Evidence map›Paper›PMID 31677116›Full record

SynthesisEuropean journal of clinical pharmacology2020

Systematic review and meta-analysis of the efficacy of clinically tested protectants of cisplatin nephrotoxicity.

Alfredo G Casanova, María Teresa Hernández-Sánchez, Francisco J López-Hernández, Carlos Martínez-Salgado, Marta Prieto, Laura Vicente-Vicente, Ana Isabel Morales

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
38citing papers in PubMed, 4 pooled it
–field-weighted citation impact
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

38 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. Mannitol for prevention of cisplatin-induced nephrotoxicity: a systematic review and meta-analysis of randomized controlled trials.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Pooled it
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  5. Review
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  11. The renoprotective potential of montelukast: a scoping review.Annals of medicine and surgery (2012) · 2024
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  16. Cisplatin in Liver Cancer Therapy.International journal of molecular sciences · 2023
    Review
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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

7 authors.

Alfredo G CasanovaUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
María Teresa Hernández-SánchezUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
Francisco J López-HernándezUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
Carlos Martínez-SalgadoUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
Marta PrietoUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.
Laura Vicente-VicenteUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain. lauravicente@usal.es.ORCID http://orcid.org/0000-0002-6273-4005
Ana Isabel MoralesUnidad de Toxicología, Departamento de Fisiología y Farmacología, University of Salamanca, Laboratorio 223-226, Campus Miguel de Unamuno, 37007, Salamanca, Spain.

Funding

Consejería de Educación, Junta de Castilla y León SA359U14Instituto de Salud Carlos III PI17/01979, DT15S/00166, PI15/01055, PI14/01776, RETIC RD016/0009/0025Junta de Castilla y León. Consejería de Sanidad (BIO/SA66/15 and BIO/SA20/14
6 · The paper itself

Abstract

introductionCisplatin is a potent antineoplastic drug that has been widely used to treat a number of solid tumors. However, a high incidence of renal damage observed in patients has led researchers to search for alternate strategies that prevent or at least reduce the cisplatin-induced nephrotoxicity. The objective of the present study was to conduct a systematic review and a subsequent meta-analysis to evaluate and identify compounds with effective antitumor activity and lesser side effects that could provide protection against cisplatin-induced nephrotoxicity.

methodsThe study included all placebo-controlled trials published up to December 2017 that met the inclusion criteria. A total of 22 articles were finally included to extract the following information: number of patients, doses of cisplatin and protectant, qualitative (acute kidney injury incidence) and quantitative (plasma creatinine, blood urea nitrogen, and creatinine clearance) indicators of renal function. The odds ratio or the mean difference (95% confidence interval) of each parameter was calculated for each study and group of studies.

resultsThe results of this meta-analysis show that there is great variability in the nephroprotective capacity of a variety of products evaluated. Of all the compounds tested, only magnesium sulfate and cystone were found to exert protective effects. However, more studies need to be conducted to confirm these results.

conclusionsThe administration of 1 g of Mg i.v. seems to be the best strategy for the prevention of cisplatin nephrotoxicity.

Indexed as

Acute Kidney InjuryCisplatinCreatinineDrug-Related Side Effects and Adverse ReactionsHumansKidneyNeoplasmsCisplatinCreatinineCisplatinClinicalCystoneMagnesiumMeta-analysisNephroprotection

Identifiers

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.