Evidence map›Paper›PMID 27864592›Full record

ArticleEuropean journal of clinical pharmacology2017

Evaluation of 5-fluorouracil degradation rate and Pharmacogenetic profiling to predict toxicity following adjuvant Capecitabine.

Michela Roberto, Adriana Romiti, Andrea Botticelli, Federica Mazzuca, Luana Lionetto, Giovanna Gentile, Ida Paris, Rosa Falcone, Maria Bassanelli, Francesca Romana Di Pietro and 5 more

Abstract read
PubMed Publisher
In one paragraph

Article in European journal of clinical pharmacology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

11 citing papers in PubMed, 18 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Importance of RareFrontiers in pharmacology · 2022
    Article
  7. Observational
  8. Review
  9. Article
  10. Article
  11. Article
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

15 authors at 2 institutions in 1 country.

Michela RobertoClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy. Mikiroberto@hotmail.it.
Adriana RomitiClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Andrea BotticelliClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Federica MazzucaClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Luana LionettoAdvanced Molecular Diagnostics Unit, Sant'Andrea Hospital, Rome, Italy.
Giovanna GentileAdvanced Molecular Diagnostics Unit, Sant'Andrea Hospital, Rome, Italy.
Ida ParisClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Rosa FalconeClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Maria BassanelliClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Francesca Romana Di PietroClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Concetta Elisa OnestiClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Elisabetta AnselmiClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Serena MacriniClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Maurizio SimmacoAdvanced Molecular Diagnostics Unit, Sant'Andrea Hospital, Rome, Italy.
Paolo MarchettiClinical and Molecular Medicine Department, Sapienza University of Rome - Sant'Andrea Hospital, Via di Grottarossa 1035, 00189, Rome, Italy.
Sapienza University of Rome · ITCTO Andrea Alesini · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOn account of the lack of predictive biomarkers of toxicity, we investigated whether polymorphisms of genes involved in fluoropyrimidine metabolism and 5-fluorouracil (5-FU) degradation rate were associated with outcomes of adjuvant capecitabine in patients with early stage gastrointestinal cancers.

methodsGenotyping of DPYD GIVS14A, MTHFR C677T and A1298C SNPs were performed by pyro-sequencing technology. PCR analysis was used for genotyping TYMS-TSER. We also evaluated the 5-FU degradation rate, which determines the amount of drug consumed by PBMC in a time unit. Association of these variables with clinical outcome was evaluated using multivariate logistic regression analysis.

resultsOne hundred forty-two patients with early stage colon (39%), rectal (28%), stomach (20%) and pancreatic (13%) cancer, treated with adjuvant capecitabine, were included in this retrospective analysis. Seventy and 20% of the patients suffered from at least one G1-4 and G3-4 adverse events, respectively. According to the 5-FU degradation rate, three and 13 patients were assigned as poor (<0.86 ng/mL/10

conclusions5-FU degradation rate may be regarded as possible predictive biomarker of capecitabine toxicity in early stage gastrointestinal cancer.

Indexed as

Antimetabolites, AntineoplasticCapecitabineFluorouracilGastrointestinal NeoplasmsAdultAgedAged, 80 and overChemotherapy, AdjuvantDihydrouracil Dehydrogenase (NADP)FemaleGenotypeHumansLeukocytes, MononuclearMaleMethylenetetrahydrofolate Reductase (NADPH2)Middle AgedAntimetabolites, AntineoplasticCapecitabineDihydrouracil Dehydrogenase (NADP)FluorouracilMethylenetetrahydrofolate Reductase (NADPH2)MTHFR protein, humanThymidylate SynthaseAdjuvant capecitabineGene polymorphismsOral fluoropyrimidinesPersonalized medicinePredictive biomarkersToxicity

Identifiers

PMID27864592
OpenAlexW2552753868

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.