Evidence mapPaperPMID 39444017Full record

ArticleArthritis research & therapy2024

Long-term outcome of autologous haematopoietic stem cell transplantation in patients with systemic sclerosis: a comparison with patients treated with rituximab and with traditional immunosuppressive agents.

Nicoletta Del Papa, Silvia Cavalli, Andrea Rindone, Francesco Onida, Giorgia Saporiti, Antonina Minniti, Maria Rosa Pellico, Claudia Iannone, Giorgia Trignani, Nicoletta D'Angelo and 4 more

Abstract readComparative Study
In one paragraph

Article in Arthritis research & therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Stem cell therapy in systemic sclerosis.Clinical rheumatology · 2025
    Review
  4. Article
  5. 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

14 authors.

Nicoletta Del PapaScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy. nicoletta.delpapa@asst-pini-cto.it.
Silvia CavalliScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Andrea RindoneScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Francesco OnidaDepartment of Oncology and Onco-Hematology, Università degli Studi di Milano, Milano, Italy.
Giorgia SaporitiHematology Unit, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milano, Italy.
Antonina MinnitiScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Maria Rosa PellicoScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Claudia IannoneScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Giorgia TrignaniScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Nicoletta D'AngeloScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Manuel SetteScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.
Raffaella GrecoUnit of Hematology and Bone Marrow Transplantation, IRCCS San Raffaele Hospital, Vita- Salute San Raffaele University, Milano, Italy.
Claudio VitaliRheumatology Outpatient Clinic, Mater Domini Humanitas Hospital, Castellanza, Italy.
Roberto CaporaliScleroderma Clinic, UOC Clinica Reumatologica, ASST Pini-CTO, Milano, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutologous haematopoietic stem cell transplantation (AHSCT) is more effective than conventional immunosuppressive therapies (CIT) in improving the outcome of patients with rapidly progressive diffuse cutaneous systemic sclerosis (dcSSc). So far, there is still a paucity of data comparing AHSCT with rituximab (RTX). Aim of the study is to retrospectively compare, in patients with dcSSc, the effectiveness of AHSCT with that of RTX and CIT.

methodsThirty-five dcSSc AHSCT-treated patients were compared with 29 and 36 matched cases treated with RTX and CIT, respectively. The patients were followed up for 5 years by assessing selected outcome measures every year. Overall survival, modified Rodnan skin score (mRSS), lung function tests (FVC and DLCO), and the revised EUSTAR Activity Index (REAI) were the outcome measures chosen to evaluate the therapy efficacy.

resultsAHSCT was significantly more effective than RTX and CIT in prolonging survival, inducing a rapid reduction of the mRSS and REAI and maintaining the baseline level of lung function tests for a longer time. RTX therapy was also superior to CIT in reducing REAI, mRSS and in saving lung function.

conclusionAHSCT is more effective than both RTX and CIT in prolonging survival and inducing prolonged remission in patients with rapidly progressive dcSSc.

Indexed as

Hematopoietic Stem Cell TransplantationImmunosuppressive AgentsRituximabScleroderma, SystemicTransplantation, AutologousAdultFemaleFollow-Up StudiesHumansMaleMiddle AgedRespiratory Function TestsRetrospective StudiesTreatment OutcomeImmunosuppressive AgentsRituximabAutologous haematopoietic stem cell transplantationImmunosuppressive therapyRituximabSystemic sclerosis

Identifiers

PMID39444017
PMCPMC11515700

What Socratic holds

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Registered trials

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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 Socratic graph.