Evidence map›Paper›PMID 35776909›Full record

ArticleBlood2022

KIR-favorable TCR-αβ/CD19-depleted haploidentical HCT in children with ALL/AML/MDS: primary analysis of the PTCTC ONC1401 trial.

Michael A Pulsipher, Kwang W Ahn, Nancy J Bunin, Nahal Lalefar, Eric Anderson, Allyson Flower, Mitchell S Cairo, Julie-An Talano, Sonali Chaudhury, Carrie L Kitko and 5 more

2 registry-linked trialsOpen access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Blood, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
4.3field-weighted citation impact, top 4% 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.

NCT02646839 phase2enrolling by invitationnot on this map

The Role of KIR-favorably Mismatched Haploidentical Transplantation and KIR-polymorphisms in Determining Outcomes of Children With ALL/AML/MDS Undergoing Allogeneic Hematopoietic Cell Transplantation

TypeinterventionalSponsorMichael PulsipherRan2015 to 2025Enrolled50ConditionsAcute Lymphoblastic Leukemia, Acute Myeloid Leukemia, Myelodysplastic SyndromesArmsCliniMacs TCR alpha-beta-Biotin system
NCT07679412 narecruitingnot on this mapstarted 2026, after this paper: background citation

An Exploratory Clinical Study of Autologous LB-DTK-CMV in Patients With Antiviral-Resistant and Refractory Cytomegalovirus Retinitis.

TypeinterventionalSponsorLucasBioRan2026 to 2027Enrolled5ConditionsCMV RetinitisArmsLB-DTK-CMV
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 28 citations in OpenAlex.

  1. Guideline
  2. Trial
  3. Trial
  4. Trial
  5. Trial
  6. Review
  7. Donor selection, graft engineering, and dosing oh my!Hematology. American Society of Hematology. Education Program · 2025
    Review
  8. Towards graft-Haematologica · 2025
    Review
  9. Article
  10. Review
  11. Article
  12. Stem cell transplantation for ALL: you've always got a donor, why not always use it?Hematology. American Society of Hematology. Education Program · 2023
    Review
  13. Article
  14. Article
  15. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors at 11 institutions in 3 countries.

Michael A PulsipherDivision of Hematology and Oncology, Intermountain Primary Children's Hospital, Huntsman Cancer Institute at the University of Utah Spencer Fox Eccles School of Medicine, Salt Lake City, UT.ORCID 0000-0003-3030-8420
Kwang W AhnCenter for International Blood and Marrow Transplant Research, Milwaukee, WI.
Nancy J BuninDivision of Oncology, Center for Childhood Cancer Research and Cancer Immunotherapy Program, Children's Hospital of Philadelphia, Philadelphia, PA.
Nahal LalefarDepartment of Pediatrics, UCSF Benioff Children's Hospital, Oakland, CA.
Eric AndersonRady Children's Hospital San Diego and UC San Diego School of Medicine, San Diego, CA.ORCID 0000-0003-3665-3102
Allyson FlowerMedical College of New York, Valhalla, NY.
Mitchell S CairoMedical College of New York, Valhalla, NY.
Julie-An TalanoDivision of Pediatric Hematology-Oncology, Medical College of Wisconsin, Milwaukee, WI.
Sonali ChaudhuryLurie Children's Hospital of Chicago, Chicago, IL.
Carrie L KitkoDepartment of Pediatrics, Vanderbilt University Medical Center, Nashville, TN.
Jamie L DukeDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, PA.ORCID 0000-0002-4768-0846
Dimitrios MonosDepartment of Pathology and Laboratory Medicine, Perelman School of Medicine, University of Pennsylvania and Children's Hospital of Philadelphia, Philadelphia, PA.
Wing LeungDepartment of Pediatrics, Duke-National University Singapore (NUS), Singapore.
Christopher C DvorakDivision of Pediatric Allergy, Immunology and Bone Marrow Transplantation, UCSF Benioff Children's Hospital, University of California San Francisco, San Francisco, CA.
Hisham Abdel-AzimSection of Transplantation and Cellular Therapy, Cancer and Blood Disease Institute, Children's Hospital Los Angeles, University of Southern California Keck School of Medicine, Los Angeles, CA.
Children's Hospital of Philadelphia · USMedical College of Wisconsin · USNew York Medical College · USIntermountain Healthcare · USLurie Children's Hospital · USNational University of Singapore · SGUCSF Benioff Children's Hospital · USUniversity of California San Diego · USUniversity of California, San Francisco · USUniversity of Southern California · USVanderbilt University Medical Center · US

Funding

KIR-FAVORABLE HAPLOIDENTICAL TRANSPLANTATION IN CHILDRENR01CA181050 · NCI · ST. JUDE CHILDREN'S RESEARCH HOSPITAL · PI PULSIPHER, MICHAEL A · 2014 to 2019
$1.8M
Unrelated Donor BMT vs. Immune Suppression for Newly Diagnosed Severe Aplastic Anemia in Children and Young Adults: BMT CTN Core Center Renewal for the Pediatric Blood and Marrow Transplant ConsortiumUG1HL069254 · NHLBI · CHILDREN'S HOSPITAL OF LOS ANGELES · PI KEAN, LESLIE S · 2017 to 2023
$1.3M
NCI NIH HHS R01 CA181050NHLBI NIH HHS UG1 HL069254
6 · The paper itself

Abstract

We performed a prospective multicenter study of T-cell receptor αβ (TCR-αβ)/CD19-depleted haploidentical hematopoietic cell transplantation (HCT) in children with acute leukemia and myelodysplastic syndrome (MDS), to determine 1-year disease-free survival (DFS) and compare 2-year outcomes with recipients of other donor cell sources. Fifty-one patients aged 0.7 to 21 years were enrolled; donors were killer immunoglobulin-like receptor (KIR) favorable based on ligand mismatch and/or high B content. The 1-year DFS was 78%. Superior 2-year DFS and overall survival (OS) were noted in patients <10 years of age, those treated with reduced toxicity conditioning (RTC) rather than myeloablative conditioning, and children with minimal residual disease <0.01% before HCT. Multivariate analysis comparing the KIR-favorable haploidentical cohort with controls showed similar DFS and OS compared with other donor cell sources. Multivariate analysis also showed a marked decrease in the risk of grades 2 to 4 and 3 to 4 acute graft versus host disease (aGVHD), chronic GVHD, and transplant-related mortality vs other donor cell sources. Ethnic and racial minorities accounted for 53% of enrolled patients, and data from a large cohort of recipients/donors screened for KIR showed that >80% of recipients had a KIR-favorable donor by our definition, demonstrating that this approach is broadly applicable to groups often unable to find donors. This prospective, multicenter study showed improved outcomes using TCR-αβ/CD19-depleted haploidentical donors using RTC for children with acute leukemia and MDS. Randomized trials comparing this approach with matched unrelated donors are warranted. This trial was registered at https://clinicaltrials.gov as #NCT02646839.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMyelodysplastic SyndromesAntigens, CD19ChildHumansProspective StudiesReceptors, Antigen, T-Cell, alpha-betaReceptors, KIRTransplantation ConditioningAntigens, CD19Receptors, Antigen, T-Cell, alpha-betaReceptors, KIR

Identifiers

PMID35776909
PMCPMC9918850
OpenAlexW4283744430

What OpenQuestion holds

Textmetadata
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.