Evidence map›Paper›PMID 41298854›Full record

ReviewBone marrow transplantation2026

Usage of rabbit anti-thymocyte / anti-T-lymphocyte globulins (ATG / ATLG) for hematological malignancies in allogeneic hematopoietic cell transplantation: Best practice recommendations from the EBMT Practice Harmonisation and Guidelines Committee.

Giorgia Battipaglia, Claudia Wehr, Rick Admiraal, Stefan Nierkens, Florent Malard, Robert Zeiser, Francesco Onida, Isabel Sanchez-Ortega, Annalisa Ruggeri, Ibrahim Yakoub-Agha and 2 more

Abstract readReview
PubMed Publisher
In one paragraph

Review 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Guideline
  2. Article
  3. Review
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

12 authors.

Giorgia Battipaglia *Haematology Department and Department of Clinical Medicine and Surgery, Federico II University of Naples, Naples, Italy.ORCID 0000-0002-0695-3879
Claudia Wehr *Department of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0002-5037-6175
Rick Admiraal *Pediatric Blood and Marrow Transplantation Program, Princess Máxima Centre for Pediatric Oncology, Utrecht, The Netherlands.ORCID 0000-0003-1512-2791
Stefan NierkensPediatric Blood and Marrow Transplantation Program, Princess Máxima Centre for Pediatric Oncology, Utrecht, The Netherlands.ORCID 0000-0003-3406-817X
Florent MalardSaint-Antoine Hospital, AP-HP, Sorbonne University, Paris, France.ORCID 0000-0002-3474-0002
Robert ZeiserDepartment of Hematology, Oncology and Stem Cell Transplantation, Faculty of Medicine, University of Freiburg, Freiburg, Germany.ORCID 0000-0001-6565-3393
Francesco OnidaHaematology - BMT Unit, ASST Fatebenefratelli-Sacco - University of Milan, Milan, Italy.ORCID 0000-0002-2991-3474
Isabel Sanchez-OrtegaEBMT Medical Officer, Executive office, Barcelona, Spain.ORCID 0009-0005-5519-9154
Annalisa RuggeriHematology and BMT unit, IRCCS San Raffaele Scientific Institute, Milano, Italy.ORCID 0000-0002-7261-2765
Ibrahim Yakoub-AghaCHU de Lille, Univ Lille, INSERM U1286, Infinite, 59000, Lille, France.ORCID 0000-0003-4524-8782
Mohamad MohtySaint-Antoine Hospital, AP-HP, Sorbonne University, Paris, France.ORCID 0000-0002-7264-808X
Jürgen KuballUniversity Medical Centre, Utrecht, The Netherlands. J.H.E.Kuball@umcutrecht.nl.ORCID 0000-0002-3914-7806

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Rabbit anti-thymocyte globulin (ATG) and anti-T-lymphocyte globulin (ATLG) are widely used in allogeneic hematopoietic cell transplantation (allo-HCT) to prevent graft rejection and reduce the risk of graft-versus-host disease. Despite their broad application, clinical practice varies substantially in terms of product selection, dosing, and timing. Distinct differences in manufacturing, pharmacokinetics, and immunological effects between ATG and ATLG complicate efforts to standardize their use across transplant platforms. This review presents the most recent insights into the pharmacology, mechanisms of action, clinical efficacy, and toxicity profiles of both agents. It highlights their differential impact across various allo-HCT settings. Key topics such as re-exposure, immune reconstitution, adverse events, and individualized dosing strategies guided by pharmacokinetic modeling are discussed. These analyses informed consensus recommendations developed through a dedicated expert workshop within the EBMT to support optimized, context-specific use of rabbit ATG and ATLG in allo-HCT for hematologic malignancies.

Indexed as

Antilymphocyte SerumHematologic NeoplasmsHematopoietic Stem Cell TransplantationAnimalsGraft vs Host DiseaseHumansRabbitsTransplantation, HomologousAntilymphocyte Serum

Identifiers

What OpenQuestion holds

Textmetadata
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.