Evidence map›Paper›PMID 37990219›Full record

ArticleJournal of translational medicine2023

Real-world data suggest effectiveness of the allogeneic mesenchymal stromal cells preparation MSC-FFM in ruxolitinib-refractory acute graft-versus-host disease.

Halvard Bonig, Mareike Verbeek, Peter Herhaus, Krischan Braitsch, Gernot Beutel, Christoph Schmid, Nadine Müller, Gesine Bug, Michaela Döring, Arend von Stackelberg and 14 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Journal of translational medicine, 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 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.9field-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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. [Research advances in mesenchymal stem cell therapy for graft-versus-host disease].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2026
    Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Review
  13. Article
  14. Article
  15. Observational
  16. Article
  17. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

24 authors at 16 institutions in 2 countries.

Halvard BonigFaculty of Medicine, Institute for Transfusion Medicine and Immunohematology, Goethe University, Frankfurt, Germany.
Mareike VerbeekSchool of Medicine, Technical University Munich, Klinikum Rechts Der Isar, Clinic and Policlinic for Internal Medicine III, Munich, Germany.
Peter HerhausSchool of Medicine, Technical University Munich, Klinikum Rechts Der Isar, Clinic and Policlinic for Internal Medicine III, Munich, Germany.
Krischan BraitschSchool of Medicine, Technical University Munich, Klinikum Rechts Der Isar, Clinic and Policlinic for Internal Medicine III, Munich, Germany.
Gernot BeutelHannover Medical School, Department of Hematology, and Stem Cell Transplantation, HemostasisHannover, Oncology, Germany.
Christoph SchmidAugsburg University Hospital and Medical Faculty, Augsburg, Germany.
Nadine MüllerUniversitätsklinikum Mannheim, Mannheim, Germany.
Gesine BugDepartment of Medicine 2, University Hospital, Goethe University, Frankfurt, Germany.
Michaela DöringUniversitätsklinik Für Kinder Und Jugendmedizin, Tübingen, Germany.
Arend von StackelbergCharité, Universitätsmedizin Berlin, Berlin, Germany.
Johanna TischerDepartment of Medicine III, LMU University Hospital, LMU Munich, Munich, Germany.
Francis AyukKlinik Für Stammzelltransplantation, Universitätsklinikum Hamburg-Eppendorf, Hamburg, Germany.
Gerald WulfHämatologie Und Medizinische Onkologie, Universitätsmedizin Göttingen, Göttingen, Germany.
Udo HoltickUniversitätsklinikum Köln, Cologne, Germany.
Lisa-Marie PfeffermannGerman Red Cross Blood Service BaWüHe, Institute Frankfurt, Frankfurt, Germany.
Bernd JahrsdörferInstitute for Clinical Transfusion Medicine and Immunogenetics, University of Ulm, Ulm, Germany.
Hubert SchrezenmeierInstitute for Clinical Transfusion Medicine and Immunogenetics, University of Ulm, Ulm, Germany.
Selim KuciDepartment of Pediatrics, Division for Stem Cell Transplantation and Immunology, Goethe University, Frankfurt, Germany.
Zyrafete KuciDepartment of Pediatrics, Division for Stem Cell Transplantation and Immunology, Goethe University, Frankfurt, Germany.
Anke ZensMedac Gesellschaft Für Klinische Spezialpräparate mbH, Wedel, Germany.
Michael TribanekMedac Gesellschaft Für Klinische Spezialpräparate mbH, Wedel, Germany.
Robert ZeiserDepartment Innere Medizin, Klinik Für Innere Medizin I, Universitätsklinikum Freiburg, Freiburg, Germany.
Sabine HueneckeDepartment of Pediatrics, Division of Stem Cell Transplantation and Immunology, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany.
Peter BaderDepartment of Pediatrics, Division of Stem Cell Transplantation and Immunology, Goethe University Frankfurt, Theodor-Stern-Kai 7, 60590, Frankfurt am Main, Germany. p.bader@em.uni-frankfurt.de.
Goethe University Frankfurt · DEKlinikum rechts der Isar · DEGesellschaft für Klinische Forschung · DECentrum für Integrierte Onkologie · DECharité - Universitätsmedizin Berlin · DEGerman Red Cross · DEImmungenetics (Germany) · DEKlinik und Poliklinik für Kinder- und Jugendmedizin · DELudwig-Maximilians-Universität München · DEMedizinische Hochschule Hannover · DEUniversitätsmedizin Göttingen · DEUniversität Ulm · DEUniversity Hospital Augsburg · DEUniversity Medical Center Freiburg · DEUniversity Medical Center Hamburg-Eppendorf · DEUniversity Medical Centre Mannheim · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatients with steroid-refractory acute graft-versus-host disease (aGvHD) not tolerating/responding to ruxolitinib (RR-aGvHD) have a dismal prognosis.

methodsWe retrospectively assessed real-world outcomes of RR-aGvHD treated with the random-donor allogeneic MSC preparation MSC-FFM, available via Hospital Exemption in Germany. MSC-FFM is provided as frozen cell dispersion for administration as i.v. infusion immediately after thawing, at a recommended dose of 1-2 million MSCs/kg body weight in 4 once-weekly doses. 156 patients, 33 thereof children, received MSC-FFM; 5% had Grade II, 40% had Grade III, and 54% had Grade IV aGvHD. Median (range) number of prior therapies was 4 (1-10) in adults and 7 (2-11) in children.

resultsThe safety profile of MSC-FFM was consistent with previous reports for MSC therapies in general and MSC-FFM specifically. The overall response rate at Day 28 was 46% (95% confidence interval [CI] 36-55%) in adults and 64% (45-80%) in children; most responses were durable. Probability of overall survival at 6, 12 and 24 months was 47% (38-56%), 35% (27-44%) and 30% (22-39%) for adults, and 59% (40-74%), 42% (24-58%) and 35% (19-53%) for children, respectively (whole cohort: median OS 5.8 months).

conclusionA recent real-world analysis of outcomes for 64 adult RR-aGvHD patients not treated with MSCs reports survival of 20%, 16% and 10% beyond 6, 12 and 24 months, respectively (median 28 days). Our data thus suggest effectiveness of MSC-FFM in RR-aGvHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationMesenchymal Stem CellsMesenchymal Stem Cell TransplantationAcute DiseaseAdultChildHumansNitrilesPyrazolesPyrimidinesRetrospective StudiesNitrilesPyrazolesPyrimidinesruxolitinibAllogeneic haematopoietic stem cell transplantationMesenchymal stromal cellsMSC-FFMRuxolitinib-refractorySteroid-refractory

Identifiers

PMID37990219
PMCPMC10664468
OpenAlexW4388855977

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.