Evidence map›Paper›PMID 30714077›Full record

SynthesisDrugs & aging2019

Clinical Outcomes Associated with Drug-Drug Interactions of Oral Chemotherapeutic Agents: A Comprehensive Evidence-Based Literature Review.

Manvi Sharma, Aisha Vadhariya, Soumya Chikermane, Suma Gopinathan, Mariana Chavez-MacGregor, Sharon H Giordano, Michael L Johnson, Holly M Holmes

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Drugs & aging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 43 citations in OpenAlex.

  1. Article
  2. Article
  3. Assessment of potential drug interactions in rheumatology: a comparative study of decision support software.Daru : journal of Faculty of Pharmacy, Tehran University of Medical Sciences · 2026
    Article
  4. Observational
  5. Article
  6. Article
  7. Article
  8. Managing Drug Interactions With Oral Anticancer Treatments.Journal of the advanced practitioner in oncology · 2023
    Article
  9. Article
  10. Article
  11. Importance of medication reconciliation in cancer patients.Journal of pharmaceutical policy and practice · 2021
    Article
  12. Article
  13. Article
  14. Article
  15. The potential roles of Nrf2/Keap1 signaling in anticancer drug interactions.Current research in pharmacology and drug discovery · 2021
    Review
  16. Real-world prevalence of potential drug-drug interactions involving oral antineoplastic agents: a population-based study.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2020
    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

8 authors at 3 institutions in 1 country.

Manvi SharmaDepartment of Pharmacy Administration, The University of Mississippi, Oxford, MS, USA. msharma1@olemiss.edu.
Aisha VadhariyaDepartment of Pharmaceutical Health Outcomes and Policy, University of Houston, Houston, TX, USA.
Soumya ChikermaneDepartment of Pharmaceutical Health Outcomes and Policy, University of Houston, Houston, TX, USA.
Suma GopinathanDepartment of Pharmaceutical Health Outcomes and Policy, University of Houston, Houston, TX, USA.
Mariana Chavez-MacGregorDepartment of Breast Medical Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Sharon H GiordanoDepartment of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.
Michael L JohnsonDepartment of Pharmaceutical Health Outcomes and Policy, University of Houston, Houston, TX, USA.
Holly M HolmesDepartment of Pharmaceutical Health Outcomes and Policy, University of Houston, Houston, TX, USA.ORCID http://orcid.org/0000-0003-4399-2831
University of Houston · USThe University of Texas MD Anderson Cancer Center · USUniversity of Mississippi · US

Funding

Tumor Evolution and Metastasis ProgramP30CA016672 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI Fabien Delerue · 1985 to 2026
$290.8M
NCI NIH HHS P30 CA016672
6 · The paper itself

Abstract

backgroundOral chemotherapy use is increasing due to new drug approvals as well as the convenience of the administration of oral drugs. This increased use also raises concern regarding drug-drug interactions (DDIs) with concomitantly administered drugs, resulting in loss of therapeutic effect, decreased tolerability, and/or increased toxicity.

objectiveThe objective of this study was to review existing evidence of the clinical impact of DDIs with oral chemotherapeutic agents.

methodsA comprehensive search of literature using PubMed was conducted in April 2018 for studies of DDIs associated with oral chemotherapy. Included studies were in English. We included randomized clinical trials, observational studies, and case reports evaluating a DDI between any oral chemotherapy drug and any other drug. Included studies needed to have at least one outcome of clinical relevance potentially attributed to the DDI, for example, effects on survival or toxicity. The quality of the articles was determined using published metrics appropriate for the study design.

resultsThere were 2626 studies identified in the initial search, of which 35 met all eligibility criteria. These included 15 retrospective cohort studies, 16 case reports or case series and four post hoc analyses of clinical trials. Among these, DDIs contributed to a statistically significant change in a clinical outcome in 12 studies. Eight of these studies evaluated overall survival and progression-free survival and found that the presence of the DDI was associated with reduced survival.

conclusionOur findings suggest that more real-world studies evaluating the association between oral chemotherapy DDIs and clinical outcomes are needed. The adverse clinical outcomes due to DDIs may be a reason for treatment failures and therapy discontinuation.

Indexed as

Administration, OralAntineoplastic Combined Chemotherapy ProtocolsCohort StudiesDrug InteractionsHumansNeoplasmsRetrospective StudiesTreatment Outcome

Identifiers

PMID30714077
OpenAlexW2912655931

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.