Evidence map›Paper›PMID 41023427›Full record

ArticleBone marrow transplantation2025

Single unrelated umbilical cord blood versus unmanipulated haploidentical HCT using PTCy in pediatric AML: a retrospective study on behalf of the EBMT PDWP and CTIWP.

Benedetta Elena Di Majo, Mouad Abouqateb, Jacques-Emmanuel Galimard, Arnaud Dalissier, Giovanna Lucchini, Birgitta Versluys, Ludmila Zubarovskaya, Oana Mirci-Danicar, Charlotte Jubert, Sanjay Tewari and 18 more

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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 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
–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

2 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Guideline
  2. 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

28 authors.

Benedetta Elena Di MajoDepartment of Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.ORCID 0009-0000-4478-6509
Mouad AbouqatebEBMT Paris Study Unit, Saint Antoine Hospital, INSERM UMR-S 938, Sorbonne University, Paris, France.
Jacques-Emmanuel GalimardEBMT Paris Study Unit, Saint Antoine Hospital, INSERM UMR-S 938, Sorbonne University, Paris, France.ORCID 0000-0001-9102-4427
Arnaud DalissierEBMT Paris Study Unit, Saint Antoine Hospital, INSERM UMR-S 938, Sorbonne University, Paris, France.
Giovanna LucchiniDepartment of Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Birgitta VersluysPrincess Maxima Center/ University Hospital for Children (WKZ), Stem cell transplantation, Utrecht, Netherlands.
Ludmila ZubarovskayaRM Gorbacheva Research Institute, Pavlov University, Saint Petersburg, Russian Federation.
Oana Mirci-DanicarBristol Royal Hospital for Children Dept. of Paediatric Haematology/Oncology/BMT, Bristol, UK.
Charlotte JubertCHU Bordeaux Groupe Hospitalier Pellegrin-Enfants, Bordeaux, France.
Sanjay TewariRoyal Marsden Hospital, Leukaemia Myeloma Units, London, UK.
Robert WynnRoyal Manchester Children's Hospital, Department of Paediatric Haematology, Bone Marrow Unit, Manchester, UK.ORCID 0000-0002-6046-8428
Sarah LawsonBirmingham Children's Hospital Department of Haematology, Birmingham, UK.
Gerard MichelHopital de la Timone, Département Hématologie Oncologie Pédiatrique, Marseille, France.ORCID 0000-0002-0018-5709
Adriana BalduzziDepartment of Pediatrics, Fondazione IRCCS San Gerardo dei Tintori, Monza, Italy.
Rose-Marie HamladjiService Hématologie Greffe de moelle osseuse, Centre Pierre et Marie Curie, Algiers, Algeria.
Anne SirventHôpital A De Villeneuve, Onco-Hématologie pédiatrique, Montpellier, France.
Ali Al-AhmariKing Faisal Specialist Hospital & Research Centre, Department of Pediatric Hematology/Oncology, Riyadh, Saudi Arabia.ORCID 0000-0002-8732-5611
Fanny RiallandCHU Nantes, Departement D'Hematologie, Nantes, France.ORCID 0000-0002-3136-6270
Maura FaraciHSCT Unit, Department of Hematology and Oncology, IRCCS Institute G. Gaslini, Genoa, Italy.ORCID 0000-0001-5715-501X
Marc AnsariDepartment of Women, Child and Adolescent, Onco-Hematology Unit, Geneva University Hospital, Geneva, Switzerland.
Jean-Hugues DallePediatric Immunology and Hematology Department and CRMR aplasies médullaires, Robert Debré Hospital, Groupe Hospitalier Universitaire, Assistance Publique-Hôpitaux de Paris Nord, Université de Paris Cité, Paris, France.
Charlotte CalvoPediatric Immunology and Hematology Department and CRMR aplasies médullaires, Robert Debré Hospital, Groupe Hospitalier Universitaire, Assistance Publique-Hôpitaux de Paris Nord, Université de Paris Cité, Paris, France.ORCID 0000-0002-6628-6342
Vanderson RochaHospital de Clinicas, Hematology, Transfusion and Cell Therapy Service, University of São Paulo, Sao Paulo, Brazil.
Eliane GluckmanEurocord APHP, Hospital Saint Louis, Paris, France.
Katharina KleinschmidtDepartment of Pediatric Oncology, Hematology and Stem Cell Transplantation, University of Regensburg, Regensburg, Germany.ORCID 0000-0002-1447-7286
Selim CorbaciogluDepartment of Pediatric Oncology, Hematology and Stem Cell Transplantation, University of Regensburg, Regensburg, Germany.
Krzysztof Kalwak *Department of Pediatric Hematology, Oncology and BMT, Wroclaw Medical University, Wroclaw, Poland.ORCID 0000-0003-1174-5799
Annalisa Ruggeri *Haematology and Bone Marrow Transplant Unit, IRCCS San Raffaele Scientific Institute, Milan, Italy. annalisaruggeri80@hotmail.com.ORCID 0000-0002-7261-2765

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Hematopoietic stem cell transplantation (HCT) is the standard consolidation therapy for children with high-risk or relapsed acute myeloid leukemia (AML). In the absence of an human leukocyte antigen (HLA)-matched donor, both unrelated cord blood transplantation (UCBT) and haploidentical HCT with post-transplant cyclophosphamide (haplo-PTCy) serve as viable alternatives. This study analyzed outcomes of 254 pediatric AML patients (CR1/CR2) who underwent either single-unit UCBT (N = 127) without serotherapy or haplo-PTCy (N = 127) between 2011 and 2021. Propensity score weighting was applied to minimize baseline differences. With a median follow-up of 2.9 years, no significant differences were observed in overall survival, leukemia-free survival, relapse incidence, non-relapse mortality (NRM), or graft-versus-host disease (GVHD)-free relapse-free survival. However, UCBT recipients had a lower risk of chronic GVHD (7.1% vs. 19.8%; P = 0.019). These findings confirm comparable survival outcomes between UCBT and Haplo-PTCy. Given the higher risk of cGVHD in haplo-PTCy, further research is needed to refine GVHD prevention strategies while maintaining relapse-free survival. Both approaches remain safe and readily available alternatives for pediatric AML patients lacking matched donors.

Indexed as

Cord Blood Stem Cell TransplantationCyclophosphamideHematopoietic Stem Cell TransplantationLeukemia, Myeloid, AcuteTransplantation ConditioningTransplantation, HaploidenticalAdolescentChildChild, PreschoolDisease-Free SurvivalFemaleGraft vs Host DiseaseHumansInfantMaleRetrospective StudiesCyclophosphamide

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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.