Evidence map›Paper›PMID 38330190›Full record

ArticleBlood advances2024

Differential clinical impact of letermovir prophylaxis according to graft sources: a KSGCT multicenter retrospective analysis.

Takashi Toya, Kota Mizuno, Masatoshi Sakurai, Jun Kato, Takehiko Mori, Noriko Doki, Shinichi Masuda, Nobuyuki Aotsuka, Shokichi Tsukamoto, Emiko Sakaida and 10 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Blood advances, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
3.9field-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

7 citing papers in PubMed, 18 citations in OpenAlex.

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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

20 authors at 11 institutions in 1 country.

Takashi ToyaHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID 0000-0002-7436-972X
Kota MizunoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Masatoshi SakuraiDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0002-6687-4136
Jun KatoDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.ORCID 0000-0003-1869-5480
Takehiko MoriDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Noriko DokiHematology Division, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID 0000-0002-8661-3179
Shinichi MasudaDepartment of Hematology and Oncology, Japanese Red Cross Narita Hospital, Chiba, Japan.
Nobuyuki AotsukaDepartment of Hematology and Oncology, Japanese Red Cross Narita Hospital, Chiba, Japan.
Shokichi TsukamotoDepartment of Hematology, Chiba University Hospital, Chiba, Japan.ORCID 0000-0003-4314-893X
Emiko SakaidaDepartment of Hematology, Chiba University Hospital, Chiba, Japan.ORCID 0000-0002-7254-1928
Yuki NakajimaDepartment of Hematology, Yokohama City University Medical Center, Yokohama, Japan.
Shin FujisawaDepartment of Hematology, Yokohama City University Medical Center, Yokohama, Japan.ORCID 0000-0003-2028-0209
Shinichiro MachidaDepartment of Hematology and Oncology, Tokai University Hospital, Isehara, Japan.
Yasuyuki AoyamaDepartment of Hematology and Oncology, Tokai University Hospital, Isehara, Japan.
Hiroki YokoyamaDivision of Clinical Oncology/Hematology, Department of Internal Medicine, The Jikei University School of Medicine, Tokyo, Japan.
Katsuhiro ShonoDepartment of Hematology, Aoba Municipal Hospital, Chiba, Japan.
Yoshihiro HattaDepartment of Hematology and Rheumatology, Nihon University School of Medicine, Tokyo, Japan.
Kensuke UsukiDepartment of Hematology, NTT Medical Center Tokyo, Tokyo, Japan.ORCID 0000-0002-1216-4470
Keisuke KataokaDivision of Hematology, Department of Medicine, Keio University School of Medicine, Tokyo, Japan.
Yoshinobu KandaDivision of Hematology, Jichi Medical University Saitama Medical Center, Saitama, Japan.
Keio University · JPChiba University Hospital · JPJapanese Red Cross Narita Hospital · JPTokai University · JPTokyo Metropolitan Komagome Hospital · JPYokohama City University Medical Center · JPChiba Aoba Municipal Hospital · JPJichi Medical University · JPJikei University School of Medicine · JPNihon University · JPNTT Medical Center · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractClinically significant cytomegalovirus infection (csCMVi) is frequently observed after allogeneic hematopoietic stem cell transplantation (HSCT) and prophylaxis with letermovir is commonly adopted. However, the clinical benefit of letermovir prophylaxis according to graft sources has not been sufficiently elucidated. We retrospectively analyzed 2194 recipients of HSCT who were CMV-seropositive (236 with letermovir prophylaxis and 1958 without prophylaxis against CMV). csCMVi was significantly less frequent in patients with letermovir prophylaxis than in those without (23.7% vs 58.7% at 100 days after HSCT, P < .001) and the same trend was seen when recipients of bone marrow (BM), peripheral blood stem cell (PBSC), or cord blood (CB) transplantation were separately analyzed. In recipients of BM, nonrelapse mortality (NRM) was significantly lower in the letermovir group at 6 months after HSCT (5.0% vs 14.9%, P = .018), and the same trend was observed in recipients of PBSCs (14.7% vs 24.8%, P = .062); however, there was no statistical significance at 1 year (BM, 21.1% vs 30.4%, P = .67; PBSCs, 21.2% vs 30.4%, P = .096). In contrast, NRM was comparable between recipients of CB with and without letermovir prophylaxis throughout the clinical course (6 months, 23.6% vs 24.3%, P =.92; 1 year, 29.3% vs 31.0%, P = .77), which was confirmed by multivariate analyses. In conclusion, the impact of letermovir prophylaxis on NRM and csCMVi should be separately considered according to graft sources.

Indexed as

AcetatesCytomegalovirus InfectionsHematopoietic Stem Cell TransplantationQuinazolinesAntiviral AgentsHumansRetrospective StudiesAcetatesAntiviral AgentsletermovirQuinazolines

Identifiers

PMID38330190
PMCPMC10907401
OpenAlexW4389799959

What OpenQuestion holds

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LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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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.