Evidence map›Paper›PMID 38212672›Full record

ArticleBone marrow transplantation2024

Fecal microbiota transplantation in capsules for the treatment of steroid refractory and steroid dependent acute graft vs. host disease: a pilot study.

Ilan Youngster, Adi Eshel, Mika Geva, Ivetta Danylesko, Israel Henig, Tsila Zuckerman, Shalev Fried, Ronit Yerushalmi, Noga Shem-Tov, Joshua A Fein and 5 more

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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. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
4.7field-weighted citation impact, top 5% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Review
  4. Review
  5. Review
  6. Gut microbiota and acute graft-versus-host disease.Chinese journal of cancer research = Chung-kuo yen cheng yen chiu · 2025
    Article
  7. Article
  8. Article
  9. Review
  10. Review
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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

15 authors at 6 institutions in 2 countries.

Ilan Youngster *Shamir Medical Center, Beer Yaacov, Israel.
Adi Eshel *Azrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Mika GevaFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-3473-3272
Ivetta DanyleskoFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0002-0627-5502
Israel HenigDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel.
Tsila ZuckermanDepartment of Hematology and Bone Marrow Transplantation, Rambam Health Care Campus, Haifa, Israel.ORCID 0000-0002-6204-977X
Shalev FriedFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.ORCID 0000-0003-1306-222X
Ronit YerushalmiFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Noga Shem-TovFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Joshua A FeinDepartment of Medicine, Weill Cornell Medical College, New York, NY, USA.ORCID 0000-0001-5441-1516
David BomzeRuth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel.
Avichai ShimoniFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Omry KorenAzrieli Faculty of Medicine, Bar Ilan University, Safed, Israel.
Roni ShouvalFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel. shouvalr@mskcc.org.ORCID 0000-0001-9827-8032
Arnon NaglerFaculty of Medicine, Tel Aviv University, Tel Aviv, Israel.
Tel Aviv University · ILBar-Ilan University · ILRambam Health Care Campus · ILCornell University · USMemorial Sloan Kettering Cancer Center · USTel Aviv Sourasky Medical Center · IL

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
A multimodal approach for precision immuno-oncology in lymphoma treated with CAR-T cellsK08CA282987 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI Roni Shouval · 2023 to 2026
$1.1M
NCI NIH HHS K08 CA282987NCI NIH HHS P30 CA008748U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) K08CA282987
6 · The paper itself

Abstract

Acute graft-versus-host disease (aGvHD) is a serious complication of allogeneic hematopoietic stem-cell transplantation with limited treatment options. The gut microbiome plays a critical role in aGvHD pathogenesis. Fecal microbiota transplantation (FMT) has emerged as a potential therapeutic approach to restore gut microbial diversity. In this prospective pilot study, 21 patients with steroid-resistant or steroid-dependent lower gastrointestinal aGvHD received FMT in capsule form. At 28 days after the first FMT, the overall response rate was 52.4%, with 23.8% complete and 28.6% partial responses. However, sustained responses were infrequent, with only one patient remaining aGvHD-free long-term. FMT was generally well-tolerated. Microbiome analysis revealed dysbiosis in pre-FMT patient stool samples, with distinct microbial characteristics compared to donors. Following FMT, there was an increase in beneficial Clostridiales and a decrease in pathogenic Enterobacteriales. These findings highlight the potential of FMT as a treatment option for steroid-resistant aGvHD. Trial registration number NCT #03214289.

Indexed as

Graft vs Host DiseaseHematopoietic Stem Cell TransplantationFecal Microbiota TransplantationGastrointestinal TractHumansPilot ProjectsProspective StudiesSteroidsSteroids

Identifiers

PMID38212672
OpenAlexW4390734214

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.