Evidence map›Paper›PMID 26306290›Full record

ArticleSpringerPlus2015

A phase II dose-escalation trial of perioperative desmopressin (1-desamino-8-d-arginine vasopressin) in breast cancer patients.

Ruth S Weinberg, Marcelo O Grecco, Gimena S Ferro, Debora J Seigelshifer, Nancy V Perroni, Francisco J Terrier, Analía Sánchez-Luceros, Esteban Maronna, Ricardo Sánchez-Marull, Isabel Frahm and 12 more

Registry-linked trialOpen access · diamondAbstract read
In one paragraph

Article in SpringerPlus, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT01606072 (Perioperative Administration of Desmopressin to Subjects With Breast Cancer), which is not on this map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 13% 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.

NCT01606072 phase2completednot on this map

Perioperative Administration of Desmopressin to Subjects With Breast Cancer: A Phase IIa, Dose-Escalation Study

TypeinterventionalSponsorLaboratorio Elea Phoenix S.A.Ran2011 to 2015Enrolled21ConditionsBreast CancerArmsDesmopressin
3 · Its place in the literature

Who cites it

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

  1. Desmopressin use for minimising perioperative blood transfusion.The Cochrane database of systematic reviews · 2017
    Pooled it
  2. Article
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  4. Review
  5. Vasopressin Analog [VWorld journal of oncology · 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

22 authors at 5 institutions in 1 country.

Ruth S WeinbergGynecology Service, Anesthesiology Service, Allergy and Immunology Unit and Central Laboratory, 'Eva Peron' Hospital, San Martín, Argentina.
Marcelo O GreccoGynecology Service, Anesthesiology Service, Allergy and Immunology Unit and Central Laboratory, 'Eva Peron' Hospital, San Martín, Argentina.
Gimena S FerroGynecology Service, Anesthesiology Service, Allergy and Immunology Unit and Central Laboratory, 'Eva Peron' Hospital, San Martín, Argentina.
Debora J SeigelshiferGynecology Service, Anesthesiology Service, Allergy and Immunology Unit and Central Laboratory, 'Eva Peron' Hospital, San Martín, Argentina.
Nancy V PerroniGynecology Service, Anesthesiology Service, Allergy and Immunology Unit and Central Laboratory, 'Eva Peron' Hospital, San Martín, Argentina.
Francisco J TerrierBreast Pathology Unit, Italian Hospital, La Plata, Argentina.
Analía Sánchez-LucerosThrombosis and Hemostasis Department, National Academy of Medicine, IMEX-ANM, Buenos Aires, Argentina.
Esteban MaronnaPathology Service, Mater Dei Sanatorium, Buenos Aires, Argentina.
Ricardo Sánchez-MarullPathology Service, Mater Dei Sanatorium, Buenos Aires, Argentina.
Isabel FrahmPathology Service, Mater Dei Sanatorium, Buenos Aires, Argentina.
Marcelo D GuthmannElea Laboratories, Buenos Aires, Argentina.
Daniela Di LeoElea Laboratories, Buenos Aires, Argentina.
Eduardo SpitzerElea Laboratories, Buenos Aires, Argentina.
Graciela N CicciaChemo-Romikin, Buenos Aires, Argentina.
Juan GaronaLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
Marina PifanoLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
Ana V TorbidoniLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
Daniel E GomezLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
Giselle V RipollLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
Roberto E GomezElea Laboratories, Buenos Aires, Argentina.
Ignacio A DemarcoChemo-Romikin, Buenos Aires, Argentina.
Daniel F AlonsoLaboratorio de Oncología Molecular, Universidad Nacional de Quilmes, R. Sáenz Peña 352, Bernal, B1876BXD Buenos Aires, Argentina.
National University of Quilmes · ARElea (Argentina) · ARSanatorio Otamendi y Miroli · ARAcademia Nacional de Medicina · ARHospital Italiano La Plata · AR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Desmopressin (dDAVP) is a well-known peptide analog of the antidiuretic hormone vasopressin, used to prevent excessive bleeding during surgical procedures. dDAVP increases hemostatic mediators, such as the von Willebrand factor (vWF), recently considered a key element in resistance to metastasis. Studies in mouse models and veterinary trials in dogs with locally-advanced mammary tumors demonstrated that high doses of perioperative dDAVP inhibited lymph node and early blood-borne metastasis and significantly prolonged survival. We conducted a phase II dose-escalation trial in patients with breast cancer, administering a lyophilized formulation of dDAVP by intravenous infusion in saline, 30-60 min before and 24 h after surgical resection. Primary endpoints were safety and tolerability, as well as selection of the best dose for cancer surgery. Secondary endpoints included surgical bleeding, plasma levels of vWF, and circulating tumor cells (CTCs) as measured by quantitative PCR of cytokeratin-19 transcripts. Only 2 of a total of 20 patients experienced reversible adverse events, including hyponatremia (grade 4) and hypersensitivity reaction (grade 2). Reactions were adequately managed by slowing the infusion rate. A reduced intraoperative bleeding was noted with increasing doses of dDAVP. Treatment was associated with higher vWF plasma levels and a postoperative drop in CTC counts. At the highest dose level evaluated (2 μg/kg) dDAVP appeared safe when administered in two slow infusions of 1 μg/kg, before and after surgery. Clinical trials to establish the effectiveness of adjunctive perioperative dDAVP therapy are warranted. This trial is registered on www.clinicaltrials.gov (NCT01606072).

Indexed as

Breast cancer trialCirculating tumor cellsdDAVPHemostasiaSurgeryvon Willebrand factor

Identifiers

PMID26306290
PMCPMC4540720
OpenAlexW1750814356

What OpenQuestion holds

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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.