Evidence map›Paper›PMID 27916295›Full record

ReviewTranslational oncology2016

Association of Biomarkers with Serious Cardiac Adverse Events during Abiraterone Acetate Treatment in Castration Resistant Prostate Cancer.

Sara Campora, Eleonora Campazzi, Silvia Zanardi, Matteo Puntoni, Marco Piccininno, Arnoldo Piccardo, Mehrdad Shoushtari Zadeh Naseri, Carlotta Defferrari, Nicoletta Provinciali, Marilena Petrera and 10 more

Open access · goldAbstract readReview
In one paragraph

Review in Translational oncology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 14% 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

5 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Review
  4. Article
  5. Observational
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

20 authors at 1 institution in 1 country.

Sara CamporaUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy. Electronic address: sara.campora@gmail.com.
Eleonora CampazziUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Silvia ZanardiUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Matteo PuntoniClinical Trial/Scientific Direction, E.O. Ospedali Galliera, Genova, Italy.
Marco PiccininnoCardiology, E.O. Ospedali Galliera, Genova, Italy.
Arnoldo PiccardoNuclear Medicine, E.O. Ospedali Galliera, Genova, Italy.
Mehrdad Shoushtari Zadeh NaseriNuclear Medicine, E.O. Ospedali Galliera, Genova, Italy.
Carlotta DefferrariUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Nicoletta ProvincialiUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Marilena PetreraUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Domenico MarraUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Ennio BiscaldiRadiology, E.O. Ospedali Galliera, Genova, Italy.
Gian Carlo AntonucciCritical Care Medicine, E.O. Ospedali Galliera, Genova, Italy.
Damiano RicciCardiology, E.O. Ospedali Galliera, Genova, Italy.
Matteo ClavarezzaUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Alessandra GennariUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Alberto GozzaUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Mauro D'AmicoUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Marco MoriLaboratory Analysis, E.O. Ospedali Galliera, Genova, Italy.
Andrea DeCensiUnits of Medical Oncology, E.O. Ospedali Galliera, Genova, Italy.
Ente Ospedaliero Ospedali Galliera · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAbiraterone acetate is an effective drug for castration-resistant prostate cancer, but cardiac serious adverse events (SAEs) may occur. We studied their association with N-terminal pro-brain natriuretic peptide (NT-proBNP) and troponin T (TnT) during abiraterone therapy. PATIENTS AND

methodsIn a single institution, 17 patients were treated with abiraterone acetate 1 g daily with concomitant prednisone and then switched to dexametasone plus canrenone. Blood samples for PSA, NT-proBNP, and TnT were obtained at baseline and after 1, 3, and 6 months.

resultsFive patients (29.4%) experienced G3 to 4 cardiac SAEs after a median of 13 weeks (range, 9-32), including pulmonary edema, heart failure, acute coronary syndrome, sinus bradycardia with syncope, and pulmonary edema. At baseline, 4 weeks, and 3 months, median NT-proBNP and TnT levels were higher in patients with subsequent cardiac SAEs (P= .03 and P= .04 for NT-proBNP and TnT at 3 months, respectively). After switching to dexametasone and introducing canrenone, no additional cardiac SAEs were noted. Overall response rate was 67%.

conclusionsOur study suggests a higher than expected risk of cardiac SAEs during abiraterone treatment which may well be due to the small sample size and the unrestricted entry criteria. However, baseline and frequent NT-proBNP and TnT monitoring predicted a higher risk for cardiac SAE. Larger studies should confirm our findings.

Identifiers

PMID27916295
PMCPMC5143350
OpenAlexW2559290083

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.