Evidence map›Paper›PMID 31852040›Full record

ArticleThe Permanente journal2020

Haloperidol and Prostate Cancer Prevention: More Epidemiologic Research Needed.

Gary D Friedman, Laurel A Habel, Ninah Achacoso, Christina M Sanders, Halley M Oyer, Bruce Fireman, Stephen K Van Den Eeden, Felix J Kim

Abstract read
In one paragraph

Article in The Permanente journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 36% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

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

Gary D FriedmanDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Laurel A HabelDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Ninah AchacosoDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Christina M SandersSidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, PA.
Halley M OyerSidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, PA.
Bruce FiremanDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Stephen K Van Den EedenDivision of Research, Kaiser Permanente Northern California, Oakland, CA.
Felix J KimSidney Kimmel Cancer Center at Thomas Jefferson University, Philadelphia, PA.
Kaiser Permanente · USSidney Kimmel Cancer Center · USStanford University · US

Funding

Pharmaceuticals and CancerR01CA098838 · NCI · KAISER FOUNDATION RESEARCH INSTITUTE · PI HABEL, LAUREL A · 2004 to 2013
$3.2M
NCI NIH HHS R01 CA098838
6 · The paper itself

Abstract

contextThe antipsychotic drug haloperidol has antiproliferative and growth-inhibiting properties on prostate cancer cell lines in vitro by binding the sigma 1 protein. Evidence is needed regarding a possible preventive association in men.

objectiveTo examine whether our epidemiologic data support an inverse association of haloperidol use with risk of prostate cancer.

designThese case-control analyses used conditional logistic regression to estimate relative risk by odds ratios (ORs) adjusting for race/ethnicity and aspects of medical care related to detection of prostate cancer. We tested 3 other commonly used antipsychotic drugs, risperidone, quetiapine, and olanzapine, for sigma 1 protein binding and inhibition of clonogenic growth of prostate cancer cells. Use of any of these by men was considered use of a comparator drug.

main outcome measures1) association of haloperidol with prostate cancer; 2) sigma 1 binding and clonogenic growth.

resultsProbably owing to small numbers of haloperidol recipients, evidence of a preventive association was inconsistent, depending on the definition of long-term use. If duration of use was greater than 1 year, the odds ratio (OR) was 0.38 (95% confidence interval (CI) = 0.14-1.01) for haloperidol and 0.80 (95% CI = 0.66-0.98) for the comparator drug; if the duration of use was greater than 2 years, the OR was 0.66 (95% CI = 0.24-1.76) for haloperidol and 0.84 (95% CI = 0.66-1.08) for the comparator drug. Unlike haloperidol, risperidone, quetiapine, and olanzapine did not bind sigma 1 or inhibit clonogenic growth.

conclusionGiven the laboratory evidence, our ambiguous epidemiologic findings should encourage more epidemiologic evaluation of haloperidol use and risk of prostate cancer. Finding a negative association could be a scientific advance in prostate cancer prevention but would not be sufficient basis for recommending the prescription of haloperidol for that purpose.

Identifiers

PMID31852040
PMCPMC6907893
OpenAlexW3004484116

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.