Evidence map›Paper›PMID 37474631›Full record

ArticleAnnals of hematology2023

Ruxolitinib versus basiliximab for steroid-refractory acute graft-versus-host disease: a retrospective study.

Jiapei Liu, Zhiping Fan, Na Xu, Jieyu Ye, Yanqiu Chen, Ruoyang Shao, Yiming Sun, Qiaoyuan Wu, Qifa Liu, Hua Jin

Abstract read
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In one paragraph

Article in Annals of hematology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
2.0field-weighted citation impact, top 12% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
  4. Article
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 at 1 institution in 1 country.

Jiapei Liu *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Zhiping Fan *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Na Xu *Department of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Jieyu YeDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yanqiu ChenDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Ruoyang ShaoDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Yiming SunDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qiaoyuan WuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Qifa LiuDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
Hua JinDepartment of Hematology, Nanfang Hospital, Southern Medical University, Guangzhou, China. echohua1124@163.com.ORCID http://orcid.org/0000-0001-9485-0249
Nanfang Hospital · CN

Funding

National Natural Science Foundation of China 81870144National Natural Science Foundation of China 81970161National Natural Science Foundation of China 82170215Special Project for Research and Development in Key areas of Guangdong Province 2019B020236004
6 · The paper itself

Abstract

Acute graft-versus-host disease (aGVHD) remains a major limitation of allogeneic hematopoietic stem cell transplantation; not all patients respond to standard glucocorticoids treatment. This study retrospectively evaluated the effects of ruxolitinib compared with basiliximab for steroid-refractory aGVHD (SR-aGVHD). One hundred and twenty-nine patients were enrolled, 81 in ruxolitinib and 48 in basiliximab group. The overall response (OR) at day 28 was higher in ruxolitinib group (72.8% vs. 54.2%, P = 0.031), as with complete response (CR) (58.0% vs. 35.4%, P = 0.013). Ruxolitinib led to significantly lower 1-year cumulative incidence of chronic GVHD (cGVHD) (29.6% vs. 43.8%, P = 0.021). Besides, ruxolitinib showed higher 1-year overall survival (OS) and 1-year cumulative incidence of failure-free survival (FFS) (OS: 72.8% vs. 50.0%, P = 0.008; FFS: 58.9% vs. 39.6%, P = 0.014). The 1-year cumulative incidence of non-relapse mortality (NRM) was lower in ruxolitinib group (16.1% vs. 37.5%, P = 0.005), and the 1-year relapse was not different. The 1-year cumulative incidence of cytomegalovirus (CMV) viremia, CMV-associated diseases and Epstein-Barr virus (EBV)-associated diseases was similar between the two groups, but EBV viremia was significantly lower in ruxolitinib group (6.2% vs. 29.2%, P < 0.001). Subgroup analyses revealed that OR and survival were similar in ruxolitinib 5 mg twice daily (bid) and 10 mg bid groups. However, ruxolitinib 10 mg bid treatment markedly reduced 1-year cumulative incidence of cGVHD compared with 5 mg bid (21.1% vs. 50.0%, P = 0.016). Our study demonstrated that ruxolitinib was superior to basiliximab in SR-aGVHD treatment and cGVHD prophylaxis, therefore should be recommended.

Indexed as

Bronchiolitis Obliterans SyndromeCytomegalovirus InfectionsEpstein-Barr Virus InfectionsGraft vs Host DiseaseHematopoietic Stem Cell TransplantationAcute DiseaseBasiliximabHerpesvirus 4, HumanHumansNitrilesPyrazolesPyrimidinesRetrospective StudiesSteroidsViremiaBasiliximabNitrilesPyrazolesPyrimidinesruxolitinibSteroidsAcute graft-versus-host diseaseBasiliximabChronic graft-versus-host diseaseRuxolitinibSteroid-refractory

Identifiers

PMID37474631
OpenAlexW4384923863

What OpenQuestion holds

Textmetadata
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.