Evidence map›Paper›PMID 28470980›Full record

SynthesisBritish journal of clinical pharmacology2017

Aprepitant and fosaprepitant drug interactions: a systematic review.

Priya Patel, J Steven Leeder, Micheline Piquette-Miller, L Lee Dupuis

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in British 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 36 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 2 pooled it
8.4field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 2 syntheses or guidelines pooled it, 85 citations in OpenAlex.

  1. 2023 updated MASCC/ESMO consensus recommendations: prevention of nausea and vomiting following high-emetic-risk antineoplastic agents.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2023
    Pooled it
  2. Aprepitant and fosaprepitant drug interactions: a systematic review.British journal of clinical pharmacology · 2017
    Pooled it
  3. Trial
  4. Article
  5. Do Not Throw Away Your Patient's Shot at Complete Vomiting Control.The journal of pediatric pharmacology and therapeutics : JPPT : the official journal of PPAG · 2025
    Article
  6. Article
  7. Observational
  8. Article
  9. Review
  10. Review
  11. Article
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  14. Simulation of drug-drug interactions between breast cancer chemotherapeutic agents and antiemetic drugs.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2023
    Article
  15. Article
  16. Article
  17. Article
  18. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Priya PatelLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.ORCID http://orcid.org/0000-0002-2872-5412
J Steven LeederDivision of Clinical Pharmacology, Toxicology & Therapeutic Innovation, Department of Pediatrics, Children's Mercy-Kansas City, Kansas City, Missouri, USA.
Micheline Piquette-MillerLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
L Lee DupuisLeslie Dan Faculty of Pharmacy, University of Toronto, Toronto, Ontario, Canada.
University of Toronto · CAChildren's Mercy Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsAprepitant and fosaprepitant, commonly used for the prevention of chemotherapy-induced nausea and vomiting, alter cytochrome P450 activity. This systematic review evaluates clinically significant pharmacokinetic drug interactions with aprepitant and fosaprepitant and describes adverse events ascribed to drug interactions with aprepitant or fosaprepitant.

methodsWe systematically reviewed the literature to September 11, 2016, to identify articles evaluating drug interactions involving aprepitant/fosaprepitant. The clinical significance of each reported pharmacokinetic drug interaction was evaluated based on the United States Food and Drug Administration guidance document on conducting drug interaction studies. The probability of an adverse event reported in case reports being due to a drug interaction with aprepitant/fosaprepitant was determined using the Drug Interaction Probability Scale.

resultsA total of 4377 publications were identified. Of these, 64 met inclusion eligibility criteria: 34 described pharmacokinetic drug interactions and 30 described adverse events ascribed to a drug interaction. Clinically significant pharmacokinetic interactions between aprepitant/fosaprepitant and bosutinib PO, cabazitaxel IV, cyclophosphamide IV, dexamethasone PO, methylprednisolone IV, midazolam PO/IV, oxycodone PO and tolbutamide PO were identified, as were adverse events resulting from an interaction between aprepitant/fosaprepitant and alcohol, anthracyclines, ifosfamide, oxycodone, quetiapine, selective serotonin reuptake inhibitors/serotonin-norepinephrine reuptake inhibitors and warfarin.

conclusionsThe potential for a drug interaction with aprepitant and fosaprepitant should be considered when selecting antiemetic therapy.

Indexed as

AntiemeticsAntineoplastic AgentsAprepitantCytochrome P-450 CYP2C9 InducersCytochrome P-450 CYP3A InhibitorsDrug InteractionsEthanolHumansInjection Site ReactionMorpholinesNauseaOxycodoneQuetiapine FumarateSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake InhibitorsVomitingAntiemeticsAntineoplastic AgentsAprepitantCytochrome P-450 CYP2C9 InducersCytochrome P-450 CYP3A InhibitorsEthanolfosaprepitantMorpholinesOxycodoneQuetiapine FumarateSelective Serotonin Reuptake InhibitorsSerotonin and Noradrenaline Reuptake Inhibitorsaprepitantdrug-drug interactionsfosaprepitant

Identifiers

PMID28470980
PMCPMC5595939
OpenAlexW2610316990

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.