Evidence map›Paper›PMID 39157628›Full record

ArticleEJHaem2024

Successful treatment of refractory donor-specific-human leukocyte antigen-antibody-induced primary graft-failure with daratumumab: A case report.

Vadim Lesan, Ketevani Melivadze, Johannes Hein, Manfred Ahlgrimm, Stefan Schunk, Moritz Bewarder, Konstantinos Christofyllakis, Joerg Thomas Bittenbring, Lorenz Thurner

Abstract readCase Reports
In one paragraph

Article in EJHaem, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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

9 authors.

Vadim LesanDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.ORCID https://orcid.org/0000-0002-2600-2122
Ketevani MelivadzeDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.
Johannes HeinDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.
Manfred AhlgrimmDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.
Stefan SchunkDepartment of Nephrology Saarland University Medical School Homburg Germany.
Moritz BewarderDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.ORCID https://orcid.org/0000-0003-0926-6895
Konstantinos ChristofyllakisDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.
Joerg Thomas BittenbringDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.
Lorenz ThurnerDepartment of Hematology and Oncology Internal Medicine I Saarland University Medical School Homburg Germany.ORCID https://orcid.org/0000-0002-8167-2989

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Donor-specific anti-human leukocyte antigen (HLA) antibodies represent a main cause of primary graft failure specifically in the setting of haploidentical stem cell transplantation. Newer therapy strategies including daratumumab could overcome some of these limitations. We describe the case of a patient with refractory acute myeloid leukemia. A haploidentical allogeneic stem cell transplantation was therefore initiated. HLA-antibodies testing revealed a high titer of donor-specific antibodies. First desensitization therapy failed, resulting in primary graft failure. A second desensitization regimen including plasmapheresis, intravenous gammaglobulins, and daratumumab resulted in good engraftment. Daratumumab is a promising and effective desensitization option in high-risk allo-sensitized patients undergoing haploidentical stem cell transplantation.

Indexed as

acute leukemiaantibodiesengraftment

Identifiers

PMID39157628
PMCPMC11327704

What OpenQuestion holds

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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.