Evidence map›Paper›PMID 40826184›Full record

ArticleBone marrow transplantation2025

Real-world graft utilization after CTN-1101: a registry-based analysis of haploidentical graft versus umbilical cord blood trends.

Danh T Tran, Ruyun Jin, Hong Zhu, Gabrielle Schmidt, Stephen R Spellman, Karen K Ballen

Abstract read
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

6 authors.

Danh T TranDepartment of Medicine, University of Virginia Medical Center, Charlottesville, VA, USA.ORCID 0000-0002-8200-9257
Ruyun JinDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
Hong ZhuDepartment of Public Health Sciences, University of Virginia School of Medicine, Charlottesville, VA, USA.
Gabrielle SchmidtCIBMTR (Center for International Blood & Marrow Transplant Research), NMDP, Minneapolis, MN, USA.ORCID 0009-0001-8866-5319
Stephen R SpellmanCIBMTR (Center for International Blood & Marrow Transplant Research), NMDP, Minneapolis, MN, USA.ORCID 0000-0002-7271-8252
Karen K BallenUniversity of Virginia Comprehensive Cancer Center, Charlottesville, VA, USA. KB3TC@virginia.edu.

Funding

Data Resource for Analyzing Blood &Marrow TransplantsU24CA076518 · NCI · MEDICAL COLLEGE OF WISCONSIN · PI Amy M Moskop, Bronwen Shaw · 1998 to 2026
$105.2M
NTP INFORMATION SYSTEMS SUPPORT27305C0011 · NIEHS · Z-TECH CORPORATION · 2007 to 2009
$4.3M
PROVIDE RABBITS, RATS, MICE, HAMSTERS, GERBILS, GUINEA PIGS27307C0011 · NIEHS · PI BOLEN, WAYNE · 2007 to 2007
$500k
NCI NIH HHS U24 CA076518NIEHS NIH HHS 27305C0011NIEHS NIH HHS 27307C0011NIEHS NIH HHS 27398C0011U.S. Department of Health & Human Services | U.S. Public Health Service (United States Public Health Service) U24CA076518
6 · The paper itself

Abstract

Randomized clinical trials are expensive and not always practice changing. The Blood and Marrow Transplant Clinical Trials Network (CTN) 1101 trial (2012-2018) showed a lower two-year overall survival after umbilical cord blood (UCB) compared to haploidentical graft (haplo) transplants. To quantify the change in graft utilization after the trial's publication, a cohort of 11,190 U.S. adult HCT recipients selected with inclusion/exclusion criteria similar to CTN-1101's were analyzed across three time periods: 2010-2012 (pre-study), 2013-2018 (during-study), and 2019-2022 (post-study). We found a significant increase in haplo utilization compared to UCB, with the trend beginning around 2013. Compared to non-Hispanic White, Black recipients were more likely to receive haplo, Asian recipients were less likely, and Hispanic recipients had similar rates. We also expanded our analyses to 61,465 patients to assess haplo and UCB utilization compared to other allogeneic donors. In this cohort, utilization of alternative donor grafts increased when compared to HLA-matched related or unrelated donor grafts for Black, Hispanic, and Asian recipients. Our findings demonstrate practice change toward haplo transplants had begun before the CTN-1101 trial's publication and continued to significantly increase afterward. HLA-mismatched donors are vital alternative graft sources, allowing patients of all backgrounds to receive HCT.

Indexed as

Cord Blood Stem Cell TransplantationFetal BloodHematopoietic Stem Cell TransplantationRegistriesTransplantation, HaploidenticalAdultFemaleHumansMaleMiddle Aged

Identifiers

PMID40826184
PMCPMC12568632

What OpenQuestion holds

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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.