Evidence map›Paper›PMID 40423585›Full record

ReviewBlood transfusion = Trasfusione del sangue

The Red Blood Cell-Improving Transfusions for Chronically Transfused Recipients (RBC-IMPACT) study: protocol description of an international multi-site observational clinical study.

Matthew S Karafin, Shannon Kelly, Kathleen M Chapman, Lisa Baumann Kreuziger, John P Manis, Carla Dinardo, Cassandra D Josephson, Mars Stone, Nareg H Roubinian, Brian Branchford and 6 more

Registry-linked trialAbstract readReview
In one paragraph

Review in Blood transfusion = Trasfusione del sangue. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05255445 (Red Blood Cell - IMProving trAnsfusions for Chronically Transfused Recipients), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT05255445 completednot on this map

Red Blood Cell - IMProving trAnsfusions for Chronically Transfused Recipients (RBC-IMPACT)

TypeobservationalSponsorWestatRan2022 to 2024Enrolled157ConditionsSickle Cell Disease, Thalassemia, Pediatric CancerArmsRed Blood Cell (RBC) Transfusion
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

16 authors.

Matthew S KarafinDepartment of Pathology and Laboratory Medicine, University of North Carolina School of Medicine, Chapel Hill, NC, USA.
Shannon KellyDepartment of Pediatrics, University of California, San Francisco Benioff Children's Hospital Oakland, Oakland, CA, USA.
Kathleen M ChapmanWestat, Rockville, MD, USA.
Lisa Baumann KreuzigerVersiti Blood Research Institute, Versiti, Milwaukee, WI, USA.
John P ManisDepartment of Pathology, Harvard Medical School and Boston Children's Hospital, Boston, MA, USA.
Carla DinardoDivision of Immunohematology, Faculdade de Medicina da Universidade de São Paulo and Fundacao Pro Sangue, São Paulo, Brazil.
Cassandra D JosephsonDepartments of Oncology, Pediatrics, Pathology, Johns Hopkins University School of Medicine and Johns Hopkins All Children's Hospital, Baltimore, MD, and St. Petersburg, FL, USA.
Mars StoneVitalant Research Institute, San Francisco, CA, USA.
Nareg H RoubinianKaiser Permanente Division of Research, Pleasanton, CA, USA.
Brian BranchfordVersiti Blood Research Institute, Versiti, Milwaukee, WI, USA.
Bruce S SachaisNew York Blood Center Enterprises, New York, NY, USA.
Benyam HailuNational Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA.
Ester C SabinoUniversity of São Paulo, São Paulo, Brazil.
Eldad A HodDepartment of Pathology & Cell Biology, Columbia University Irving Medical Center, New York, NY, USA.
Brian CusterVitalant Research Institute, San Francisco, CA, USA.
National Heart, Lung, and Blood Institute (NHLBI) Recipient Epidemiology and Donor Evaluation Study-IV-Pediatric (REDS-IV-P)

Funding

(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV-DATA75N92019D00032 · NHLBI · WESTAT, INC. · PI CHAPMAN, KATHY · 2019 to 2025
$19.6M
REDS-IV-P - CENTER FOR TRANSFUSION LABORATORY STUDIES (CTLS) - SARS-CoV-2/COVID-19 STUDIES75N92019D00033 · NHLBI · VITALANT · PI NORRIS, PHILIP J. · 2019 to 2024
$15.6M
REDS-IV-P BRAZIL TRANSFUSION SAFETY RESEARCH PROGRAM PHASE 275N92019D00038 · NHLBI · VITALANT · 2019 to 2024
$9.3M
(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV75N92019D00036 · NHLBI · YALE UNIVERSITY · PI HENDRICKSON, JEANNE E · 2019 to 2024
$6.7M
REDS-IV-P DOMESTIC HUBS PHASE 275N92019D00035 · NHLBI · VERSITI WISCONSIN, INC. · PI MAST, ALAN E · 2019 to 2024
$6.6M
REDS-IV-P DOMESTIC HUBS PHASE 275N92019D00037 · NHLBI · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI HOD, ELDAD ARIE · 2019 to 2024
$6.6M
(REDS-IV-P) RECIPIENT EPIDEMIOLOGY AND DONOR EVALUATION STUDY IV-DOMESTIC HUBS75N92019D00034 · NHLBI · VITALANT · PI CUSTER, BRIAN · 2020 to 2024
$5.3M
NHLBI NIH HHS 75N92019D00032NHLBI NIH HHS 75N92019D00033NHLBI NIH HHS 75N92019D00034NHLBI NIH HHS 75N92019D00035NHLBI NIH HHS 75N92019D00036NHLBI NIH HHS 75N92019D00037NHLBI NIH HHS 75N92019D00038
6 · The paper itself

Abstract

backgroundVariability in blood donors, components, and recipients are known to affect transfusion outcomes, yet the combined effects of these factors remains unclear. MATERIALS AND

methodsThe Red Blood Cell - Improving Transfusions for Chronically Transfused Recipients (RBC-IMPACT) study was a multi-center longitudinal study conducted in the United States (US) and Brazil over two years to investigate RBC survival after transfusion (Aim 1) and acute increase in iron post transfusion (Aim 2) (see https://clinicaltrials.gov/study/NCT05255445). The US RBC-IMPACT study included patients with thalassemia and sickle cell disease (SCD) and, in Aim 2 only, children with hematology-oncology diseases with a hypoproliferative bone marrow. In Brazil, the study was conducted within an established SCD cohort. Blood samples were collected immediately before and after RBC transfusion to measure hemoglobin (Hb), hemoglobin A (HbA) in SCD, and markers of iron and hemolysis. Samples were collected two hours post transfusion in a subset of participants receiving primarily single unit transfusions for Aim 2. Transfusate samples were collected from transfused units. Single nucleotide polymorphism array typing of donors and recipients to measure genetic variants including those associated with increased in vitro hemolysis of stored RBCs was conducted. Comprehensive information regarding donors, components and some recipient data were linked to key clinical data extracted from recipients' medical records to assess factors associated with RBC transfusion effectiveness.

resultsThe outcomes for Aim 1 were RBC survival between successive transfusions, calculated as ΔHbA per day for SCD and by ΔHb per day for thalassemia, and Δbilirubin for both patient groups. The primary outcome for Aim 2 was change in serum iron from before to 2 hours after transfusion. DISCUSSION: This study will be the most detailed and granular evaluation of the predictive variables that may optimize RBC effectiveness and safety in these chronically transfused patient populations.

Indexed as

Anemia, Sickle CellErythrocyte TransfusionThalassemiaAdolescentAdultBrazilChildChild, PreschoolErythrocytesFemaleHumansIronLongitudinal StudiesMaleUnited StatesIron

Identifiers

PMID40423585
PMCPMC12425643

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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.