Evidence map›Paper›PMID 37454339›Full record

ReviewJournal of clinical immunology2023

An International Survey of Allogeneic Hematopoietic Cell Transplantation for X-Linked Agammaglobulinemia.

Akira Nishimura, Ramya Uppuluri, Revathi Raj, Venkateswaran Vellaichamy Swaminathan, Yifei Cheng, Rolla F Abu-Arja, Bin Fu, Alexandra Laberko, Michael H Albert, Fabian Hauck and 12 more

Erratum issuedAbstract readReview
PubMed Publisher
In one paragraph

Review in Journal of clinical immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
3.0field-weighted citation impact, top 9% 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

10 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
  5. Revisiting X-linked agammaglobulinemia.Journal of human immunity · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. Review
  10. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

22 authors at 14 institutions in 11 countries.

Akira NishimuraDepartment of Pediatrics and Developmental Biology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Ramya UppuluriDepartment of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Apollo Hospitals, Chennai, India.
Revathi RajDepartment of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Apollo Hospitals, Chennai, India.
Venkateswaran Vellaichamy SwaminathanDepartment of Pediatric Hematology, Oncology, Blood and Marrow Transplantation, Apollo Hospitals, Chennai, India.
Yifei ChengInstitute of Hematology, People's Hospital, Peking University, Beijing, China.
Rolla F Abu-ArjaPediatric Blood and Marrow Transplant Program, Nationwide Children's Hospital, Columbus, OH, USA.
Bin FuDepartment of Hematology, Xiangya Hospital, Central South University, Changsha, China.
Alexandra LaberkoDepartment of Immunology, Dmitry Rogachev National Medical Research Center of Pediatric Hematology, Oncology and Immunology, Moscow, Russia.
Michael H AlbertDepartment of Pediatrics, Dr von Hauner Children's Hospital, University Hospital, LMU, Munich, Germany.
Fabian HauckDepartment of Pediatrics, Dr von Hauner Children's Hospital, University Hospital, LMU, Munich, Germany.
Giorgia BucciolDepartment of Pediatrics, University Hospital Leuven, Leuven, Belgium.
Venetia BigleyDepartment of Immunology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Suzanne ElcombeDepartment of Immunology, Newcastle upon Tyne Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Gaurav KharyaCenter for Bone Marrow Transplant and Cellular Therapy, Indraprastha Apollo Hospital, New Delhi, India.
Cornelis Jan H PronkChildhood Cancer Center, Skåne University Hospital, Lund, Sweden.
Claudia WehrDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Bénédicte NevenPediatric Hematology-Immunology and Rheumatology Unit, Necker-Enfants Malades Hospital, Assistance Publique-Hôpitaux de Paris (APHP), Paris, France.
Klaus WarnatzDepartment of Rheumatology and Clinical Immunology, Faculty of Medicine, Medical Center - University of Freiburg, University of Freiburg, Freiburg, Germany.
Isabelle MeytsDepartment of Pediatrics, University Hospital Leuven, Leuven, Belgium.
Tomohiro MorioDepartment of Pediatrics and Developmental Biology, Tokyo Medical and Dental University (TMDU), Tokyo, Japan.
Andrew R GenneryTranslational and Clinical Research Institute, Newcastle University, and Paediatric Stem Cell Transplant Unit, Great North Children's Hospital, Newcastle upon Tyne, UK.
Hirokazu KaneganeDepartment of Child Health and Development, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University (TMDU), 1-5-45, Yushima, Bunkyo-ku, Tokyo, 113-8519, Japan. hkanegane.ped@tmd.ac.jp.ORCID http://orcid.org/0000-0002-8696-9378
Apollo Hospitals · INTokyo Medical and Dental University · JPKU Leuven · BELudwig-Maximilians-Universität München · DENewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Freiburg · DECentral South University · CNDmitry Rogachev National Research Center of Pediatric Hematology, Oncology and Immunology · RUGreat North Children's Hospital · GBHôpital Necker-Enfants Malades · FRIndraprastha Apollo Hospitals · INNationwide Children's Hospital · USPeking University · CNSkåne University Hospital · SE

Funding

Medical Research Council MR/W01677X/1
6 · The paper itself

Abstract

purposeX-linked agammaglobulinemia (XLA) is an inborn error of immunity caused by variants in Bruton's tyrosine kinase (BTK). XLA patients require lifelong immunoglobulin replacement therapy (IgRT). Only few XLA patients are indicated for allogeneic hematopoietic cell transplantation (HCT) because of severe complications. Accordingly, the published transplantation experience in XLA is minimal. We aimed to collect clinical data of XLA patients who received HCT in an international framework and to establish appropriate transplantation criteria and methods for XLA patients.

methodsXLA patients were recruited through a questionnaire and a literature review. The data are on patient characteristics and transplantation methods and outcomes.

resultsIn this study, twenty-two XLA patients who underwent HCT were recruited. The indication for HCT was recurrent or life-threatening infection in sixteen patients, malignancy in three, and other factors in three. A myeloablative conditioning, reduced toxicity myeloablative conditioning (RT-MAC), and reduced intensity conditioning (RIC) were selected in four, ten, and eight patients, respectively. Engraftment was achieved in 21 patients (95%). In all patients, 2-year overall survival (OS) and event-free survival (EFS) were 86% and 77%, respectively. In patients who received RT-MAC or RIC using treosulfan, busulfan, or melphalan, 2-year OS and EFS were 82% and 71%, respectively. Finally, twenty-one patients (95%) obtained complete or stable high-level mixed chimerism (50-95%), and the 1-year discontinuation rate of IgRT was 89%.

conclusionBased on the concept in which IgRT is the standard treatment for XLA, HCT may be an effective and safe alternative treatment option for XLA patients, and IgRT can be discontinued following transplantation. It is ideal to perform HCT in XLA patients for whom transplantation is indicated before they develop organ damage.

Indexed as

AgammaglobulinemiaGenetic Diseases, X-LinkedGraft vs Host DiseaseHematopoietic Stem Cell TransplantationHumansMelphalanTransplantation ConditioningMelphalandiscontinuation of immunoglobulin replacementhematopoietic cell transplantationreduced toxicity conditioning regimenX-linked agammaglobulinemia

Identifiers

PMID37454339
OpenAlexW4384486061

What OpenQuestion holds

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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.