Evidence map›Paper›PMID 20439629›Full record

ReviewJournal of clinical oncology : official journal of the American Society of Clinical Oncology2010

Coprescription of tamoxifen and medications that inhibit CYP2D6.

Kostandinos Sideras, James N Ingle, Matthew M Ames, Charles L Loprinzi, David P Mrazek, John L Black, Richard M Weinshilboum, John R Hawse, Thomas C Spelsberg, Matthew P Goetz

Erratum issuedOpen access · greenAbstract readComparative StudyReview
In one paragraph

Review in Journal of clinical oncology : official journal of the American Society of Clinical Oncology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 40 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
40citing papers in PubMed, 1 pooled it
29.3field-weighted citation impact, top 1% 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

40 citing papers in PubMed, 1 synthesis or guideline pooled it, 141 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. CYP2D6 metabolism and patient outcome in the Austrian Breast and Colorectal Cancer Study Group trial (ABCSG) 8.Clinical cancer research : an official journal of the American Association for Cancer Research · 2013
    Trial
  4. Review
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  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Review
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  15. Review
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  17. CYP2D6 Genotype Predicts Tamoxifen Discontinuation and Prognosis in Patients With Breast Cancer.Journal of clinical oncology : official journal of the American Society of Clinical Oncology · 2020
    Article
  18. Article
  19. Review
  20. Article
4 · The record

Corrections and comments

  • Erratum issued
5 · Who and what money

Authors and funding

10 authors at 1 institution in 1 country.

Kostandinos SiderasDepartment of Oncology, Mayo Clinic, 200 1st Street Southwest, Rochester, MN 55905, USA.
James N Ingle
Matthew M Ames
Charles L Loprinzi
David P Mrazek
John L Black
Richard M Weinshilboum
John R Hawse
Thomas C Spelsberg
Matthew P Goetz
Mayo Clinic · US

Funding

The Role of CHFR in Tumorigenesis and Paclitaxel-Sensitivity in Breast CancerP50CA116201 · NCI · MAYO CLINIC ROCHESTER · PI PETER C LUCAS · 2005 to 2026
$49.9M
Tamoxifen biotransformation pathway pharmacogenomicsR01CA133049 · NCI · MAYO CLINIC ROCHESTER · PI GOETZ, MATTHEW PHILIP · 2008 to 2013
$2.3M
Survivorship research established investigator awardK05CA124477 · NCI · MAYO CLINIC ROCHESTER · PI LOPRINZI, CHARLES L · 2008 to 2012
$777k
NCI NIH HHS K05 CA124477NCI NIH HHS P50 CA116201NCI NIH HHS R01 CA133049
6 · The paper itself

Abstract

Evidence has emerged that the clinical benefit of tamoxifen is related to the functional status of the hepatic metabolizing enzyme cytochrome P450 2D6 (CYP2D6). CYP2D6 is the key enzyme responsible for the generation of the potent tamoxifen metabolite, endoxifen. Multiple studies have examined the relationship of CYP2D6 status to breast cancer outcomes in tamoxifen-treated women; the majority of studies demonstrated that women with impaired CYP2D6 metabolism have lower endoxifen concentrations and a greater risk of breast cancer recurrence. As a result, practitioners must be aware that some of the most commonly prescribed medications coadministered with tamoxifen interfere with CYP2D6 function, thereby reducing endoxifen concentrations and potentially increasing the risk of breast cancer recurrence. After reviewing the published data regarding tamoxifen metabolism and the evidence relating CYP2D6 status to breast cancer outcomes in tamoxifen-treated patients, we are providing a guide for the use of medications that inhibit CYP2D6 in patients administered tamoxifen.

Indexed as

Drug-Related Side Effects and Adverse ReactionsAntineoplastic Agents, HormonalBreast NeoplasmsChemotherapy, AdjuvantCohort StudiesCytochrome P-450 CYP2D6Drug InteractionsDrug Therapy, CombinationFemaleFollow-Up StudiesHumansMastectomy, SegmentalPharmaceutical PreparationsPractice Guidelines as TopicRetrospective StudiesRisk Assessment4-hydroxy-N-desmethyltamoxifenAntineoplastic Agents, HormonalCytochrome P-450 CYP2D6Pharmaceutical PreparationsTamoxifen

Identifiers

PMID20439629
PMCPMC2881853
OpenAlexW1994401414

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.