Evidence map›Paper›PMID 39028876›Full record

ArticleBlood2024

Abatacept for acute graft-versus-host disease prophylaxis after unrelated donor hematopoietic cell transplantation.

Leslie S Kean, Linda J Burns, Tzuyung D Kou, Roxanne Kapikian, Karissa Lozenski, Amelia Langston, John T Horan, Benjamin Watkins, Muna Qayed, Brandi Bratrude and 8 more

Abstract read
In one paragraph

Article in Blood, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

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

17 citing papers in PubMed.

  1. Trial
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  4. Chronic graft-versus-host disease.Nature reviews. Disease primers · 2026
    Review
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  8. Article
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors.

Leslie S KeanDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
Linda J BurnsCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI.
Tzuyung D KouBristol Myers Squibb, Princeton, NJ.
Roxanne KapikianBristol Myers Squibb, Princeton, NJ.
Karissa LozenskiBristol Myers Squibb, Princeton, NJ.
Amelia LangstonWinship Cancer Institute, Emory University, Atlanta, GA.ORCID 0000-0003-0649-1915
John T HoranDepartment of Pediatrics, University of Rochester Medical Center, Rochester, NY.
Benjamin WatkinsHematology and Oncology, Tulane University School of Medicine, New Orleans, LA.
Muna QayedAflac Cancer and Blood Disorders Center, Children's Healthcare of Atlanta, and Department of Pediatrics, Emory University, Atlanta, GA.ORCID 0000-0001-7689-343X
Brandi BratrudeDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.ORCID 0000-0002-1498-1001
Kayla BetzDivision of Hematology/Oncology, Boston Children's Hospital, Boston, MA.
Xiao-Ying TangCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI.
Mei-Jie ZhangCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI.
Sean E ConnollyBristol Myers Squibb, Princeton, NJ.ORCID 0000-0003-4884-861X
Martin PolinskyBristol Myers Squibb, Princeton, NJ.
Brian GavinBristol Myers Squibb, Princeton, NJ.
Andres Gomez-CamineroBristol Myers Squibb, Princeton, NJ.
Marcelo C PasquiniCenter for International Blood and Marrow Transplant Research, Medical College of Wisconsin Clinical Cancer Center, Medical College of Wisconsin, Milwaukee, WI.ORCID 0000-0003-1579-2293

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
Single Cell Analysis and ImmunogeneticsP01HL158505 · NHLBI · DANA-FARBER CANCER INST · PI Corey S Cutler · 2022 to 2026
$15.3M
Novel Biologic Therapies for GVHDR01HL095791 · NHLBI · SEATTLE CHILDREN'S HOSPITAL · PI KEAN, LESLIE S · 2010 to 2025
$13.3M
NCI NIH HHS U24 CA076518NHLBI NIH HHS P01 HL158505NHLBI NIH HHS R01 HL095791
6 · The paper itself

Abstract

abstractAbatacept plus calcineurin inhibitors/methotrexate (CNI/MTX) is the first US Food and Drug Administration (FDA)-approved regimen for acute graft-versus-host disease (aGVHD) prophylaxis during unrelated-donor hematopoietic cell transplantation (URD-HCT). Using Center for International Blood and Marrow Transplant Research data, we investigated its impact in patients receiving 7/8 HLA-mismatched unrelated donor (MMUD) or 8/8 HLA-matched unrelated donor (MUD) URD-HCT between 2011 and 2018. Primary outcomes included day-180, 1-year, and 2-year overall survival (OS) and relapse-free survival (RFS) for abatacept + CNI/MTX vs CNI/MTX, CNI/MTX + antithymocyte globulin (ATG), and posttransplant cyclophosphamide-based prophylaxis (PT-Cy). For 7/8 MMUDs, day-180 OS (primary end point supporting FDA approval) was significantly higher for abatacept + CNI/MTX vs CNI/MTX (98% vs 75%; P = .0028). Two-year RFS was significantly higher for abatacept + CNI/MTX vs CNI/MTX (74% vs 49%; P = .0098) and CNI/MTX + ATG (77% vs 35%; P = .0002), and similar vs PT-Cy (72% vs 56%; P = .1058). For 8/8 MUDs, 2-year RFS for abatacept + CNI/MTX was numerically higher vs CNI/MTX (63% vs 52%; P = .1497), with an improved hazard ratio (HR) of 0.46 (0.25-0.86), and vs CNI/MTX + ATG (66% vs 55%; P = .1193; HR, 0.39 [0.21-0.73]), and was similar vs PT-Cy (68% vs 57%; P = .2356; HR, 0.54 [0.26-1.11]). For 7/8 MMUD and 8/8 MUD recipients, abatacept + CNI/MTX prophylaxis improved survival outcomes vs CNI/MTX and CNI/MTX + ATG; outcomes were similar to PT-Cy-based regimens. Abatacept + CNI/MTX may facilitate unrelated donor pool expansion for HCT.

Indexed as

AbataceptGraft vs Host DiseaseHematopoietic Stem Cell TransplantationUnrelated DonorsAcute DiseaseAdultAgedAntilymphocyte SerumFemaleHumansImmunosuppressive AgentsMaleMethotrexateMiddle AgedYoung AdultAbataceptAntilymphocyte SerumImmunosuppressive AgentsMethotrexate

Identifiers

PMID39028876
PMCPMC11530361

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.