Evidence map›Paper›PMID 35680995›Full record

ArticleBone marrow transplantation2022

Post-transplant cyclophosphamide and sirolimus based graft-versus-host disease prophylaxis after allogeneic stem cell transplantation for acute myeloid leukemia.

Lorenzo Lazzari, Aitana Balaguer-Roselló, Juan Montoro, Raffaella Greco, Rafael Hernani, Maria Teresa Lupo-Stanghellini, Marta Villalba, Fabio Giglio, Ana Facal, Francesca Lorentino and 13 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 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.9field-weighted citation impact, top 8% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

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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

23 authors at 4 institutions in 2 countries.

Lorenzo Lazzari *Hematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy. lazzari.lorenzo@hsr.it.ORCID http://orcid.org/0000-0003-0844-0708
Aitana Balaguer-Roselló *Department of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Juan MontoroDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-0024-8068
Raffaella GrecoHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0002-6117-5328
Rafael HernaniDepartment of Hematology, Hospital Clínico Universitario, Valencia, Spain.
Maria Teresa Lupo-StanghelliniHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0003-1382-6939
Marta VillalbaDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Fabio GiglioHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Ana FacalDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.
Francesca LorentinoHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Manuel GuerreiroDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0001-5978-2578
Alessandro BrunoHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Ariadna PérezDepartment of Hematology, Hospital Clínico Universitario, Valencia, Spain.
Elisabetta XueHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Daniela ClericiHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Simona PiemonteseHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0002-5908-0792
José Luis PiñanaDepartment of Hematology, Hospital Clínico Universitario, Valencia, Spain.ORCID http://orcid.org/0000-0001-8533-2562
Miguel Ángel SanzDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0003-1489-1177
Carlos SolanoDepartment of Hematology, Hospital Clínico Universitario, Valencia, Spain.ORCID http://orcid.org/0000-0003-3702-0817
Javier de la RubiaDepartment of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0002-8354-768X
Fabio CiceriHematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.ORCID http://orcid.org/0000-0003-0873-0123
Jacopo Peccatori *Hematology and Bone Marrow Transplantation Unit, IRCCS Ospedale San Raffaele, Milan, Italy.
Jaime Sanz *Department of Hematology, Hospital Universitario y Politécnico La Fe, Valencia, Spain.ORCID http://orcid.org/0000-0001-6934-4619
IRCCS Ospedale San Raffaele · ITHospital Universitari i Politècnic La Fe · ESHospital Clínico Universitario de Valencia · ESUniversitat de València · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Post-transplant cyclophosphamide (PTCy) has emerged as a promising graft-versus-host disease (GvHD) prophylaxis in allogeneic hematopoietic stem cell transplantation (allo-HSCT). However, no studies have reported the efficacy of a GvHD prophylaxis based on PTCy with sirolimus (Sir-PTCy) in patients with acute myeloid leukemia (AML). In this retrospective study, we analyze the use of sirolimus in combination with PTCy, with or without mycophenolate mofetil (MMF), on 242 consecutive adult patients with AML undergoing a myeloablative first allo-HSCT from different donor types, in three European centers between January 2017 and December 2020. Seventy-seven (32%) patients received allo-HSCT from HLA-matched sibling donor, 101 (42%) from HLA-matched and mismatched unrelated donor, and 64 (26%) from haploidentical donor. Except for neutrophil and platelet engraftment, which was slower in the haploidentical cohort, no significant differences were observed in major transplant outcomes according to donor type in univariate and multivariate analysis. GvHD prophylaxis with Sir-PTCy, with or without MMF, is safe and effective in patients with AML undergoing myeloablative allo-HSCT, resulting in low rates of transplant-related mortality, relapse/progression, and acute and chronic GvHD in all donor settings.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAdultCyclophosphamideHumansMycophenolic AcidRetrospective StudiesSirolimusTransplantation ConditioningUnrelated DonorsCyclophosphamideMycophenolic AcidSirolimus

Identifiers

PMID35680995
PMCPMC9439951
OpenAlexW4281750071

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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.