Evidence map›Paper›PMID 32964213›Full record

ArticleArchives of medical case reports2020

Safety and Efficacy of s-MOX Regimen in Patients with Colorectal Cancer Who Developed Cardiotoxicity Following Fluoropyrimidine Administration: A Case Series.

Matthew I Ehrlich, Kristin Kaley, Melissa Smith, M Wasif Saif

Open access · greenAbstract read
In one paragraph

Article in Archives of medical case reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.2field-weighted citation impact, top 48% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. The intersection of colorectal cancer and cardiovascular disease: shared mechanisms and clinical implications.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. Review
  3. Review
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

4 authors at 3 institutions in 1 country.

Matthew I EhrlichNorthwell Health Cancer Institute, Feinstein Institutes of Research and Zucker School of Medicine, Lake Success, New York, USA.
Kristin KaleyYale Cancer Center, New Haven, CT, USA.
Melissa SmithTufts Cancer Center, Boston, MA, USA.
M Wasif SaifNorthwell Health Cancer Institute, Feinstein Institutes of Research and Zucker School of Medicine, Lake Success, New York, USA.
Northwell Health · USTufts Medical Center · USYale Cancer Center · US

Funding

Molecular Approach in Predicting 5-Fluorouracil EfficacyR01CA085381 · NCI · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DIASIO, ROBERT B. · 2001 to 2005
$1.2M
NCI NIH HHS R01 CA085381
6 · The paper itself

Abstract

backgroundFluoropyrimidines compose the backbone of regimens to treat many common solid tumors, including gastrointestinal (GI), breast and head/neck. As we continue to use these agents routinely, recognition of rare but real toxicities, such as cardiotoxicity, has also improved. The treatment options for patients who have encountered fluoropyrimidine-induced cardiotoxicity are limited as many anti-angiogenic drugs also pose a cardiac risk. PATIENTS AND

methodsWe present a case series of three patients who developed cardiotoxicity in the form of anginal-like symptoms, EKG changes and elevated cardiac enzymes on infusional 5-FU or capecitabine and were subsequently treated with the s-MOX (simplified-mitomycin-oxaliplatin) regimen for their metastatic colorectal cancer (mCRC). All three patients were tested for polymorphic abnormality of

resultsAll three patients were treated with s-MOX consisting of mitomycin-C 7 mg/m

conclusionThis is the first case series that reports the safety and feasibility of s-MOX in patients with mCRC who developed cardiac toxicity to 5-FU or capecitabine. The s-MOX regimen may provide an alternative treatment option for patients who either develop fluoropyrimidine-related cardiotoxicity or who have abnormalities in the

Indexed as

CardiotoxicityDihydropyridine DehydrogenaseFluoropyrimidinesMOX Regimen

Identifiers

PMID32964213
PMCPMC7504879
OpenAlexW3043626893

What OpenQuestion holds

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Registered trials

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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.