Evidence map›Paper›PMID 40089614›Full record

ArticleBone marrow transplantation2025

Improved GVHD-free and relapse-free survival after ex vivo αβTCR and CD19 depleted allogeneic HSCT compared to T cell replete HSCT.

A H G Stuut, C Nijssen, L van der Wagen, A van Rhenen, L G M Daenen, A Janssen, F A Verheij, I Brinkman, F M Verduyn Lunel, H Koene and 6 more

Abstract readComparative Study
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In one paragraph

Article in Bone marrow transplantation, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Posttransplant cells for the win? DLI and adoptive cell therapy to eradicate MRD.Hematology. American Society of Hematology. Education Program · 2025
    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

16 authors.

A H G Stuut *Center for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.
C Nijssen *Department of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
L van der WagenDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
A van RhenenDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
L G M DaenenDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0001-9835-3223
A JanssenDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
F A VerheijDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
I BrinkmanDepartment of Hematology, University Medical Center Utrecht, Utrecht, The Netherlands.
F M Verduyn LunelDepartment of Medical Microbiology, University Medical Center Utrecht, Utrecht, The Netherlands.
H KoeneDepartment of Internal Medicine, Antonius Ziekenhuis, Nieuwegein, The Netherlands.
R FijnheerDepartment of Internal Medicine, Meander Medisch Centrum, Amersfoort, The Netherlands.
H J PrinsUniversity Medical Center Utrecht, Utrecht, The Netherlands.
K WestingaUniversity Medical Center Utrecht, Utrecht, The Netherlands.
J DrylewiczCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-9434-8459
J KuballCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands.ORCID http://orcid.org/0000-0002-3914-7806
M A de WitteCenter for Translational Immunology, University Medical Center Utrecht, Utrecht, The Netherlands. M.A.dewitte-7@umcutrecht.nl.ORCID http://orcid.org/0000-0001-7470-2994

Funding

KWF Kankerbestrijding (Dutch Cancer Society) 13493
6 · The paper itself

Abstract

Allogeneic hematopoietic stem cell transplantation (allo-HSCT) aims to cure patients without inducing severe graft-versus-host disease (GVHD) or relapse. In prospective studies of mostly pediatric patients with haploidentical donors, ex vivo αβTCR/CD19 depletion has shown to have low incidences of GVHD, but data for adults with matched related (MRD) or unrelated donors (MUD) remain limited. We analyzed the outcomes of recipients who received a myeloablative regimen plus ATG, followed by an αβTCR/CD19-depleted allograft (cohort D+ATG (n = 122)), and compared outcomes to T cell-replete cohorts (cohort R (N = 60)); without ATG; R+ATG = with ATG (N = 129) in a single-center retrospective analysis. In D+ATG, the incidence of aGVHD grade III-IV was 7%, compared to 13% in R and 16% in R+ATG (p = 0.09). Extensive cGVHD was reduced from 23% in R and 10% in R+ATG to 2% in D+ATG (p < 0.001). The reduced incidence of cGVHD led to a superior GVHD-relapse-free survival (GRFS) of 56.7% in D+ATG versus 36.7% in R and 42.8% in R+ATG (p = 0.03) at 2 years. In conclusion, the combination of myeloablative conditioning, ATG, and ex vivo αβTCR/CD19 depletion appears to be a promising approach to enhance GRFS in adult patients up to 75 years of age undergoing allo-HSCT.

Indexed as

Antigens, CD19Graft vs Host DiseaseHematopoietic Stem Cell TransplantationLymphocyte DepletionReceptors, Antigen, T-Cell, alpha-betaTransplantation ConditioningAdolescentAdultAgedAllograftsChildChild, PreschoolDisease-Free SurvivalFemaleHumansMaleAntigens, CD19CD19 molecule, humanReceptors, Antigen, T-Cell, alpha-beta

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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.