Evidence map›Paper›PMID 19239394›Full record

ReviewExpert opinion on drug metabolism & toxicology2009

Alterations of chemotherapeutic pharmacokinetic profiles by drug-drug interactions.

Sridhar Mani, Mohammed Ghalib, Imran Chaudhary, Sanjay Goel

Open access · greenAbstract readReview
In one paragraph

Review in Expert opinion on drug metabolism & toxicology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.1field-weighted citation impact, top 18% of its field
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

6 citing papers in PubMed, 11 citations in OpenAlex.

  1. Review
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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

4 authors at 2 institutions in 1 country.

Sridhar ManiAlbert Einstein College of Medicine, Albert Einstein Cancer Center, Bronx, NY 10461, USA. smani@aecom.yu.edu
Mohammed Ghalib
Imran Chaudhary
Sanjay Goel
Montefiore Medical Center · USAlbert Einstein College of Medicine · US

Funding

Chemical Modulation of Orphan Nuclear Receptor FunctionR01CA127231 · NCI · ALBERT EINSTEIN COLLEGE OF MEDICINE · PI MANI, SRIDHAR · 2009 to 2014
$1.6M
NCI NIH HHS R01 CA127231
6 · The paper itself

Abstract

backgroundDrug interactions in oncology are common place and largely ignored as we tolerate high thresholds of 'toxic' drug responses in these patients. However, in the era of 'targeted' or seemingly 'less toxic' therapy, these interactions are more commonly flagged and contribute significantly towards poor 'quality of life' and medical fatalities.

objectiveThis review and opinion article focuses on alteration of chemotherapeutic pharmacokinetic profiles by drug interactions in the setting of polypharmacy. The assumption is that the drugs, with changes in their pharmacokinetics, will contribute towards changes in their pharmacodynamics.

methodsThe examples cited for such drug-drug interactions are culled from published literature with an emphasis on those interactions that have been well characterized at the molecular level.

resultsAlthough very few drug interaction studies have been performed on approved oncology based drugs, it is clear that drugs whose pharmacokinetics profiles are closely related to their pharmacodynamics will indeed result in clinically important drug interactions. Some newer mechanisms are described that involve interactions at the level of gene transcription, whereby, drug metabolism is significantly altered. However, for any given drug interaction, there does not seem to be a comprehensive model describing interactions.

conclusionsMechanisms based drug interactions are plentiful in oncology; however, there is an absolute lack of a comprehensive model that would predict drug-drug interactions.

Indexed as

Models, BiologicalAnimalsAntineoplastic AgentsDrug Delivery SystemsDrug InteractionsHumansNeoplasmsPolypharmacyQuality of LifeTranscription, GeneticAntineoplastic Agents

Identifiers

PMID19239394
PMCPMC3533254
OpenAlexW1967436298

What OpenQuestion holds

Textmetadata
LicenceTDM
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.