Evidence map›Paper›PMID 40360760›Full record

ArticleBone marrow transplantation2025

Addition of mycophenolate mofetil to a calcineurin inhibitor and post-transplant cyclophosphamide results in lower incidence of extensive chronic graft-versus-host disease in HLA-matched allogeneic hematopoietic stem cell transplantation for acute myeloid leukemia in complete remission: a matched-pair analysis on behalf of the Acute Leukemia Working Party of the EBMT.

Giorgia Battipaglia, Myriam Labopin, Aleksandr Kulagin, Jurgen Versluis, Goda Choi, Ellen Meijer, Montserrat Rovira, Gwendolyn van Gorkom, Mi Kwon, Yener Koc and 9 more

Abstract read
PubMed Publisher
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. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

19 authors.

Giorgia BattipagliaFederico II University of Naples, Hematology Department, Naples, Italy. giorgia.battipaglia@unina.it.ORCID 0000-0002-0695-3879
Myriam LabopinEBMT Paris study office, Paris, France.ORCID 0000-0003-4514-4748
Aleksandr KulaginFirst State Pavlov Medical University of St. Petersburg, Raisa Gorbacheva Memorial Research Institute for Paediatric Oncology, Haematology and Transplantation - St-Petersburg, St-Petersburg, Russia.ORCID 0000-0002-9589-4136
Jurgen VersluisErasmus MC Cancer Institute, University Medical Center Rotterdam, Department of Haematology - Rotterdam, Rotterdam, The Netherlands.ORCID 0000-0003-2372-1663
Goda ChoiDepartment of Hematology, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands.
Ellen MeijerVU University Medical Center, Department of Haematology - Amsterdam, Amsterdam, The Netherlands.
Montserrat RoviraHospital Clinic, BMT Unit, Dept. of Haematology, Institute of Haematology & Oncology, IDIBAPS, Institut Josep Carreras- Barcelona, Barcelona, Spain.
Gwendolyn van GorkomDepartment of Internal Medicine, Division of Hematology, GROW School for Oncology and Developmental Biology, Maastricht University Medical Center, Maastricht, The Netherlands.
Mi KwonDepartment of Hematology, Hospital General Universitario Gregorio Marañon, Instituto de Investigacion Sanitaria Gregorio Marañon, Departamento de Medicina, Universidad Computense de Madrid, Madrid, Spain.ORCID 0000-0002-3855-7774
Yener KocMedicana International Hospital Istanbul, Bone Marrow Transplant Unit - Istanbul, Istanbul, Turkey.
Jan VydraInstitute of Haematology and Blood Transfusion, Prague, Czech Republic.ORCID 0000-0002-4274-3895
Patrizia ChiusoloDipartimento di Diagnostica per Immagini, Radioterapia Oncologica ed Ematologia, Fondazione Policlinico A. Gemelli IRCCS, Sezione di Ematologia, Dipartimento di Scienze Radiologiche ed Ematologiche, Università Cattolica del Sacro Cuore, Roma, Italy.ORCID 0000-0002-1355-1587
Amit PatelClatterbridge Cancer Centre - Liverpool, Royal Liverpool University Hospital, Clatterbridge Cancer Centre NHS Foundation Trust, Division of Stem Cell Transplantation and Haematology - Liverpool, Liverpool, UK.
Simona PiemonteseOspedale San Raffaele s.r.l., Haematology and BMT, Milano, Italy.ORCID 0000-0002-5908-0792
Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Departament de Medicina Universitat de Valencia, CIBERONC, Instituto Carlos III, Valencia, Spain.ORCID 0000-0001-6934-4619
Annalisa RuggeriOspedale San Raffaele s.r.l., Haematology and BMT, Milano, Italy.ORCID 0000-0002-7261-2765
Arnon NaglerDepartment of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.ORCID 0000-0002-0763-1265
Fabio CiceriOspedale San Raffaele s.r.l., Haematology and BMT, Milano, Italy.
Mohamad MohtyEBMT Paris study office, Paris, France.ORCID 0000-0002-7264-808X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Whether one or two agents added to post-transplant cyclophosphamide (PTCy) are needed in HLA-matched allogeneic hematopoietic stem cell transplantation (allo-HSCT) with peripheral blood stem cells (PBSC) is debated. We retrospectively compared PTCy in association with a calcineurin inhibitor (PTCy+CNI) or with a CNI plus mycophenolate mofetil (PTCy+CNI+MMF) in adult patients transplanted for acute myeloid leukemia in first complete remission and receiving PBSC in the period from 2010 to 2020. Propensity score matching was performed using exact matching for donor type (related or unrelated) and the nearest neighbor for other variables (i.e. age, adverse cytogenetics, Karnofsky performance status, patient and donor cytomegalovirus serology, conditioning intensity). Each group comprised 146 patients, with 63% in total undergoing matched unrelated-allo-HSCT. Median follow up was longer for PTCy+CNI (36 [IQR 31-39] months versus 25 [IQR 19-30] months for PTCy+CNI+MMF, p < 0.01). At 2 years, PTCy+CNI was associated with a higher incidence of extensive chronic GVHD (16% [95% CI 10-22] versus 6% [95% CI 3-12] for PTCy+CNI+MMF, p < 0.03) while no differences were observed for all the other transplant outcomes. Addition of MMF to PTCy and CNI may help to prevent extensive chronic GVHD in HLA-matched allo-HSCT with PBSC.

Indexed as

Calcineurin InhibitorsCyclophosphamideGraft vs Host DiseaseHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteMycophenolic AcidAdultFemaleHumansIncidenceMaleMiddle AgedPathologic Complete ResponseRemission InductionRetrospective StudiesTransplantation, HomologousCalcineurin InhibitorsCyclophosphamideMycophenolic Acid

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.