Evidence map›Paper›PMID 39155338›Full record

ArticleBone marrow transplantation2024

Young (<35 years) haploidentical versus old (≥35 years) mismatched unrelated donors and vice versa for allogeneic stem cell transplantation with post-transplant cyclophosphamide in patients with acute myeloid leukemia in first remission: a study on behalf of the Acute Leukemia Working Party of the European Society for Blood and Marrow Transplantation.

Arnon Nagler, Myriam Labopin, Ryszard Swoboda, Didier Blaise, Emanuele Angelucci, Jan Vydra, Lucía López Corral, Stefania Bramanti, Patrizia Chiusolo, Mi Kwon and 7 more

Abstract readComparative Study
PubMed Publisher
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 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing 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

11 citing papers in PubMed.

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  10. Impact of CD34Blood research · 2025
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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

17 authors.

Arnon NaglerDivision of Hematology, Sheba Medical Center, Tel Hashomer, Israel. arnon.nagler@sheba.health.gov.il.ORCID http://orcid.org/0000-0002-0763-1265
Myriam LabopinDepartment of Hematology, EBMT Paris Study Office, Saint Antoine Hospital, INSERM UMR 938, Sorbonne University, Paris, France.
Ryszard SwobodaMaria Sklodowska-Curie National Research Institute of Oncology, Gliwice Branch, Gliwice, Poland.ORCID http://orcid.org/0000-0002-5897-3919
Didier BlaiseProgramme de Transplantation & Therapie Cellulaire, Marseille, France.
Emanuele AngelucciOspedale San Raffaele s.r.l., Milano, Italy.
Jan VydraInstitute of Hematology and Blood Transfusion, Prague, Czech Republic.ORCID http://orcid.org/0000-0002-4274-3895
Lucía López CorralHospital Clínico, Salamanca, Spain.ORCID http://orcid.org/0000-0003-1908-5596
Stefania BramantiTransplantation Unit Department of Oncology and Haematology, IRCCS Humanitas Research Hospital, Milan, Italy.ORCID http://orcid.org/0000-0002-4117-7991
Patrizia ChiusoloDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico Universitario A. Gemelli IRCCS, Università Cattolica Sacro Cuore, Rome, Italy.ORCID http://orcid.org/0000-0002-1355-1587
Mi KwonDepartment of Hematology, Hospital General Universitario Gregorio Marañon, Institute of Health Research Gregorio Marañon, Madrid, Spain.
Yener KocMedicana International Hospital Istanbul, Istanbul, Turkey.
Maija Itäla-RemesTurku University Hospital, Turku, Finland.
Massimo MartinoStem Cell Transplantation and Cellular Therapies Unit (CTMO), Department of Hemato-Oncology and Radiotherapy, Grande Ospedale Metropolitano "Bianchi-Melacrino-Morelli", Reggio Calabria, Italy.ORCID http://orcid.org/0000-0002-3987-419X
Alexander KulaginRM Gorbacheva Research Institute, Pavlov University, Petersburg, Russian Federation.
Alessandro BuscaS.S.C.V. D Trapianto di Cellule Staminali, Torino, Italy.ORCID http://orcid.org/0000-0001-5361-5613
Fabio CiceriIRCCS Osspedale San Raffaele, Vita-Salute San Raffaele University Hematology and BMT, Milano, Italy.ORCID http://orcid.org/0000-0003-0873-0123
Mohamad MohtyDepartment of Hematology, EBMT Paris Study Office, Saint Antoine Hospital, INSERM UMR 938, Sorbonne University, Paris, France.ORCID http://orcid.org/0000-0002-7264-808X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We compared transplantation (HSCT) outcomes in AML patients undergoing HSCT with post-transplant cyclophosphamide (PTCy) in first complete remission from 1065 young (<35 years) haploidentical (Haplo) donors (yHaplo) vs. 147 old (≥35 years) mismatched unrelated donors (oMMUD) (first comparison) and from 271 young (<35 years) MMUD (yMMUD) vs. 1315 old (≥35 years) Haplo donors (oHaplo) (second comparison). Acute graft-versus-host disease (aGVHD) grades II-IV were significantly lower in the yHaplo vs. oMMUD group (HR = 0.62, p = 0.007). There were no significant differences in chronic GVHD, non-relapse mortality (NRM), relapse incidence, leukemia-free survival, overall survival, and GVHD-free and relapse-free survival. As for the second comparison, more patients in the oHaplo group had de novo AML, 86.6% vs. 81.9% in the yMMUD group (p = 0.044), while myeloablative conditioning was used more frequently in the yMMUD group, 53.3% vs. 46.8% in the oHaplo group (p = 0.049). aGVHD grades II-IV and NRM were significantly lower in the yMMUD vs. oHaplo group (HR = 0.69, p = 0.013 and HR = 0.60, p = 0.022). All other transplant outcomes did not differ. In conclusion, HSCT from young alternative donors (<35 years) results in a lower incidence of grades II-IV aGVHD. In addition, NRM is lower in HSCT from yMMUD compared to HSCT from oHaplo.

Indexed as

CyclophosphamideHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteUnrelated DonorsAdolescentAdultAge FactorsChildDisease-Free SurvivalEuropeFemaleGraft vs Host DiseaseHumansMaleMiddle AgedRemission InductionCyclophosphamide

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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.