Evidence map›Paper›PMID 38317015›Full record

ArticleBone marrow transplantation2024

Dual T cell depletion for graft versus host disease prevention in peripheral blood haploidentical hematopoietic cell transplantation for adults with hematological malignancies.

Tommy Alfaro Moya, Maria Queralt Salas, Abel Santos Carreira, Eshetu G Atenafu, Arjun Datt Law, Wilson Lam, Ivan Pasic, Dennis Dong Hwan Kim, Fotios V Michelis, Igor Novitzky Basso and 5 more

Abstract read
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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 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
1.8field-weighted citation impact, top 16% 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, 4 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. 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

15 authors at 2 institutions in 2 countries.

Tommy Alfaro MoyaUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Maria Queralt SalasUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0003-4567-3682
Abel Santos CarreiraUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Eshetu G AtenafuDepartment of Biostatistics, Princes Margaret Cancer Centre, University Health Network, Toronto, ON, Canada.ORCID 0000-0002-4613-3680
Arjun Datt LawUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0002-9251-3609
Wilson LamUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Ivan PasicUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0001-7595-0113
Dennis Dong Hwan KimUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Fotios V MichelisUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Igor Novitzky BassoUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0003-3748-3117
Armin GerbitzUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0002-0105-2086
Jeffrey Howard LiptonUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Rajat KumarUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.ORCID 0000-0002-4786-5699
Jonas MattssonUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada.
Auro ViswabandyaUniversity of Toronto, Department of Medicine, Section of Medical Oncology and Hematology, Toronto, ON, Canada. auro.viswabandya@uhn.ca.ORCID 0000-0001-9690-4669
University Health Network · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ideal immunosuppressive agents to complement post-transplant cyclophosphamide (PTCy) in PBSC-based haploidentical hematopoietic cell transplantation (haplo-HCT) remain debated. This study looks at our experience with ATG-PTCy-Cyclosporine (CsA) prophylaxis in PB haplo-HCT since 2015. Between October 2015 and December 2021, 157 adults underwent haploidentical hematopoietic cell transplantation (haplo-HCT) using a GVHD prophylaxis regimen comprising rabbit-ATG, PTCy, and CsA. Among these patients, 76.4% received a total ATG dose of 4.5 mg/kg, and 23.5% received 2 mg/kg. T-cell replete peripheral blood stem cell (PBSC) grafts were infused on day 0. The study reported a median follow-up of 32 months (range 0.3-61.64) for survivors. The cumulative incidence of grade II-IV and grade III-IV acute GVHD at day +100 was 26.3% and 9.5%, respectively. Moderate/severe chronic GVHD at 1 year was 19.9%. The 2-year overall survival (OS) was 49.4%, with a relapse-free survival (RFS) of 44.6%. In multivariate analysis, older patients, and those with high/very-high disease risk indices (DRI) were at higher risk for worse OS and higher non-relapse mortality (NRM). The study confirms that using PTCy and ATG (4.5 mg/kg), alongside CsA is safe and effective in preventing GVHD when using peripheral blood as the stem cell source in haploidentical hematopoietic cell transplantation (haplo-HCT).

Indexed as

Graft vs Host DiseaseHematologic NeoplasmsHematopoietic Stem Cell TransplantationAdultCyclophosphamideHumansNeoplasm Recurrence, LocalRetrospective StudiesT-LymphocytesTransplantation ConditioningCyclophosphamide

Identifiers

PMID38317015
OpenAlexW4391540917

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.