Evidence map›Paper›PMID 37120135›Full record

Trial reportTransplantation and cellular therapy2023

Cost-Effectiveness of Unrelated Umbilical Cord Blood Transplantation versus HLA-Haploidentical Related Bone Marrow Transplantation: Evidence from BMT CTN 1101.

Scott D Ramsey, Aasthaa Bansal, Lily Li, Paul V O'Donnell, Ephraim J Fuchs, Claudio G Brunstein, Mary Eapen, Viengneesee Thao, Joshua A Roth, Lotte M G Steuten

Abstract readRandomized Controlled TrialClinical Trial, Phase III
In one paragraph

Trial report in Transplantation and cellular therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Graft Source Choice.Advances in experimental medicine and biology · 2025
    Review
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

10 authors.

Scott D RamseyFred Hutchinson Cancer Center, Seattle, Washington; CHOICE Institute, Department of Pharmacy, University of Washington, Seattle, Washington. Electronic address: sramsey@fredhutch.org.
Aasthaa BansalFred Hutchinson Cancer Center, Seattle, Washington; CHOICE Institute, Department of Pharmacy, University of Washington, Seattle, Washington.
Lily LiFred Hutchinson Cancer Center, Seattle, Washington.
Paul V O'DonnellMassachusetts General Hospital Cancer Center, Harvard Medical School, Boston, Massachusetts.
Ephraim J FuchsSidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland.
Claudio G BrunsteinDivision of Hematology, Oncology, and Transplantation, University of Minnesota, Minneapolis, Minnesota.
Mary EapenDivision of Hematology/Oncology, Department of Medicine, Medical College of Wisconsin, Milwaukee, Wisconsin.
Viengneesee ThaoRobert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic, Rochester, Minnesota; OptumLabs, Edina, Minnesota.
Joshua A RothCHOICE Institute, Department of Pharmacy, University of Washington, Seattle, Washington; Pfizer, New York, New York.
Lotte M G SteutenOffice of Health Economics, London, United Kingdom.

Funding

Blood and Marrow Transplant Clinical Trials Network DCC- The Medical College of Wisconsin, Inc.U24HL138660 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI Steven M. DeVine, Mehdi Hussain Hamadani · 2017 to 2026
$71.4M
Easy-to-read Informed Consent for HCT Clinical TrialsU10HL069294 · NHLBI · MEDICAL COLLEGE OF WISCONSIN · PI HOROWITZ, MARY MARESCA · 2011 to 2016
$43.8M
BMT CTN 1101 Ancillary Cost-Effectiveness AnalysisR01HL116291 · NHLBI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI RAMSEY, SCOTT D. · 2012 to 2015
$1.7M
NHLBI NIH HHS R01 HL116291NHLBI NIH HHS U10 HL069294NHLBI NIH HHS U24 HL138660
6 · The paper itself

Abstract

BMT CTN 1101 was a Phase III randomized controlled trial comparing reduced-intensity conditioning followed by double unrelated umbilical cord blood transplantation (UCBT) versus HLA-haploidentical related donor bone marrow transplantation (haplo-BMT) for patients with high-risk hematologic malignancies. Here we report the results of a parallel cost-effectiveness analysis of these 2 hematopoietic stem cell transplantation (HCT) techniques. In this study, 368 patients were randomized to unrelated UCBT (n = 186) or haplo-BMT (n = 182). We estimated healthcare utilization and costs using propensity score-matched haplo-BMT recipients from the OptumLabs Data Warehouse for trial participants age <65 years and Medicare claims for participants age ≥65 years. Weibull models were used to estimate 20-year survival. EQ-5D surveys by trial participants were used to estimate quality-adjusted life-years (QALYs). At a 5-year follow-up, survival was 42% for haplo-BMT recipients versus 36% for UCBT recipients (P = .06). Over a 20-year time horizon, haplo-BMT is expected to be more effective (+.63 QALY) and more costly (+$118,953) for persons age <65 years. For those age ≥65 years, haplo-BMT is expected to be more effective and less costly. In one-way uncertainty analyses, for persons age <65, the cost per QALY result was most sensitive to life-years and health state utilities, whereas for those age ≥65, life- years were more influential than costs and health state utilities. Compared to UCBT, haplo-BMT was moderately more cost-effective for patients age <65 years and less costly and more effective for persons age ≥65 years. Haplo-BMT is a fair value choice for commercially insured patients with high-risk leukemia and lymphoma who require HCT. For Medicare enrollees, haplo-BMT is a preferred choice when considering costs and outcomes.

Indexed as

Cord Blood Stem Cell TransplantationHematopoietic Stem Cell TransplantationAgedBone Marrow TransplantationCost-Benefit AnalysisHumansMedicareUnited StatesBone marrowCord bloodCost-effectivenessHaploidenticalTransplantation

Identifiers

PMID37120135
PMCPMC10353308

What OpenQuestion holds

Textmetadata
LicenceTDM
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.