Evidence map›Paper›PMID 39303985›Full record

ArticleTransplantation and cellular therapy2024

Comparison of Thiotepa-based Conditioning Regimens for Older Adults with Primary Diffuse Large B-cell Lymphoma of the Central Nervous System Undergoing Autologous Hematopoietic Cell Transplantation.

Othman S Akhtar, Shanze Arshad, Qinghua Lian, Kwang W Ahn, Anita D'Souza, Binod Dhakal, Meera Mohan, Marcelo Pasquini, Walter Longo, Nirav N Shah and 2 more

Abstract readComparative Study
In one paragraph

Article in Transplantation and cellular therapy, 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. 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

12 authors.

Othman S AkhtarMedical College of Wisconsin, Milwaukee, Wisconsin; Center for International Blood and Marrow Research, Milwaukee, Wisconsin. Electronic address: oakhtar@mcw.edu.
Shanze ArshadUniversity of Kentucky College of Medicine, Lexington, Kentucky.
Qinghua LianMedical College of Wisconsin, Milwaukee, Wisconsin.
Kwang W AhnMedical College of Wisconsin, Milwaukee, Wisconsin; Center for International Blood and Marrow Research, Milwaukee, Wisconsin.
Anita D'SouzaMedical College of Wisconsin, Milwaukee, Wisconsin.
Binod DhakalMedical College of Wisconsin, Milwaukee, Wisconsin.
Meera MohanMedical College of Wisconsin, Milwaukee, Wisconsin.
Marcelo PasquiniMedical College of Wisconsin, Milwaukee, Wisconsin; Center for International Blood and Marrow Research, Milwaukee, Wisconsin.
Walter LongoMedical College of Wisconsin, Milwaukee, Wisconsin.
Nirav N ShahMedical College of Wisconsin, Milwaukee, Wisconsin.
Timothy S FenskeMedical College of Wisconsin, Milwaukee, Wisconsin.
Mehdi HamadaniMedical College of Wisconsin, Milwaukee, Wisconsin; Center for International Blood and Marrow Research, Milwaukee, Wisconsin.

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NTP INFORMATION SYSTEMS SUPPORT27305C0011 · NIEHS · Z-TECH CORPORATION · 2007 to 2009
$4.3M
PROVIDE RABBITS, RATS, MICE, HAMSTERS, GERBILS, GUINEA PIGS27307C0011 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$500k
NCI NIH HHS U24 CA076518NIEHS NIH HHS 27305C0011NIEHS NIH HHS 27307C0011NIEHS NIH HHS 27398C0011
6 · The paper itself

Abstract

In this study, we compare outcomes of older patients with primary diffuse large B-cell lymphoma of the central nervous system (PCNSL) undergoing autologous hematopoietic cell transplantation (autoHCT) with either thiotepa/carmustine (BCNU/Thio) or thiotepa/busulfan/cyclophosphamide (TBC) conditioning. We used a postpublication dataset made available by the Center for International Blood and Marrow Transplantation Research including patients who were ≥65 years in age with PCNSL and underwent autoHCT as consolidation with TBC or BCNU/Thio conditioning. Out of 147 patients; n = 84 received BCNU/Thio and n = 63 received TBC. The 1-year NRM in the BCNU/Thio group was 10% versus 22% in the TBC group (P = .05) and the 2-year relapse rate was 5% versus 5%, respectively (P = 1.00). The 2-year progression-free survival (PFS) in the BCNU/Thio group was 85% versus 71% in the TBC group (P = .05) and 2-year overall survival (OS) was 86% versus 74% (P = .08). In a multivariable regression model, BCNU/Thio was associated with a lower risk for NRM (hazard ratio [HR], 0.33, P = .009), improved PFS (HR, 0.41, P = .008) and OS (HR, 0.37, P = .007), but there was no association with relapse risk. We found that in older adults with PCNSL undergoing consolidation with autoHCT, BCNU/Thio conditioning is associated with lower NRM and improved OS compared to TBC.

Indexed as

Hematopoietic Stem Cell TransplantationLymphoma, Large B-Cell, DiffuseThiotepaTransplantation, AutologousTransplantation ConditioningAgedAntineoplastic Combined Chemotherapy ProtocolsBusulfanCarmustineCentral Nervous System NeoplasmsCyclophosphamideFemaleHumansMaleBusulfanCarmustineCyclophosphamideThiotepaAutologous hematopoietic cell transplantationConditioning regimensOlder adultsPrimary diffuse large B-cell lymphoma of the central nervous system

Identifiers

PMID39303985
PMCPMC12483827

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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.