Evidence map›Paper›PMID 39814869›Full record

ReviewNature reviews. Neurology2025

Autologous haematopoietic stem cell transplantation for treatment of multiple sclerosis and neuromyelitis optica spectrum disorder - recommendations from ECTRIMS and the EBMT.

Paolo A Muraro, Alice Mariottini, Raffaella Greco, Joachim Burman, Ellen Iacobaeus, Matilde Inglese, John A Snowden, Tobias Alexander, Maria Pia Amato, Lars Bø and 20 more

Registry-linked trialAbstract readReviewConsensus Statement
PubMed Publisher
In one paragraph

Review in Nature reviews. Neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07635693 (ATLG Levels and Immune Reconstitution Kinetics in Autologous HSCT for Multiple Sclerosis), which is not on this map. Cited by 29 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
29citing papers in PubMed, 1 pooled it
–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.

NCT07635693 recruitingnot on this mapstarted 2026, after this paper: background citation

ATLG Levels and Immune Reconstitution Kinetics in Autologous HSCT for Multiple Sclerosis

TypeobservationalSponsorCiceri FabioRan2026 to 2029Enrolled20ConditionsMultiple Sclerosis, Autologous Hematopoietic Stem Cell Transplant, ATLGArmsATLG administration
3 · Its place in the literature

Who cites it

29 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. Article
  3. Stem Cell-Based Therapies for Central Nervous System Demyelinating Diseases: Clinical Evidence, Therapeutic Niches, and Translational Boundaries.Medical science monitor : international medical journal of experimental and clinical research · 2026
    Review
  4. Review
  5. Article
  6. Induced pluripotent stem cell treatment for microglia replacement in progressive MS.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Review
  7. Article
  8. Promoting donor microglial replacement through augmented conditioning or radiation sensitivity.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  9. Review
  10. Should autologous HSCT be a first-line option in highly active MS? Commentary.Multiple sclerosis (Houndmills, Basingstoke, England) · 2026
    Article
  11. Article
  12. Review
  13. Article
  14. Review
  15. Article
  16. Article
  17. Review
  18. Review
  19. Article
  20. 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

30 authors.

Paolo A MuraroDepartment of Brain Sciences, Faculty of Medicine, Imperial College, London, UK. p.muraro@imperial.ac.uk.ORCID 0000-0002-3822-1218
Alice MariottiniDepartment of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy.ORCID 0000-0002-1869-7067
Raffaella GrecoUnit of Hematology and Bone Marrow Transplantation, IRCCS San Raffaele Hospital, Vita-Salute San Raffaele University, Milan, Italy.ORCID 0000-0002-6117-5328
Joachim BurmanDepartment of Medical Sciences, Uppsala University, Uppsala, Sweden.ORCID 0000-0002-7045-1806
Ellen IacobaeusDepartment of Clinical Neuroscience, Karolinska Institute, Stockholm, Sweden.
Matilde IngleseDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.
John A SnowdenDepartment of Haematology, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.ORCID 0000-0001-6819-3476
Tobias AlexanderDepartment of Rheumatology, Charité - Universitätsmedizin Berlin, Berlin, Germany.ORCID 0000-0003-1193-0097
Maria Pia AmatoDepartment of Neurosciences, Psychology, Drug Research and Child Health (NEUROFARBA), University of Florence, Florence, Italy.ORCID 0000-0003-3325-3760
Lars BøDepartment of Neurology, Haukeland University Hospital, and Department of Clinical Medicine, University of Bergen, Bergen, Norway.ORCID 0000-0001-8675-4433
Giacomo BoffaDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.
Olga CiccarelliQueen Square MS Centre, Department of Neuroinflammation, UCL Queen Square Institute of Neurology, University College London, London, UK.ORCID 0000-0001-7485-1367
Jeffrey A CohenMellen Center, Neurological Institute, Cleveland Clinic, Cleveland, OH, USA.ORCID 0000-0001-9245-9772
Tobias DerfussDepartments of Neurology and Biomedicine, University Hospital Basel, University of Basel, Basel, Switzerland.ORCID 0000-0001-8656-4250
Dominique FargeInternal Medicine Unit (UF04) CRMR MATHEC, Maladies auto-immunes et thérapie cellulaire; Saint-Louis Hospital, AP-HP, Paris-Cite University, Paris, France.
Mark S FreedmanUniversity of Ottawa, Department of Medicine Ottawa, Ottawa, Ontario, Canada.
Maria GaughanDepartment of Neurology, Beaumont Hospital, Dublin, Ireland.
Christoph HeesenInstitute of Neuroimmunology and Multiple Sclerosis, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Majid KazmiGuy's and St Thomas' NHS Trust, King's College Hospital NHS Trust, London, UK.ORCID 0000-0002-6863-6297
Kirill KirzigovNikolay Blokhin National Medical Research Center of Oncology, Moscow, Russia.ORCID 0000-0002-2945-284X
Per LjungmanDepartment. of Cellular Therapy and Allogeneic Stem Cell Transplantation, Karolinska University Hospital, Karolinska Comprehensive Cancer Center, Stockholm, Sweden.
Gianluigi MancardiDepartment of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, Genoa, Italy.
Roland MartinInstitute of Experimental Immunology, University of Zurich, Zurich, Switzerland.
Varun MehraGuy's and St Thomas' NHS Trust, King's College Hospital NHS Trust, London, UK.
Lucia MoiolaNeurology Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy.
Riccardo SaccardiCareggi University Hospital, Florence, Italy.
Mar TintoréMultiple Sclerosis Centre of Catalonia, Department of Neurology, Barcelona, Spain.ORCID 0000-0001-9999-5359
Bruno StankoffSorbonne Université, ICM, Paris Brain Institute, CNRS, Inserm, Paris, France.
Basil SharrackDepartment of Neuroscience, Sheffield Teaching Hospitals NHS Foundation Trust, Sheffield, UK.
Attendees of the ECTRIMS Focused Workshop on HSCT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Autologous haematopoietic stem cell transplantation (AHSCT) is a treatment option for relapsing forms of multiple sclerosis (MS) that are refractory to disease-modifying therapy (DMT). AHSCT after failure of high-efficacy DMT in aggressive forms of relapsing-remitting MS is a generally accepted indication, yet the optimal placement of this approach in the treatment sequence is not universally agreed upon. Uncertainties also remain with respect to other indications, such as in rapidly evolving, severe, treatment-naive MS, progressive MS, and neuromyelitis optica spectrum disorder (NMOSD). Furthermore, treatment and monitoring protocols, rehabilitation and other supportive care before and after AHSCT need to be optimized. To address these issues, we convened a European Committee for Treatment and Research in Multiple Sclerosis Focused Workshop in partnership with the European Society for Blood and Marrow Transplantation Autoimmune Diseases Working Party, in which evidence and key questions were presented and discussed by experts in these diseases and in AHSCT. Based on the workshop output and subsequent written interactions, this Consensus Statement provides practical guidance and recommendations on the use of AHSCT in MS and NMOSD. Recommendations are based on the available evidence, or on consensus when evidence was insufficient. We summarize the key evidence, report the final recommendations, and identify areas for further research.

Indexed as

Hematopoietic Stem Cell TransplantationMultiple SclerosisNeuromyelitis OpticaEuropeHumansTransplantation, Autologous

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.