Evidence map›Paper›PMID 38804281›Full record

ArticleHematology reports2024

Treatment Patterns and Clinical Outcomes of Patients with Moderate to Severe Acute Graft-Versus-Host Disease: A Multicenter Chart Review Study.

David Michonneau, Raynier Devillier, Mikko Keränen, Marie Thérèse Rubio, Malin Nicklasson, Hélène Labussière-Wallet, Martin Carre, Anne Huynh, Elisabet Viayna, Montserrat Roset and 7 more

Registry-linked trialAbstract read
In one paragraph

Article in Hematology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07509749 (Prospective Randomized Controlled Trial of Novel Therapies for Severe Acute GVHD), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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.

NCT07509749 phase2recruitingnot on this mapstarted 2025, after this paper: background citation

Prospective Randomized Controlled Trial of Novel Therapies for Severe Acute GVHD (Graft-versus-host Disease)

TypeinterventionalSponsorDaihong LiuRan2025 to 2027Enrolled54ConditionsGVHD, Acute, Stem Cell Transplant ComplicationsArmsRuxolitinib and Methylprednisolone, Methylprednisolone
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
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

17 authors.

David MichonneauHôpital Saint-Louis, Université de Paris, 1 Av. Claude Vellefaux, 75010 Paris, France.
Raynier DevillierInstitute Paoli-Calmettes, 232 Boulevard de Sainte-Marguerite, 13009 Marseille, France.
Mikko KeränenHelsinki University Hospital, Yliopistonkatu 3, P.O. Box 4, 00014 Helsinki, Finland.ORCID 0000-0001-8027-499X
Marie Thérèse RubioService d'Hématologie, Hôpital Brabois, Centre Hospitalier Régional Universitaire Nancy, Rue du Morvan, 54511 Vandoeuvre-les-Nancy, France.
Malin NicklassonSection of Hematology and Coagulation, Department of Specialist Medicine, Sahlgrenska University Hospital, 413 46 Gothenburg, Sweden.
Hélène Labussière-WalletHôpital Lyon-Sud, 165 Chemin du Grand Revoyet, 69310 Pierre Bénite, France.
Martin CarreCentre Hospitalier Universitaire Grenobles Alpes, Av. des Maquis du Grésivaudan, 38700 La Tronche, France.
Anne HuynhCentre Hospitalier Universitaire Toulouse, l'Institut Universitaire du Cancer de Toulouse-Oncopole, 1 Av. Irène Joliot-Curie, 31059 Toulouse, France.
Elisabet ViaynaIQVIA Real World Solutions, Provença 392, 3rd Floor, 08025 Barcelona, Spain.
Montserrat RosetIQVIA Real World Solutions, Provença 392, 3rd Floor, 08025 Barcelona, Spain.ORCID 0000-0002-4641-9814
Jonathan FinziIncyte Biosciences France, 35 Ter Avenue André Morizet, 92100 Boulogne-Billancourt, France.
Minja PfeifferIncyte Biosciences International Sàrl, Rue Docteur-Yersin 12, 1110 Morges, Switzerland.
Daniel ThunströmIncyte Biosciences International Sàrl, Rue Docteur-Yersin 12, 1110 Morges, Switzerland.
Núria LaraIQVIA Real World Solutions, Provença 392, 3rd Floor, 08025 Barcelona, Spain.
Lorenzo SabatelliIncyte Biosciences International Sàrl, Rue Docteur-Yersin 12, 1110 Morges, Switzerland.ORCID 0000-0001-7373-9306
Patrice ChevallierCentre Hospitalier Universitaire Nantes, 5 allée de l'Île-Gloriette, 44000 Nantes, France.ORCID 0000-0003-3142-5581
Maija Itälä-RemesTurku University Hospital, Kiinamyllynkatu 4-8, 20521 Turku, Finland.

Funding

Incyte (United States) N/A
6 · The paper itself

Abstract

Acute graft-versus-host disease (aGVHD) remains a barrier to successful allogeneic hematopoietic stem cell transplantation (HSCT) outcomes. Contemporary comprehensive analyses of real-world clinical outcomes among patients who develop aGVHD post-HSCT are needed to better understand the unmet needs of this patient population. This multicenter, retrospective chart review describes treatment patterns and clinical outcomes among patients (≥18 years old) from Finland, Sweden, and France who developed grades II-IV aGVHD after their first HSCT (January 2016-June 2017). From 13 participating centers, 151 patients were included. The median (Q1, Q3) age at HSCT was 56 (45, 62) years old. One line of aGVHD treatment was received by 47.7%, and the most common first-line treatment was methylprednisolone (alone or in a combination regimen, 74.2%; monotherapy, 25.8%). Among patients treated with methylprednisolone, 79.5% achieved a complete or partial response. The median (Q1, Q3) number of treatment lines was 2.0 (1.0, 3.0). The median (Q1, Q3) time to obtain an aGVHD diagnosis from transplant was 29.5 (21.0, 44.0) days, and 14.5 (7.0, 34.0) days to achieve the best response for 110 evaluable patients. At 6 and 12 months, 53.6% and 49.0%, respectively, achieved a complete response. Chronic GVHD occurred in 37.7% of patients, and aGVHD reoccurred in 26.5%. Following aGVHD diagnosis, mortality rates were 30.0% at 6 months and 37.3% at 12 months. Findings from this study demonstrate a continuing unmet need for new therapies that control aGVHD and improve mortality.

Indexed as

Europehematopoietic stem cell transplantationmortalityreal-worldretrospective

Identifiers

PMID38804281
PMCPMC11130792

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Registered trials

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.