Evidence map›Paper›PMID 24661373›Full record

Trial reportBMC cancer2014

Impairment of cognitive functioning during Sunitinib or Sorafenib treatment in cancer patients: a cross sectional study.

Sasja F Mulder, Dirk Bertens, Ingrid M E Desar, Kris C P Vissers, Peter F A Mulders, Cornelis J A Punt, Dick-Johan van Spronsen, Johan F Langenhuijsen, Roy P C Kessels, Carla M L van Herpen

Registry-linked trialOpen access · goldAbstract readClinical Trial
In one paragraph

Trial report in BMC cancer, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01246843 (Evaluation of Cognitive Function of Patients Treated With Sunitinib or Sorafenib), which is not on this map. Cited by 30 papers.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed
4.1field-weighted citation impact, top 6% 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.

NCT01246843 completednot on this map

Evaluation of Cognitive Function of Patients Treated With Sunitinib or Sorafenib

TypeobservationalSponsorRadboud University Medical CenterRan2009 to 2011Enrolled50ConditionsMetastatic Renal Cell Cancer, GIST
3 · Its place in the literature

Who cites it

30 citing papers in PubMed, 74 citations in OpenAlex.

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  10. Effects of Voluntary Wheel Running Exercise on Chemotherapy-Impaired Cognitive and Motor Performance in Mice.International journal of environmental research and public health · 2023
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  12. CaInternational journal of molecular sciences · 2023
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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

10 authors at 4 institutions in 1 country.

Sasja F MulderDepartment of Medical Oncology, Radboud University Medical Centre, PO Box 9101, 6500 HB Nijmegen, The Netherlands. Sasja.Mulder@radboudumc.nl.
Dirk Bertens
Ingrid M E Desar
Kris C P Vissers
Peter F A Mulders
Cornelis J A Punt
Dick-Johan van Spronsen
Johan F Langenhuijsen
Roy P C Kessels
Carla M L van Herpen
Radboud University Nijmegen · NLRadboud University Medical Center · NLCanisius-Wilhelmina Ziekenhuis · NLUniversity of Amsterdam · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImpairment of cognitive functioning has been reported in several studies in patients treated with chemotherapy. So far, no studies have been published on the effects of the vascular endothelial growth factor receptor (VEGFR) inhibitors on cognitive functioning. We investigated the objective and subjective cognitive function of patients during treatment with VEGFR tyrosine kinase inhibitors (VEGFR TKI).

methodsThree groups of participants, matched on age, sex and education, were enrolled; 1. metastatic renal cell cancer (mRCC) or GIST patients treated with sunitinib or sorafenib (VEGFR TKI patients n = 30); 2. patients with mRCC not receiving systemic treatment (patient controls n = 20); 3. healthy controls (n = 30). Sixteen neuropsychological tests examining the main cognitive domains (intelligence, memory, attention and concentration, executive functions and abstract reasoning) were administered by a neuropsychologist. Four questionnaires were used to assess subjective cognitive complaints, mood, fatigue and psychological wellbeing.

resultsNo significant differences in mean age, sex distribution, education level or IQ were found between the three groups. Both patient groups performed significantly worse on the cognitive domains Learning & Memory and Executive Functions (Response Generation and Problem Solving) compared to healthy controls. However only the VEGFR TKI patients showed impairments on the Executive subdomain Response Generation. Effect sizes of cognitive dysfunction in patients using VEGFR TKI were larger on the domains Learning & Memory and Executive Functions, compared to patient controls. Both patients groups performed on the domain Attention & Concentration the same as the healthy controls. Longer duration of treatment on VEGFR TKI was associated with a worse score on Working Memory tasks.

conclusionsOur data suggest that treatment with VEGFR TKI has a negative impact on cognitive functioning, specifically on Learning & Memory, and Executive Functioning. We propose that patients who are treated with VEGFR TKI are monitored and informed for possible signs or symptoms associated with cognitive impairment.

trial registrationClinicalTrials.gov Identifier: NCT01246843.

Indexed as

AdultAgedAged, 80 and overCarcinoma, Renal CellCognitionCognition DisordersCross-Sectional StudiesFemaleHumansIndolesKidney NeoplasmsMaleMemoryMiddle AgedNeoplasm MetastasisNeuropsychological TestsIndolesNiacinamidePhenylurea CompoundsProtein Kinase InhibitorsPyrrolesSorafenibSunitinib

Identifiers

PMID24661373
PMCPMC3987809
OpenAlexW2005323088

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.