Evidence map›Paper›PMID 19499966›Full record

ArticleClinical drug investigation2009

Onset of male gynaecomastia in a patient treated with sunitinib for metastatic renal cell carcinoma.

Pierluigi Ballardini, Guido Margutti, Camillo Aliberti, Roberto Manfredini

Abstract readCase Reports
PubMed Publisher
In one paragraph

Article in Clinical drug investigation, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

8 citing papers in PubMed, 22 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Review
  5. Gynecomastia and drugs: a critical evaluation of the literature.European journal of clinical pharmacology · 2015
    Review
  6. Article
  7. Clinical review: kinase inhibitors: adverse effects related to the endocrine system.The Journal of clinical endocrinology and metabolism · 2013
    Review
  8. Review
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 2 countries.

Pierluigi BallardiniDepartment of Internal Medicine, Hospital of the Delta, Via Valle Oppio 2, 44023, Lagosanto (FE), Azienda USL di Ferrara, Italy. p.ballardini@ausl.fe.it.
Guido MarguttiDepartment of Internal Medicine, Hospital of the Delta, Via Valle Oppio 2, 44023, Lagosanto (FE), Azienda USL di Ferrara, Italy.
Camillo AlibertiDepartment of Radiology, Hospital of the Delta, Lagosanto (FE), Azienda USL di Ferrara, Italy.
Roberto ManfrediniDepartment of Internal Medicine, Hospital of the Delta, Via Valle Oppio 2, 44023, Lagosanto (FE), Azienda USL di Ferrara, Italy.
Delta State University · USAzienda Unità Sanitaria Locale di Ferrara · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Sunitinib is an orally administered multitargeted tyrosine kinase inhibitor that has demonstrated substantial antitumour activity in patients with metastatic renal cell carcinoma. The more common grade 3 or 4 adverse effects of sunitinib include hypertension, fatigue, hand-foot syndrome, elevated lipase and lymphopenia. We report the case of a 69-year-old patient with metastatic renal clear-cell carcinoma, treated with nephrectomy and three lines of therapy (interleukin-2 plus interferon-alpha2a, vinorelbine plus gemcitabine, and capecitabine), who started a fourth-line therapy with oral sunitinib because of disease progression. At the end of his fifth cycle of sunitinib therapy, the patient complained of the development of abnormally large mammary glands associated with pain and peri-areolar erythema. After 2 weeks' off therapy, a partial reduction in mammary gland enlargement, local pain and erythema was observed. However, re-initiation of sunitinib treatment was followed by bilateral breast enlargement again. The mechanism by which sunitinib induces gynaecomastia is thought to be associated with an unknown direct action on breast hormonal receptors. To the best of our knowledge, this is the first report of an association between sunitinib and gynaecomastia.

Indexed as

Administration, OralAgedAntineoplastic AgentsCarcinoma, Renal CellGynecomastiaHumansIndolesKidney NeoplasmsMaleProtein Kinase InhibitorsPyrrolesSunitinibAntineoplastic AgentsIndolesProtein Kinase InhibitorsPyrrolesSunitinib

Identifiers

PMID19499966
OpenAlexW1984744998

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.