Evidence map›Paper›PMID 36782226›Full record

ArticleJournal of hematology & oncology2023

GVHD occurrence does not reduce AML relapse following PTCy-based haploidentical transplantation: a study from the ALWP of the EBMT.

Frédéric Baron, Myriam Labopin, Johanna Tischer, Anna Maria Raiola, Jan Vydra, Didier Blaise, Patrizia Chiusolo, Friedrich Stölzel, Renato Fanin, Patrice Chevallier and 3 more

Open access · goldAbstract readLetter
In one paragraph

Article in Journal of hematology & oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
4.9field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 17 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

13 authors at 12 institutions in 6 countries.

Frédéric BaronLaboratory of Hematology, GIGA-I3, University of Liege and CHU of Liège, Sart-Tilman, 4000, Liège, Belgium. f.baron@ulg.ac.be.
Myriam LabopinEBMT Paris Study Office/CEREST-TC, Paris, France.
Johanna TischerDepartment of Internal Medicine III, LMU, University Hospital of Munich, Campus Grosshadern, Munich, Germany.
Anna Maria RaiolaIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Jan VydraInstitute of Hematology and Blood Transfusion, Prague, Czech Republic.
Didier BlaiseProgramme de Transplantation et d'immunothérapie Cellulaire, Management Sport Cancer Lab, Institut Paoli Calmettes, Aix Marseille University, Marseille, France.
Patrizia ChiusoloDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Friedrich StölzelUniversity Hospital Dresden, Medizinische Klinik und Poliklinik, TU Dresden, Dresden, Germany.
Renato FaninDivision of Hematology, Azienda Ospedaliero Universitaria di Udine, Udine, Italy.
Patrice ChevallierDept. D`Hematologie, CHU Nantes, Nantes, France.
Arnon NaglerDivision of Hematology and Bone Marrow Transplantation, The Chaim Sheba Medical Center, Tel-Hashomer, Ramat-Gan, Israel.
Fabio Ciceri *Haematology and BMT, Ospedale San Raffaele S.R.L., Milan, Italy.
Mohamad Mohty *EBMT Paris Study Office/CEREST-TC, Paris, France.
Inserm · FRAgostino Gemelli University Polyclinic · ITAix-Marseille Université · FRCentre Hospitalier Universitaire de Nantes · FRInstitute of Haematology and Blood Transfusion · CZIRCCS Ospedale San Raffaele · ITLMU Klinikum · DEOspedale Policlinico San Martino · ITOspedale Santa Maria della Misericordia di Udine · ITSheba Medical Center · ILUniversity Hospital Schleswig-Holstein · DEUniversity of Liège · BE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The association between graft-versus-host disease (GVHD) occurrence and acute myeloid leukemia (AML) relapse in patients treated with HLA-haploidentical allogeneic hematopoietic stem cell transplantation (Haplo-HCT) with post-transplant cyclophosphamide (PTCy)-based GVHD prophylaxis has remained debated. Here, we addressed this issue in patients with active AML at transplantation. 2-year cumulative incidences of relapse and leukemia-free survival (LFS) were 49% and 32.3%, respectively. There were no associations between acute nor chronic GVHD of any grade and lower relapse incidence. However, grade I acute GVHD was associated with better LFS (HR = 0.71, 95% CI 0.51-0.99, P = 0.04). In contrast, grade III-IV acute (HR = 3.09, 95% CI 1.87-5.12, P < 0.0001) as well as extensive chronic (HR = 3.3, 95% CI 1.81-6.04, P = 0.0001) GVHD correlated with higher nonrelapse mortality leading to lower LFS (HR = 1.36, 95% CI 0.99-1.86, P = 0.056 and HR = 1.97, 95% CI 1.35-2.89, P = 0.0004, respectively). In conclusion, these data suggest a dissociation of graft-versus-leukemia effects from GVHD in patients with active AML treated with PTCy-based Haplo-HCT.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteCyclophosphamideHumansRecurrenceRetrospective StudiesTransplantation ConditioningTransplantation, HaploidenticalUnrelated DonorsCyclophosphamideAcute myeloid leukemiaAMLHLA-haploidenticalMismatched unrelated donorPost-transplant cyclophosphamidePTCy

Identifiers

PMID36782226
PMCPMC9923893
OpenAlexW4320489652

What OpenQuestion holds

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LicenceCC BY
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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.