Evidence map›Paper›PMID 39368803›Full record

ArticleBlood advances2024

Outcomes of haploidentical transplants with PT-CY vs 10/10 MUD transplants with ATG in Germany.

Aysenur Arslan, Svenja Labuhn, Elisa Sala, Mark Ringhoffer, Johannes Schetelig, Thomas Schröder, Gesine Bug, Georg-Nikolaus Franke, Matthias Stelljes, Peter Dreger and 14 more

Abstract read
In one paragraph

Article in Blood advances, 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. Review
  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

24 authors.

Aysenur ArslanDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-5717-8331
Svenja LabuhnInstitute of Statistics, University of Ulm, Ulm, Germany.
Elisa SalaDepartment of Internal Medicine III, University Hospital Ulm, Ulm, Germany.
Mark RinghofferDepartment of Internal Medicine III, Städtisches Klinikum Karlsruhe, Karlsruhe, Germany.
Johannes ScheteligMedizinische Klinik und Poliklinik I, Universitätsklinikum Carl Gustav Carus, Dresden, Germany.
Thomas SchröderDepartment of Hematology and Stem Cell Transplantation, West German Cancer Center Essen, University Hospital Essen, Essen, Germany.
Gesine BugDepartment of Medicine 2, Hematology and Oncology, Goethe University Frankfurt, Frankfurt, Germany.
Georg-Nikolaus FrankeDepartment of Hematology and Cellular Therapy, University of Leipzig, Leipzig, Germany.
Matthias StelljesDepartment of Medicine A/Hematology and Oncology, University Hospital Münster, Münster, Germany.
Peter DregerDepartment of Hematology and Oncology, University Hospital Heidelberg, Heidelberg, Germany.ORCID 0000-0002-7429-8570
Robert ZeiserDepartment of Medicine I/Hematology and Oncology, Faculty of Medicine, Freiburg Universiy Medical Center, Freiburg, Germany.
Daniel TeschnerDepartment of Internal Medicine II, University Hospital Würzburg, Würzburg, Germany.ORCID 0000-0001-7351-8060
Wolfgang BethgeDepartment of Hematology and Oncology, University Hospital Tuebingen, Tuebingen, Germany.ORCID 0000-0001-6052-2618
Matthias EderDepartment of Hematology, Hemostasis, Oncology, and Stem Cell Transplantation, Hannover Medical School, Hannover, Germany.
Matthias EdingerDepartment of Internal Medicine III, University Clinic Regensburg, Regensburg, Germany.
Elisa Maria AmannDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.ORCID 0000-0002-1732-9019
Christine NeuchelDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.
Amelie Schmid-MöglichDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.
Sandra SchmellerInstitute of Statistics, University of Ulm, Ulm, Germany.ORCID 0009-0008-6943-1577
Jan BeyersmannInstitute of Statistics, University of Ulm, Ulm, Germany.
Hubert SchrezenmeierDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.ORCID 0000-0003-1222-6659
Joannis MytilineosZKRD-Zentrales Knochenmarkspender-Register für Deutschland, German National Bone Marrow Donor Registry, Ulm, Germany.
Nicolaus KrögerDepartment of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.ORCID 0000-0001-5103-9966
Daniel FürstDepartment of Transplantation Immunology, Institute of Clinical Transfusion Medicine and Immunogenetics Ulm, German Red Cross Blood Transfusion Service, Baden Wuerttemberg - Hessen, University Hospital Ulm, Ulm, Germany.ORCID 0000-0001-9542-3169

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

abstractAllogeneic hematopoietic stem cell transplantation (allo-HSCT) is the best curative treatment modality for many malignant hematologic disorders. In the absence of a matched related donor, matched unrelated donors (MUDs) and haploidentical donors are the most important stem cell sources. In this registry-based retrospective study, we compared the outcomes of allo-HSCTs from 10/10 MUDs with antithymocyte globulin (ATG)-based regimens (n = 7050) vs haploidentical transplants (Haplo-Tx) using posttransplant cyclophosphamide (PT-CY Haplo; n = 487) in adult patients with hematologic malignancies between 2010 and 2020. Cox proportional hazard-and competing risks regression models were formed to compare the outcomes. Overall survival (OS), Disease-free survival (DFS), and graft-versus-host disease (GVHD)-free and relapse-free survival (GRFS) were superior for 10/10 MUDs (OS [hazard ratio (HR), 1.27; 95% confidence interval (CI), 1.10-1.47; P = .001]; DFS [HR, 1.17; CI, 1.02-1.34; P = .022]; GRFS [HR, 1.34; CI, 1.19-1.50; P < .001]). The risk of acute GVHD (aGVHD) grade 2 to 4, aGVHD grade 3 to 4, and chronic GVHD (cGVHD) was higher in the PT-CY Haplo group than the 10/10 MUD group (aGVHD grade 2-4 [HR, 1.46; CI, 1.25-1.71; P < .001]; aGVHD grade 3-4 [HR, 1.74; CI, 1.37- 2.20; P < .001]; cGVHD [HR, 1.30; CI, 1.11-1.51; P = .001]). A lower incidence of relapse was observed in the PT-CY Haplo group (relapse: HR, 0.83; CI, 0.69-0.99; P = .038). Unrelated 10/10 matched transplantation with ATG leads to lower GVHD rates and improved survival rates compared with PT-CY Haplo transplantation in Germany.

Indexed as

Antilymphocyte SerumGraft vs Host DiseaseHematopoietic Stem Cell TransplantationTransplantation, HaploidenticalAdolescentAdultAgedCyclophosphamideFemaleGermanyHematologic NeoplasmsHumansMaleMiddle AgedRetrospective StudiesTransplantation ConditioningAntilymphocyte SerumCyclophosphamide

Identifiers

PMID39368803
PMCPMC11652758

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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.