Evidence map›Paper›PMID 38990135›Full record

ArticleLeukemia & lymphoma2024

Pretransplant desensitization of donor-specific anti-HLA antibodies with plasmapheresis and immunoglobulin produces equivalent outcomes to patients with no donor specific antibodies in haploidentical hematopoietic cell transplant.

Hunter Cassidy Cochran, Michael Joseph Slade, Chang Liu, Feng Gao, Sonia Godbole, Aaron Pruitt, Elisa De Togni, Brenda Grossman, Ramzi Abboud

Abstract read
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In one paragraph

Article in Leukemia & lymphoma, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
–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.

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

4 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

9 authors.

Hunter Cassidy CochranDepartment of Medicine, Division of Oncology, Washington University, St. Louis, MO, USA.ORCID 0000-0001-9522-2797
Michael Joseph SladeBone Marrow Transplantation & Leukemia Section, Division of Oncology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0001-8092-6644
Chang LiuPathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.
Feng GaoDivision of Public Health Sciences, Section of Oncologic Biostatistics, Department of Surgery, Washington University School of Medicine, St. Louis, MO, USA.
Sonia GodboleInternal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Aaron PruittInternal Medicine, Washington University School of Medicine, St. Louis, MO, USA.
Elisa De TogniInternal Medicine, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0003-4385-2126
Brenda GrossmanPathology and Immunology, Washington University School of Medicine, St. Louis, MO, USA.ORCID 0000-0002-1500-8211
Ramzi AbboudDepartment of Medicine, Division of Oncology, Washington University, St. Louis, MO, USA.ORCID 0000-0001-7786-4155

Funding

Washington University Paul Calabresi K12 Career Development Award for Clinical OncologyK12CA167540 · NCI · WASHINGTON UNIVERSITY · PI John F. Dipersio, Ramaswamy Govindan · 2012 to 2026
$11.7M
NCI NIH HHS K12 CA167540
6 · The paper itself

Abstract

Haploidentical hematopoietic cell transplants (haplo-HCT) with donor-specific anti-HLA antibodies (DSAs) are associated with high rates of primary graft failure and poor overall survival (OS). Limited data exists regarding the effect of desensitization. Our institution began routine desensitization for patients with DSAs in 2014. Adult patients undergoing haplo-HCT at Washington University from 2009-2021 were identified and divided into three cohorts: no DSA, untreated DSA (2009-2014) or treated DSA (2014-2021). Desensitization therapy using plasmapheresis and IVIg was performed. Retrospectively, 304 patients were identified. 14 of 30 patients with DSAs underwent desensitization. By day +2, 57% of patients cleared all DSAs. After multivariable analysis, OS was similar between treated DSA and no DSA (HR: 0.69,

Indexed as

Hematopoietic Stem Cell TransplantationHLA AntigensIsoantibodiesPlasmapheresisTissue DonorsTransplantation, HaploidenticalAdultAgedDesensitization, ImmunologicFemaleGraft RejectionGraft SurvivalGraft vs Host DiseaseHistocompatibility TestingHumansImmunoglobulins, IntravenousHLA AntigensImmunoglobulins, IntravenousIsoantibodiesallogeneicdesensitizationDSAHaplotransplant

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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.