Evidence map›Paper›PMID 37386253›Full record

ArticleBone marrow transplantation2023

Allogeneic hematopoietic cell transplantation for patients with AML aged 70 years or older in first remission. A study from the Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation (EBMT).

Enrico Maffini, Maud Ngoya, Jacques-Emmanuel Galimard, Samia Harbi, Nicolaus Kröger, Uwe Platzbecker, Henrik Sengeloev, Charles Craddock, Victoria Potter, Goda Choi and 11 more

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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 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
5.2field-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.

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

14 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

21 authors at 19 institutions in 10 countries.

Enrico MaffiniIRCCS Azienda Ospedaliero-Universitaria di Bologna; Istituto "L. e A. Seràgnoli", Bologna, Italy. enrico.maffini@aosp.bo.it.ORCID 0000-0001-7356-2328
Maud NgoyaEBMT ALWP Statistical Unit, Saint Antoine Hospital, Sorbonne University, Paris, France.
Jacques-Emmanuel GalimardEBMT ALWP Statistical Unit, Saint Antoine Hospital, Sorbonne University, Paris, France.ORCID 0000-0001-9102-4427
Samia HarbiProgramme de Transplantation et Therapie Cellulaire, Centre de Recherche en Cancerologie de Marseille, Institut Paoli Calmettes, Marseille, France.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0002-2961-4183
Uwe PlatzbeckerMedical Clinic and Policlinic 1, Hematology and Cellular Therapy, University hospital Leipzig, Leipzig, Germany.
Henrik SengeloevBone Marrow Transplant Unit L 4043, National University Hospital Rigshospitalet, Copenhagen, Denmark.
Charles CraddockBirmingham Centre for Cellular Therapy and Transplantation, Birmingham, UK.ORCID 0000-0001-5041-6678
Victoria PotterDepartment of Haematological Medicine, Kings College Hospital, King's Denmark Hill Campus, London, UK.
Goda ChoiUniversity Medical Centre Groningen, University of Groningen, Groningen, the Netherlands.
Patrice ChevallierDepartment d'Hematologie, CHU Nantes, Nantes, France.ORCID 0000-0003-3142-5581
Friedrich StölzelUniversity Hospital Dresden, Medizinische Klinik und Poliklinik I, Dresden, TU Dresden, Germany.
Eleni TholouliHaematology Department, Manchester Royal Infirmary, Oxford Road, Manchester, UK.
Johan MaertensDepartment of Hematology, University Hospital Gasthuisberg, Leuven, Belgium.ORCID 0000-0003-4257-5980
Fabio CiceriOspedale San Raffaele s.r.l., Haematology and BMT, Milano, Italy.ORCID 0000-0003-0873-0123
Jan CornelissenDepartment of Haematology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, The Netherlands.
Jaime SanzHospital Universitari i Politècnic La Fe, Valencia, Spain.ORCID 0000-0001-6934-4619
Alexandros SpyridonidisBone Marrow Transplantation Unit and Institute of Cellular therapy, University of Patras, Patras, Greece.ORCID 0000-0003-3097-2532
Francesco LanzaHematology Unit, Ravenna Public Hospital and Romagna Transplant Network, Ravenna, Italy.ORCID 0000-0002-5189-7167
Arnon NaglerSheba Medical Center, Tel-Hashomer, Tel-Aviv University, Ramat-Gan, Israel.
Mohamad MohtyClinical Hematology and Cellular Therapy Department, Sorbonne University, Saint Antoine Hospital, INSERM UMRs 938, Paris, France.ORCID 0000-0002-7264-808X
Sorbonne Université · FRAzienda Unità Sanitaria Locale Della Romagna · ITAzienda USL di Bologna · ITCentre de Recherche en Cancérologie de Marseille · FRCentre Hospitalier Universitaire de Nantes · FRErasmus MC Cancer Institute · NLHospital Universitari i Politècnic La Fe · ESInserm · FRIRCCS Ospedale San Raffaele · ITKing's College Hospital · GBKlinik und Poliklinik für Psychotherapie und Psychosomatik · DEManchester Royal Infirmary · GBRigshospitalet · DKTel Aviv University · ILUniversitair Ziekenhuis Leuven · BEUniversität Hamburg · DEUniversity Hospital Leipzig · DEUniversity Medical Center Groningen · NLUniversity of Patras · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Accessibility to allogeneic hematopoietic cell transplantation (HCT) programs for older patients is growing constantly. We report on the clinical outcomes of a group of 701 adults aged ≥70 years, with acute myeloid leukemia (AML) in first complete remission (CR1), who received a first HCT, from HLA-matched sibling donors (MSD), 10/10 HLA-matched unrelated donors (UD), 9/10 HLA-mismatched unrelated donors (mUD) or haploidentical (Haplo) donors. The 2-year overall survival (OS) was 48.1%, leukemia-free survival (LFS) 45.3%, relapse incidence (RI) 25.2%, non-relapse mortality (NRM) 29.5% and GVHD-free, relapse-free survival (GRFS), 33.4%. Compared to MSD, patients transplanted from Haplo and UD presented lower RI (HR 0.46, 95% CI 0.25-0.8, p = 0.02 and HR 0.44, 95% CI: 0.28-0.69, p = 0.001, respectively); this translated into prolonged LFS for Haplo (HR 0.62, 95% CI: 0.39-0.99, p = 0.04). Patients transplanted from mUD exhibited the highest NRM incidence (HR 2.33, 95% CI: 1.26-4.31, p = 0.007). HCT in selected adult CR1 AML patients >70 years is feasible and could be associated with good clinical outcomes. Prospective clinical trials are warranted.

Indexed as

Hematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteAcute DiseaseAgedBone MarrowGraft vs Host DiseaseHumansProspective StudiesRecurrenceRetrospective StudiesTransplantation ConditioningUnrelated Donors

Identifiers

PMID37386253
OpenAlexW4382540423

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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.