodowska-Curie National Research Institute of Oncology · PLUniversity of Augsburg · DEUniversity of Freiburg · DEUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We report on 318 patients with acute leukemia, receiving donor lymphocyte infusion (DLI) in complete hematologic remission (CHR) after allogeneic stem cell transplantation (alloSCT). DLI were applied preemptively (preDLI) for minimal residual disease (MRD, n = 23) or mixed chimerism (MC, n = 169), or as prophylaxis in high-risk patients with complete chimerism and molecular remission (proDLI, n = 126). Median interval from alloSCT to DLI1 was 176 days, median follow-up was 7.0 years. Five-year cumulative relapse incidence (CRI), non-relapse mortality (NRM), leukemia-free and overall survival (LFS/OS) of the entire cohort were 29.1%, 12.7%, 58.2%, and 64.3%. Cumulative incidences of acute graft-versus-host disease (aGvHD) grade II-IV°/chronic GvHD were 11.9%/31%. Nineteen patients (6%) died from DLI-induced GvHD. Age ≥60 years (p = 0.046), advanced stage at transplantation (p = 0.003), shorter interval from transplantation (p = 0.018), and prior aGvHD ≥II° (p = 0.036) were risk factors for DLI-induced GvHD. GvHD did not influence CRI, but was associated with NRM and lower LFS/OS. Efficacy of preDLI was demonstrated by decreasing MRD/increasing blood counts in 71%, and increasing chimerism in 70%. Five-year OS after preDLI for MRD/MC was 51%/68% among responders, and 37% among non-responders. The study describes response and outcome of DLI in CHR and helps to identify candidates without increased risk of severe GvHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAcute DiseaseHumansLymphocytesLymphocyte TransfusionMiddle AgedNeoplasm, ResidualRecurrenceRetrospective StudiesTransplantation Conditioning

Identifiers

PMID34750562
PMCPMC8821014
OpenAlexW3212405707

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.