Evidence map›Paper›PMID 36414698›Full record

ArticleBone marrow transplantation2023

EASIX predicts non-relapse mortality after haploidentical transplantation with post-transplant cyclophosphamide.

Jacopo Mariotti, Filippo Magri, Laura Giordano, Chiara De Philippis, Barbara Sarina, Daniele Mannina, Daniela Taurino, Armando Santoro, Stefania Bramanti

Abstract read
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In one paragraph

Article in Bone marrow transplantation, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
3.0field-weighted citation impact, top 7% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

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  8. Planning GvHD preemptive therapy: risk factors, biomarkers, and prognostic scores.Hematology. American Society of Hematology. Education Program · 2023
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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

9 authors at 1 institution in 1 country.

Jacopo MariottiBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy. jacopo.mariotti@humanitas.it.ORCID 0000-0001-6528-9296
Filippo MagriBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.
Laura GiordanoBiostatistics Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.
Chiara De PhilippisBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.ORCID 0000-0002-7738-997X
Barbara SarinaBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.
Daniele ManninaBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.
Daniela TaurinoBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.
Armando SantoroBiostatistics Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.ORCID 0000-0003-1709-9492
Stefania BramantiBMT and Cell Therapy Unit, Humanitas Clinical and Research Center - IRCCS, Humanitas Cancer Center, Rozzano, Italy.ORCID 0000-0002-4117-7991
Humanitas University · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endothelial Activation and Stress Index (EASIX) is a prognostic score reflecting endothelial damage. It can identify cohorts of patients at higher risk of non-relapse mortality (NRM) after allogeneic stem cell transplantation (SCT) from a matched-related or -unrelated donor. No data are available in the setting of haploidentical-SCT with post-transplant cyclophosphamide (PT-Cy). We retrospectively analyzed the role of EASIX score in a cohort of 266 patients receiving Haplo-SCT with PT-Cy at our center. By a decision-tree model, 1-year NRM was 16% vs. 29% and overall survival was 59% vs. 32%, respectively, for patients with a pre-transplant EASIX (EASIX-PRE) <0.8 vs. ≥0.8 (p < 0.001). By multivariable analysis, EASIX-PRE was an independent predictor of NRM (hazard ratio [HR] 2.43, p < 0.001) and overall survival (HR: 1.64, p = 0.011). EASIX-PRE did not predict patients at higher risk of developing acute graft-versus-host disease (GVHD) but was an independent predictor of 1-year NRM (3.2 cutoff, HR 6.61, p = 0.002; <3.2 vs. ≥3.2: 10% vs. 56%, p < 0.001) in patients developing acute GVHD. EASIX score can also represent an important tool to predict mortality in the setting of Haplo-SCT with PT-Cy. It may help to make therapeutic decisions both before the transplant and at the onset of acute GVHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteCyclophosphamideHumansNeoplasm Recurrence, LocalRetrospective StudiesTransplantation ConditioningTransplantation, HaploidenticalCyclophosphamide

Identifiers

PMID36414698
OpenAlexW4309647303

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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.