Evidence map›Paper›PMID 42155645›Full record

ArticleTransplantation and cellular therapy2026

PTCy-Based versus ATG-Based GVHD Prophylaxis in Mismatched Unrelated Donor HCT: A Secondary Analysis of CIBMTR Data.

Sergio Rodriguez-Rodriguez, Gonzalo Bentolila, Archit Pandharipande, Nico Gagelmann, Nihar Desai

Abstract read
In one paragraph

Article in Transplantation and cellular therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

5 authors.

Sergio Rodriguez-RodriguezHans Messner Allogeneic Blood and Marrow Transplant Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Canada; Department of Medicine, University of Toronto, Toronto, Canada.
Gonzalo BentolilaFundación contra la leucemia (FUNDALEU) Blood and Marrow Transplant Program, Ciudad Autónoma de Buenos Aires, Buenos Aires, Argentina.
Archit PandharipandeDepartment of Medicine, All India Institute of Medical Sciences, Nagpur, India.
Nico GagelmannDana-Farber Cancer Institute, Harvard University, Boston, MA; Department of Stem Cell Transplantation, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Nihar DesaiHans Messner Allogeneic Blood and Marrow Transplant Program, Division of Medical Oncology and Hematology, Princess Margaret Cancer Centre, Toronto, Canada; Department of Medicine, University of Toronto, Toronto, Canada. Electronic address: nihar.desai@uhn.ca.

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 27398C0011
6 · The paper itself

Abstract

The optimal graft-versus-host disease (GVHD) prophylaxis strategy for 7/8 human leukocyte antigen (HLA)-mismatched unrelated donor (MMUD) hematopoietic cell transplantation (HCT) has not been established. We performed a secondary analysis of a publicly available Center for International Blood and Marrow Transplant Research (CIBMTR) dataset (P-5891) including adults undergoing first 7/8 MMUD HCT between 2017 and 2021. Patients were stratified by GVHD prophylaxis: anti-thymocyte globulin (ATG) with calcineurin inhibitor (CNI) and methotrexate (n = 221), or post-transplant cyclophosphamide (PTCy) with CNI and mycophenolate mofetil (n = 613). PTCy was associated with lower grade II-IV acute GVHD (30.7% versus 50.3%; P < .001) and grade III-IV acute GVHD (7.7% versus 23.8%; P < .001). Nonrelapse mortality (NRM) at 24 months was 17.2% versus 35.1% (P < .001). Rates of moderate-severe chronic GVHD and relapse were comparable. GVHD-free/relapse-free survival (GRFS) at 24 months was 44.9% versus 26.7% (P < .001), and overall survival (OS) at 24 months was 63.9% versus 46.6% (P < .001). On multivariable analysis, PTCy was independently associated with improved GRFS (hazard ratio [HR] 0.58, 95% confidence interval [CI] 0.48-0.72; P < .001), lower NRM (HR 0.44, 95% CI 0.32-0.60; P < .001), and improved OS (HR 0.60, 95% CI 0.44-0.72; P < .001), without an increase in relapse risk (HR 1.07, 95% CI 0.77-1.48; P = .68). In this registry-based analysis, PTCy-based prophylaxis was associated with improved OS, NRM, and GRFS compared with ATG-based prophylaxis in 7/8 MMUD HCT. Prospective studies comparing these strategies specifically in MMUD recipients are needed to confirm these findings.

Indexed as

Antilymphocyte SerumCyclophosphamideGraft vs Host DiseaseHematopoietic Stem Cell TransplantationUnrelated DonorsAdultFemaleHumansImmunosuppressive AgentsMaleMiddle AgedAntilymphocyte SerumCyclophosphamideImmunosuppressive AgentsATGGVHD prophylaxisMMUDPTCy

Identifiers

PMID42155645
PMCPMC13359536

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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.