Evidence map›Paper›PMID 35143644›Full record

Trial reportBlood advances2022

Posttransplant cyclophosphamide for prevention of graft-versus-host disease: results of the prospective randomized HOVON-96 trial.

Annoek E C Broers, Cornelis N de Jong, Katerina Bakunina, Mette D Hazenberg, Marinus van Marwijk Kooy, Marco R de Groot, Michel van Gelder, Jürgen Kuball, Bronno van der Holt, Ellen Meijer and 1 more

Open access · goldAbstract readClinical Trial, Phase IIIMulticenter StudyRandomized Controlled 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. Cited by 85 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
85citing papers in PubMed, 2 pooled it
16.5field-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

85 citing papers in PubMed, 2 syntheses or guidelines pooled it, 113 citations in OpenAlex.

  1. Post-transplant cyclophosphamideFrontiers in oncology · 2023
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25 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

11 authors at 7 institutions in 1 country.

Annoek E C BroersDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Cornelis N de JongDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Katerina BakuninaHOVON Data Center, Department of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Mette D HazenbergDepartment of Hematology, Amsterdam UMC, location AMC, Amsterdam, The Netherlands.ORCID 0000-0002-5113-0249
Marinus van Marwijk KooyDepartment of Hematology, Isala Klinieken, Zwolle, The Netherlands.
Marco R de GrootDepartment of Hematology, UMC Groningen, Groningen, The Netherlands.
Michel van GelderDepartment of Hematology, Maastricht UMC+, Maastricht, The Netherlands.
Jürgen KuballDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands; and.ORCID 0000-0002-3914-7806
Bronno van der HoltHOVON Data Center, Department of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Ellen MeijerDepartment of Hematology, Amsterdam UMC, location VU, Amsterdam, The Netherlands.
Jan J CornelissenDepartment of Hematology, Erasmus MC Cancer Institute, Rotterdam, The Netherlands.
Erasmus MC Cancer Institute · NLAmsterdam University Medical Centers · NLIsala · NLMaastricht University Medical Centre · NLUniversity Medical Center Groningen · NLUniversity Medical Center Utrecht · NLZiekenhuis Gelderse Vallei · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Graft-versus-host disease (GVHD) is the most important complication of allogeneic hematopoietic stem cell transplantation (alloHSCT). We performed a prospective randomized, multicenter, phase 3 trial to study whether posttransplant cyclophosphamide (PT-Cy) combined with a short course of cyclosporine A (CsA) would result in a reduction of severe GVHD and improvement of GVHD-free, relapse-free survival (GRFS) as compared with the combination of CsA and mycophenolic acid (MPA) after nonmyeloablative (NMA) matched related and unrelated peripheral blood alloHSCT. Between October 2013 and June 2018, 160 patients diagnosed with a high-risk hematological malignancy and having a matched related or at least 8 out of 8 HLA-matched unrelated donor were randomized and allocated in a 1:2 ratio to CsA/MPA or PT-Cy/CsA; a total of 151 patients were transplanted (52 vs 99 patients, respectively). The cumulative incidence of grade 2 to 4 acute GVHD at 6 months was 48% in recipients of CsA/MPA vs 30% following PT-Cy/CsA (hazard ratio [HR], 0.48; 95% confidence interval [CI], 0.29-0.82; P = .007). The 2-year cumulative incidence of extensive chronic GVHD was 48% vs 16% (HR, 0.36; 95% CI, 0.21-0.64; P < .001). The 1-year estimate of GRFS was 21% (11% to 32%) vs 45% (35% to 55%), P < .001. With a median follow-up of 56.4 months, relapse incidence, progression-free survival, and overall survival were not significantly different between the 2 treatment arms. PT-Cy combined with a short course of CsA after NMA matched alloHSCT significantly improves GRFS due to a significant reduction in severe acute and chronic GVHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationCyclophosphamideCyclosporineHumansMycophenolic AcidNeoplasm Recurrence, LocalProspective StudiesCyclophosphamideCyclosporineMycophenolic Acid

Identifiers

PMID35143644
PMCPMC9198908
OpenAlexW4211182690

What OpenQuestion holds

Textmetadata
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.