Evidence map›Paper›PMID 40435096›Full record

Trial reportClinical cancer research : an official journal of the American Association for Cancer Research2025

FDA Approval Summary: Abatacept for the Prophylaxis of Acute GVHD.

Kelly J Norsworthy, Donna R Rivera, Joseph Wynne, Jian Zhao, Robyn Konicki, Aida Kuzucan, Jonathon Vallejo, Ruby Leong, Olanrewaju O Okusanya, Brian Booth and 3 more

Abstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. 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. Review
  2. Article
  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

13 authors.

Kelly J Norsworthy *Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-8462-9994
Donna R Rivera *Oncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-4565-4556
Joseph WynneCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-2079-4595
Jian ZhaoCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0009-0001-0107-5712
Robyn KonickiCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0003-4436-6963
Aida KuzucanCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0003-0893-7028
Jonathon VallejoCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-9700-4037
Ruby LeongCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0003-0625-4215
Olanrewaju O OkusanyaCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-4134-7882
Brian BoothCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0009-0002-3812-4060
Paul G KluetzCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-9796-4791
Richard PazdurOncology Center of Excellence, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0002-4771-9923
R Angelo de ClaroCenter for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, Maryland.ORCID 0000-0001-8362-1977

Funding

Intramural FDA HHS FD999999U.S. Food and Drug Administration (FDA)
6 · The paper itself

Abstract

In December 2021, the FDA approved abatacept (Orencia; Bristol Myers Squibb) in combination with a calcineurin inhibitor (CNI) and methotrexate (MTX) as the first drug for the prophylaxis of acute GVHD (aGVHD) in adult and pediatric (2 years of age and older) patients undergoing hematopoietic stem cell transplantation (HSCT) from a matched or one allele-mismatched unrelated donor (URD). Study IM101311 included a randomized (1:1), double-blind evaluation of abatacept (N = 73) versus placebo (N = 69) +CNI+MTX as aGVHD prophylaxis in patients ≥6 years undergoing an 8/8 HLA-matched URD HSCT. Overall survival and grade II-IV aGVHD-free survival at day 180 after transplantation for abatacept versus placebo showed HRs [95% confidence interval (CI)] of 0.33 (0.12-0.93) and 0.54 (0.35-0.83), respectively. A second study, IM101841, was conducted using real-world data from the Center for International Blood and Marrow Transplant Research registry for abatacept+CNI+MTX (N = 54) versus CNI+MTX (N = 162) in patients who underwent 7/8 mismatched URD HSCT. Day 180 overall survival was 98% (95% CI, 78-100) with abatacept+CNI+MTX versus 75% (95% CI, 67-82) with CNI+MTX. Serious adverse reactions included cytomegalovirus and Epstein-Barr virus reactivation. An additional study in patients 2 to <6 years of age was required as a condition of the approval.

Indexed as

AbataceptGraft vs Host DiseaseHematopoietic Stem Cell TransplantationImmunosuppressive AgentsAcute DiseaseAdolescentAdultAgedCalcineurin InhibitorsChildChild, PreschoolDouble-Blind MethodDrug ApprovalFemaleHumansMaleAbataceptCalcineurin InhibitorsImmunosuppressive AgentsMethotrexate

Identifiers

PMID40435096
PMCPMC12316540

What OpenQuestion holds

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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.