Evidence map›Paper›PMID 34781360›Full record

Observational studyBlood advances2022

Variables affecting outcomes after allogeneic hematopoietic stem cell transplant for cerebral adrenoleukodystrophy.

Robert Chiesa, Jaap Jan Boelens, Christine N Duncan, Jörn-Sven Kühl, Caroline Sevin, Neena Kapoor, Vinod K Prasad, Caroline A Lindemans, Simon A Jones, Hernan M Amartino and 9 more

Registry-linked trialOpen access · goldAbstract readObservational Study
In one paragraph

Observational study 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 NCT02204904 (A Prospective and Retrospective Data Collection Study to Evaluate Outcomes in Males ≤17 Years of Age Undergoing Allogeneic Hematopoietic Stem Cell Transplantation for the Treatment of Cerebral Adrenoleukodystrophy), 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
1.9field-weighted citation impact, top 13% 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.

NCT02204904 terminatednot on this map

A Prospective and Retrospective Data Collection Study to Evaluate Outcomes in Males ≤17 Years of Age Undergoing Allogeneic Hematopoietic Stem Cell Transplantation for the Treatment of Cerebral Adrenoleukodystrophy

TypeobservationalSponsorGenetix Biotherapeutics Inc.Ran2015 to 2019Enrolled59ConditionsX-Linked Adrenoleukodystrophy (X-ALD), Cerebral Adrenoleukodystrophy (CALD), Adrenoleukodystrophy (ALD)ArmsAllo-HSCT
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 34 citations in OpenAlex.

  1. Lentiviral Gene Therapy for Cerebral Adrenoleukodystrophy.The New England journal of medicine · 2024
    Trial
  2. Trial
  3. Trial
  4. Article
  5. Inpatient Deaths in Pediatric Leukodystrophies.Annals of the Child Neurology Society · 2026
    Article
  6. Article
  7. Nervonic acid supplementation mitigates disease severity biomarkers in adrenoleukodystrophy.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2026
    Article
  8. Article
  9. Gene Therapy-Related Malignancy and the Risk of Cancer Exceptionalism.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Review
  14. Reporting ABCD1 variants as actionable secondary findings on exome and genome sequencing.Genetics in medicine : official journal of the American College of Medical Genetics · 2025
    Article
  15. Article
  16. Article
  17. Article
  18. Easily misdiagnosed X-linked adrenoleukodystrophy.Italian journal of pediatrics · 2024
    Article
  19. Gene therapy for the leukodystrophies: From preclinical animal studies to clinical trials.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2024
    Review
  20. 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

19 authors at 15 institutions in 8 countries.

Robert ChiesaBone Marrow Transplant Department, Great Ormond Street Hospital for Children, London, UK.
Jaap Jan BoelensStem Cell Transplantation andCellular Therapies, Department of Pediatrics, Memorial Sloan-Kettering Cancer Center, New York, NY.ORCID 0000-0003-2232-6952
Christine N DuncanDepartment of Pediatric Oncology, Boston Children's Hospital and Dana-Farber Cancer Institute, Boston, MA.
Jörn-Sven KühlStem Cell Transplantation, Department of Pediatric Oncology, Hematology and Hemostasis, University Hospital Leipzig, Leipzig, Germany.
Caroline SevinPediatric Neurology Department, Leukodystrophies Reference Center, Hôpital Universitaire Hôpital Bicêtre-Hôpitaux Universitaires Paris Sud, Paris, France.
Neena KapoorHematology, Oncology and Blood & Marrow Transplantation, Department of Pediatrics, Children's Hospital Los Angeles, Los Angeles, CA.
Vinod K PrasadDivision of Pediatric Transplant and Cellular Therapy, Department of Pediatrics, Duke University Medical Center, Durham, NC.ORCID 0000-0001-8151-8212
Caroline A LindemansPediatric Blood and Bone Marrow Transplantation Program, Princess Máxima Center for Pediatric Oncology, Utrecht, the Netherlands.
Simon A JonesPaediatric Inborn Errors of Metabolism, Manchester University NHS Foundation Trust, Manchester, UK.
Hernan M AmartinoChild Neurology Service, Hospital Universitario Austral, Buenos Aires, Argentina.
Mattia AlgeriDepartment ofPediatric Hematology and Oncology, Cell and Gene Therapy,Bambino GesùChildren's Hospital,IRRCS, Rome, Italy.
Nancy BuninCellular Therapy and Transplant Section, Division of Oncology, Children's Hospital of Philadelphia, Philadelphia, PA.
Cristina Diaz-de-HerediaPaediatric Oncology and Haematology Department, Hospital Universitari Vall d'Hebron and Vall d'Hebron Institut de Recerca, Barcelona, Spain.ORCID 0000-0001-8086-296X
Daniel J LoesMidwest Radiology, Minneapolis, MN.
Esther Shamirbluebird bio, Inc., Cambridge, MA; and.
Alison Timmbluebird bio, Inc., Cambridge, MA; and.
Elizabeth McNeilbluebird bio, Inc., Cambridge, MA; and.
Andrew C Dietzbluebird bio, Inc., Cambridge, MA; and.
Paul J OrchardBlood and Marrow Transplantation Program, Department of Pediatrics, University of Minnesota.ORCID 0000-0001-9426-1292
Bluebird Bio (United States) · USBambino Gesù Children's Hospital · ITBoston Children's Hospital · USChildren's Hospital of Los Angeles · USChildren's Hospital of Philadelphia · USDuke Medical Center · USGreat Ormond Street Hospital · GBHôpitaux Universitaires Paris-Ouest · FRHospital Universitario Austral · ARManchester University NHS Foundation Trust · GBMemorial Sloan Kettering Cancer Center · USUniversity Hospital Leipzig · DEUniversity Medical Center Utrecht · NLUniversity of Minnesota · USVall d'Hebron Institut de Recerca · ES

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
NCI NIH HHS P30 CA008748
6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) in early cerebral adrenoleukodystrophy can stabilize neurologic function and improve survival but has associated risks including transplant-related mortality (TRM), graft failure, and graft-versus-host disease (GVHD). An observational study of 59 patients with median age at allo-HSCT of 8 years addressed impact of donor source, donor match, conditioning regimen, and cerebral disease stage on first allo-HSCT outcomes. Efficacy analyses included 53 patients stratified by disease category: advanced disease (AD; n = 16) with Loes score >9 or neurological function score (NFS) >1 and 2 early disease (ED) cohorts (ED1 [Loes ≤4 and NFS ≤1; n = 24] and ED2 [Loes >4-9 and NFS ≤1; n = 13]). Survival free of major functional disabilities and without second allo-HSCT at 4 years was significantly higher in the ED (66%) vs AD (41%) cohort (P = .015) and comparable between ED1 and ED2 cohorts (P = .991). The stabilization of neurologic function posttransplant was greater in the ED vs AD cohort, with a median change from baseline at 24 months after allo-HSCT in NFS and Loes score, respectively, of 0 and 0.5 in ED1 (n = 13), 0.5 and 0 in ED2 (n = 6), and 2.5 and 3.0 (n = 4) in AD cohort. TRM was lower in the ED (7%) compared with the AD (22%) cohort; however, the difference was not significant (P = .094). Transplant-related safety outcomes were also affected by transplant-related characteristics: graft failure incidence was significantly higher with unrelated umbilical cord grafts vs matched related donors (P = .039), and acute GVHD and graft failure incidences varied by conditioning regimen. This study was registered at www://clinicaltrials.gov as #NCT02204904.

Indexed as

AdrenoleukodystrophyGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansRecurrenceTransplantation Conditioning

Identifiers

PMID34781360
PMCPMC8905699
OpenAlexW3213536798

What OpenQuestion holds

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LicenceCC BY-NC-ND
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.