Cochrane · systematic review · CD009159

Polyclonal anti‐thymocyte globulins for the prophylaxis of graft‐versus‐host disease after allogeneic stem cell or bone marrow transplantation in adults

Chakupurakal, G, Freudenberger, P, Skoetz, N, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

Haematology2 versionsAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
7
current version
GRADE rated
7
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 1 · 14.3%Moderate 4 · 57.1%High 2 · 28.6%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Show all 2 versions

ATG for the prophylaxis of graft‐versus‐host disease after allogeneic stem cell or bone marrow transplantation

Population: patients after allogeneic stem cell or bone marrow transplantation
7 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival (at 36 months)
HR 0.93 [0.77, 1.13]9 studies · 1249 participantsModerate
Downgraded: imprecision
Acute GVHD II to IV (90 days)
RR 0.68 [0.6, 0.79]10 studies · 1413 participantsHigh
Overall Chronic GVHD (up to 36 months)
RR 0.53 [0.45, 0.61]8 studies · 1273 participantsHigh
Incidence of relapse (up to 36 months)
RR 1.21 [0.99, 1.49]8 studies · 1315 participantsModerate
Downgraded: imprecision
Non‐relapse mortality (at 36 months)
HR 0.86 [0.67, 1.11]9 studies · 1370 participantsModerate
Downgraded: imprecision
Graft failure (during study)
RR 1.55 [0.54, 4.44]8 studies · 1240 participantsLow
Downgraded: imprecision
Adverse Events (during study)
no estimate extracted4 studies · 543 participantsModerate
Downgraded: inconsistency