Evidence map›Paper›PMID 22420577›Full record

ReviewClinical pharmacokinetics2012

Pharmacokinetics and pharmacodynamics of intraperitoneal cancer chemotherapeutics.

Csilla Hasovits, Stephen Clarke

Abstract readReview
PubMed Publisher
In one paragraph

Review in Clinical pharmacokinetics, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 41 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
41citing papers in PubMed, 1 pooled it
5.3field-weighted citation impact, top 5% 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

41 citing papers in PubMed, 1 synthesis or guideline pooled it, 87 citations in OpenAlex.

  1. Intraperitoneal chemotherapy for gastric cancer.The Cochrane database of systematic reviews · 2025
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  12. Modulation ofMolecular therapy oncolytics · 2022
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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

2 authors at 1 institution in 2 countries.

Csilla HasovitsDepartment of Medical Oncology, Royal North Shore Hospital, Sydney, NSW, Australia.
Stephen Clarke
Royal North Shore Hospital · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Peritoneal carcinomatosis remains a significant cause of morbidity and is a marker of poor prognosis in a range of malignancies, including those of the gastrointestinal and gynaecological tracts. In these cases, regional therapy has been explored as a treatment strategy to take advantage of the prolonged confinement of such tumours within the peritoneal cavity and the steep dose-response relationship for most cytotoxic agents. The pharmacokinetic rationale is based on exploiting the peritoneal-plasma barrier, which slows the rate of drug clearance from the peritoneal to systemic compartments and creates a concentration differential in favour of the peritoneal cavity. This allows higher drug concentrations, and thus increased cytotoxicity, to be achieved at the site of a tumour within the peritoneal cavity. There is pharmacodynamic evidence from a number of clinical trials to support the translation of these pharmacokinetic advantages of intraperitoneal chemotherapy into clinical benefit. However, its clinical application remains controversial because of concerns regarding intraperitoneal drug distribution, technical challenges and toxicity associated with regional drug delivery and the clinical relevance of the studies undertaken. The purpose of this review is to summarize the pharmacokinetic rationale of intraperitoneal drug delivery, review the pharmacodynamic studies performed in ovarian, colorectal and gastric cancers, and outline the future directions and challenges in the clinical application of this mode of treatment.

Indexed as

Drug Delivery SystemsAnimalsAntineoplastic AgentsColorectal NeoplasmsDose-Response Relationship, DrugFemaleHumansInjections, IntraperitonealNeoplasm SeedingOvarian NeoplasmsPeritoneal NeoplasmsStomach NeoplasmsAntineoplastic Agents

Identifiers

PMID22420577
OpenAlexW1968871067

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.