Evidence map›Paper›PMID 42203899›Full record

ArticleBone marrow transplantation2026

Outcomes of mixed phenotype acute leukemia undergoing allogeneic stem cell transplantation: a retrospective study of the ALWP of EBMT.

Annalisa Paviglianiti, Maud Ngoya, Regis Peffault de la Tour, Thomas Schroeder, Peter Remenyi, Linde Morsink, Jaime Sanz, Ladislav Sopko, Francis Ayuk, Mareike Verbeek and 15 more

Abstract read
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

25 authors.

Annalisa PaviglianitiHematology Department, Hospital de la Santa Creu i Sant Pau, IR-Sant Pau and José Carreras Leukemia Research Institutes, Barcelona, Spain. annalisa.paviglianiti@gmail.com.ORCID 0000-0002-4243-9252
Maud NgoyaAcute Leukemia Working Party of EBMT, PARIS, France.ORCID 0000-0002-7810-6900
Regis Peffault de la TourBMT unit Paris Cité University Saint-Louis Hospital, PARIS, France.
Thomas SchroederUniversity Hospital Essen, Duesseldorf, Germany.
Peter RemenyiDel-pesti Centrumkorhaz, Budapest, Hungary.
Linde MorsinkUniversity of Groningen, Groningen, The Netherlands.
Jaime SanzHematology Department, Hospital Universitari i Politècnic La Fe, Valencia Departament de Medicina Universitat de Valencia, CIBERONC, Instituto Carlos III, Valencia, Spain.ORCID 0000-0001-6934-4619
Ladislav SopkoUniversity Hospital, Bratislava, Slovakia.
Francis AyukUniversity Hospital Eppendorf, Hamburg, Germany.ORCID 0000-0001-6297-1847
Mareike VerbeekTUM Universitatsklinikum, Klinikum rechts der Isar, Munich, Germany.
Mareike DurholtEvangelisches Krankenhaus EssenWerden gGmbH, Essen, Germany.
Tessa KerreGhent University Hospital, Gent, Belgium.
Matthias EderHannover Medical School, Charles University, Hannover, Germany.ORCID 0009-0000-3362-5814
Pavel ZakHospital, Hradec, Czechia.
Ibrahim YakoubaghaCHU de Lille, Lille, France.ORCID 0000-0003-4524-8782
Pascal TurlureCHRU Limoges, Limoges, France.
Mieke W H RoevenRadboud University Medical center, Nijmegen, The Netherlands.
Alexander KulaginSaint Petersburg State Medical University, Pavlov First, St Petersburg, Russian Federation.ORCID 0000-0002-9589-4136
Alessandro MaggiOspedale Nord, Taranto, Italy.
Ron RamTel Aviv Sourasky Medical Center, Tel Aviv, Israel.
Alessandro BuscaS.S. Trapianto di Cellule Staminali, Torino, Italy.ORCID 0000-0001-5361-5613
Werner RabitschBMT-Unit; Internal Medicine 1; Medical University of Vienna, Vienna, Austria.
Dominik SchneidawindUniversity Hospital Zurich, Zurich, Switzerland.
Eolia BrissotHopital Saint Antoine, Paris, France.ORCID 0000-0003-4471-418X
Fabio CiceriAcute Leukemia Working Party of EBMT, PARIS, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Limited data is available on outcomes of mixed phenotype acute leukemia (MPAL) following allogeneic stem cell transplantation (HCT), and the impact of haploidentical HCT with post-transplant cyclophosphamide in this setting is lacking. We retrospectively analyzed 195 adults with MPAL undergoing HCT in first complete remission from 2014 to 2023. The 2-year overall survival (OS) and leukemia free survival (LFS) were 70.7% and 56.4%. Relapse incidence (RI) was 29.8% and non-relapse mortality was 13.8% at 2 years. The cumulative incidence of grade II-IV and III-IV acute graft versus host disease (GvHD) was 28.8% and 9.3% at 100 days. The 2-year cumulative incidence of chronic GvHD was 36.6%. The 2-year GvHD-free-relapse free survival was 37.6% (95%CI 29.9-45.3%). In multivariate analysis, patients undergoing myeloablative conditioning had better OS (HR 0.5, 95%CI 0.27-0.93, p = 0.03) and LFS (HR 0.49, 95%CI 0.26-0.94, p = 0.03). The use of peripheral blood was associated with better LFS (HR 0.36, 95%CI 0.17-0.76, p = 0.008) and lower RI (HR 0.33, 95%CI 0.12-0.93, p = 0.04). In vivo T-cell depletion was associated with lower incidence of chronic GvHD (HR 0.32, 95%CI 0.17-0.63, p < 0.001). These findings highlight that conditioning intensity, graft source, and T-cell depletion strategies are critical factors in optimizing transplant outcomes for MPAL.

Indexed as

Hematopoietic Stem Cell TransplantationTransplantation ConditioningTransplantation, HomologousAdolescentAdultFemaleGraft vs Host DiseaseHumansMaleMiddle AgedRetrospective StudiesTreatment Outcome

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.