Evidence map›Paper›PMID 38184740›Full record

ArticleBone marrow transplantation2024

ECP versus ruxolitinib in steroid-refractory chronic GVHD - a retrospective study by the EBMT transplant complications working party.

Olaf Penack, Christophe Peczynski, William Boreland, Jessica Lemaitre, H Christian Reinhardt, Ksenia Afanasyeva, Daniele Avenoso, Tobias A W Holderried, Brian Thomas Kornblit, Eleni Gavriilaki and 13 more

Erratum issuedOpen access · hybridAbstract read
In one paragraph

Article in Bone marrow transplantation, 2024. 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 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Review
  6. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

23 authors at 19 institutions in 13 countries.

Olaf PenackMedical Clinic, Department for Haematology, Oncology and Tumorimmunology, Charité Universitätsmedizin Berlin, Berlin, Germany. olaf.penack@charite.de.ORCID 0000-0003-4876-802X
Christophe PeczynskiEBMT Transplant Complications Working Party, Paris, France.ORCID 0000-0002-3829-0088
William BorelandEBMT Transplant Complications Working Party, Paris, France.ORCID 0009-0007-9739-0816
Jessica LemaitreEBMT Transplant Complications Working Party, Paris, France.
H Christian ReinhardtUniversity Hospital, Essen, Germany.
Ksenia AfanasyevaRM Gorbacheva Research Institute, Pavlov University, St Petersburg, Russia.
Daniele AvenosoKings' College Hospital, London, UK.ORCID 0000-0003-4218-4170
Tobias A W HolderriedDepartment of Oncology, Hematology, Immuno-Oncology and Rheumatology, University Hospital Bonn, Bonn, Germany.ORCID 0000-0002-2474-523X
Brian Thomas KornblitRigshospitalet, Copenhagen, Denmark.
Eleni GavriilakiPapanicolaou G. Hospital, Thessaloniki, Greece.ORCID 0000-0002-8883-8208
Carmen MartinezHematopoietic Stem Cell Unit, Hematology Department, ICMHO, Hospital Clínic of Barcelona, University of Barcelona, Barcelona, Spain.ORCID 0000-0002-8401-7306
Patrizia ChiusoloFondazione Policlinico Universitario A. Gemelli IRCCS-Università Cattolica del Sacro Cuore-Roma, Roma, Italy.ORCID 0000-0002-1355-1587
Maria Caterina MicoASST Papa Giovanni XXIII, Bergamo, Italy.
Elisabeth DaguenetInstitut de Cancerologie Lucien Neuwirth, Saint-Étienne, France.ORCID 0000-0002-6101-1016
Stina WichertSkåne University Hospital in Lund, Lund, Sweden.
Hakan OzdoguDepartment of Hematology, Baskent University Hospital, Adana, Türkiye.ORCID 0000-0002-8902-1283
Agnieszka PiekarskaDepartment of Hematology and Transplantology, University Clinical Center and Medical University of Gdansk, Gdańsk, Poland.
Francesca KinsellaUniversity Hospital Birmingham NHS Trust, Birmingham, UK.ORCID 0000-0002-6022-2567
Grzegorz W BasakEBMT Transplant Complications Working Party, Paris, France.ORCID 0000-0003-3858-8180
Hélène SchoemansEBMT Transplant Complications Working Party, Paris, France.ORCID 0000-0002-7568-8239
Christian KoeneckeEBMT Transplant Complications Working Party, Paris, France.ORCID 0000-0001-7025-1735
Ivan MoiseevRM Gorbacheva Research Institute, Pavlov University, St Petersburg, Russia.ORCID 0000-0002-4332-0114
Zinaida PericEBMT Transplant Complications Working Party, Paris, France.
Centre Hospitalier Universitaire de Saint-Étienne · FREuropean Society for Blood and Marrow Transplantation · FRFirst Pavlov State Medical University of St. Petersburg · RUBaşkent University · TREssen University Hospital · DEGdańsk Medical University · PLG. Papanikolaou General Hospital · GRInstitute Cancer De La Loire Lucien Neuwirth · FRKing's College Hospital · GBMedical University of Warsaw · PLMedizinische Hochschule Hannover · DEOspedale Papa Giovanni XXIII · ITRigshospitalet · DKSkåne University Hospital · SEUniversità Cattolica del Sacro Cuore · ITUniversitat de Barcelona · ESUniversity Hospital Bonn · DEUniversity Hospitals Birmingham NHS Foundation Trust · GBUniversity of Rijeka · HR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ruxolitinib has become the new standard of care for steroid-refractory and steroid-dependent chronic GVHD (SR-cGVHD). Our aim was to collect comparative data between ruxolitinib and extracorporeal photophoresis (ECP). We asked EBMT centers if they were willing to provide detailed information on GVHD grading, -therapy, -dosing, -response and complications for each included patient. 31 centers responded positively and we included all patients between 1/2017-7/2019 treated with ECP or ruxolitinib for moderate or severe SR-cGVHD. We identified 84 and 57 patients with ECP and ruxolitinib, respectively. We performed multivariate analyses adjusted on grading and type of SR-cGVHD (steroid dependent vs. refractory vs. intolerant to steroids). At day+180 after initiation of treatment for SR-cGVHD the odds ratio in the ruxolitinib group to achieve overall response vs. the ECP group was 1.35 (95% CI = [0.64; 2.91], p = 0.43). In line, we detected no statistically significant differences in overall survival, progression-free survival, non-relapse mortality and relapse incidence. The clinical significance is limited by the retrospective study design and the current data can't replace prospective studies on ECP in SR-cGVHD. However, the present results contribute to the accumulating evidence on ECP as an effective treatment option in SR-cGVHD.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationNitrilesPhotopheresisPyrazolesPyrimidinesChronic DiseaseHumansProspective StudiesRetrospective StudiesSteroidsNitrilesPyrazolesPyrimidinesruxolitinibSteroids

Identifiers

PMID38184740
PMCPMC10920188
OpenAlexW4390639960

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.