Evidence map›Paper›PMID 41046309›Full record

ArticleBone marrow transplantation2026

Comparison of single-unit umbilical cord blood transplantation and haploidentical transplantation using posttransplant cyclophosphamide during first complete remission of acute myeloid leukemia.

Masamitsu Yanada, Satoshi Yamasaki, Shohei Mizuno, Junichi Sugita, Takahiro Fujino, Yukiko Misaki, Masatsugu Tanaka, Naoyuki Uchida, Makoto Onizuka, Noriko Doki and 13 more

Abstract readComparative Study
PubMed Publisher
In one paragraph

Article in Bone marrow transplantation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

23 authors.

Masamitsu YanadaNagoya City University East Medical Center, Nagoya, Japan. myanada@med.nagoya-cu.ac.jp.ORCID 0000-0003-1602-9775
Satoshi YamasakiSt. Mary's Hospital, Kurume, Japan.ORCID 0000-0002-6143-7906
Shohei MizunoAichi Medical University, Nagakute, Japan.ORCID 0000-0002-4405-8808
Junichi SugitaSapporo Hokuyu Hospital, Sapporo, Japan.ORCID 0000-0003-3852-5075
Takahiro FujinoKyoto Prefectural University of Medicine, Kyoto, Japan.ORCID 0000-0001-7817-093X
Yukiko MisakiJichi Medical University Saitama Medical Center, Saitama, Japan.
Masatsugu TanakaKanagawa Cancer Center, Yokohama, Japan.
Naoyuki UchidaToranomon Hospital, Tokyo, Japan.ORCID 0000-0001-5952-5926
Makoto OnizukaTokai University School of Medicine, Isehara, Japan.ORCID 0000-0003-3864-0823
Noriko DokiTokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.ORCID 0000-0002-8661-3179
Shuichi OtaSapporo Hokuyu Hospital, Sapporo, Japan.ORCID 0000-0002-3631-244X
Masashi SawaAnjo Kosei Hospital, Anjo, Japan.
Toshiro KawakitaNational Hospital Organization Kumamoto Medical Center, Kumamoto, Japan.
Yuta HasegawaHokkaido University Hospital, Sapporo, Japan.
Hirohisa NakamaeOsaka Metropolitan University Hospital, Osaka, Japan.ORCID 0000-0003-4203-990X
Kazuya IshiwataToranomon Hospital Kajigaya, Kawasaki, Japan.
Nobuhiro HiramotoKobe City Medical Center General Hospital, Kobe, Japan.
Fumihiko IshimaruJapanese Red Cross Kanto-Koshinetsu Block Blood Center, Tokyo, Japan.ORCID 0000-0002-7668-6083
Junya KandaKyoto University Hospital, Kyoto, Japan.ORCID 0000-0002-6704-3633
Marie OhbikiJapanese Data Center for Hematopoietic Cell Transplantation, Nagakute, Japan.
Yoshiko AtsutaAichi Medical University, Nagakute, Japan.ORCID 0000-0003-4404-2870
Hideki NakasoneJichi Medical University Saitama Medical Center, Saitama, Japan.ORCID 0000-0001-5812-9315
Takaaki KonumaThe Institute of Medical Science, The University of Tokyo, Tokyo, Japan.ORCID 0000-0002-1953-8463

Funding

Japan Agency for Medical Research and Development (AMED) 19ek0510023h0003MEXT | Japan Society for the Promotion of Science (JSPS) JP24K11566
6 · The paper itself

Abstract

Choosing an optimal alternative donor is an important clinical concern in allogeneic hematopoietic cell transplantation (HCT). In Japan, single-unit umbilical cord blood transplantation (UCBT) has been widely used in the last two decades, whereas HCT from HLA-haploidentical related donors (haplo-HCT) has been increasingly used following the advent of posttransplant cyclophosphamide (PTCY) for graft-versus-host disease (GVHD) prophylaxis. This registry-based study aimed to compare outcomes between single-unit UCBT (n = 848) and PTCY-based haplo-HCT (n = 241) performed during first complete remission in patients with acute myeloid leukemia. UCBT was associated with a lower likelihood of engraftment (P < 0.001), a higher risk of grade 2-4 and grade 3-4 acute GVHD (P = 0.003 each), and a lower risk of extensive chronic GVHD (P = 0.048). The UCBT and haplo-HCT groups did not significantly differ in 3-year probabilities of overall survival (68% versus 69%, P = 0.686), GVHD/relapse-free survival (55% versus 54%, P = 0.866), relapse (14% versus 16%, P = 0.463), and non-relapse mortality (21% versus 19%, P = 0.403), respectively, which were confirmed with multivariate analysis. These results indicate that both procedures should be considered viable options for patients lacking a matched donor.

Indexed as

Cord Blood Stem Cell TransplantationCyclophosphamideLeukemia, Myeloid, AcuteTransplantation, HaploidenticalAdolescentAdultAgedFemaleGraft vs Host DiseaseHumansMaleMiddle AgedRemission InductionYoung AdultCyclophosphamide

Identifiers

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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.