Evidence map›Paper›PMID 34134554›Full record

ArticleJournal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners2022

Arsenic trioxide dose capping to decrease toxicity in the treatment of acute promyelocytic leukemia.

Kyle Zacholski, Bryan Hambley, Erin Hickey, Sarah Kashanian, Andrew Li, Maria R Baer, Vu H Duong, Matthew J Newman, Amy DeZern, Ivana Gojo and 6 more

Open access · greenAbstract read
In one paragraph

Article in Journal of oncology pharmacy practice : official publication of the International Society of Oncology Pharmacy Practitioners, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

5 citing papers in PubMed, 11 citations in OpenAlex.

  1. Article
  2. Review
  3. Review
  4. Article
  5. 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

16 authors at 4 institutions in 1 country.

Kyle ZacholskiThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital Department of Pharmacy, Baltimore, USA.ORCID https://orcid.org/0000-0002-0382-0122
Bryan HambleyThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Erin HickeyVirginia Commonwealth University School of Pharmacy, Richmond, USA.
Sarah KashanianUniversity of Maryland School of Medicine, Baltimore, USA.
Andrew LiUniversity of Maryland School of Medicine, Baltimore, USA.
Maria R BaerUniversity of Maryland School of Medicine, Baltimore, USA.
Vu H DuongUniversity of Maryland School of Medicine, Baltimore, USA.
Matthew J NewmanThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins Hospital Department of Pharmacy, Baltimore, USA.ORCID https://orcid.org/0000-0002-1402-5554
Amy DeZernThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Ivana GojoThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
B Douglas SmithThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Mark J LevisThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Ravi VaradhanThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Eric GehrieTransfusion Medicine Division, Department of Pathology, Johns Hopkins University, Baltimore, USA *Contributed equally to this article.
Ashkan EmadiUniversity of Maryland School of Medicine, Baltimore, USA.
Gabriel GhiaurThe Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University School of Medicine, Baltimore, USA.
Johns Hopkins University · USUniversity of Maryland, Baltimore · USJohns Hopkins Hospital · USVirginia Commonwealth University · US

Funding

Translational Research Central ServicesP30CA006973 · NCI · JOHNS HOPKINS UNIVERSITY · PI Rosalie Wollett · 1985 to 2026
$208.6M
Targeting MRDP01CA225618 · NCI · JOHNS HOPKINS UNIVERSITY · PI Patrick J Hanley · 2019 to 2026
$15.1M
NCI NIH HHS P01 CA225618NCI NIH HHS P30 CA006973
6 · The paper itself

Abstract

Arsenic trioxide (ATO) and all-trans retinoic acid (ATRA) combination therapy yields high complete remission and disease-free survival rates in acute promyelocytic leukemia (APL). ATO is dosed on actual body weight and high ATO doses in overweight patients may contribute to increased toxicity. We performed a retrospective, two-center study comparing toxicities in patients who received the Lo-Coco et al ATRA/ATO regimen with capped ATO, ≤10 mg/dose, and non-capped ATO, >10 mg/dose. A total of 44 patients were included; 15 received doses ≤10 mg and 29 received >10 mg. During induction, there was no difference in the incidence of grade ≥3 hepatotoxicity, grade ≥3 QTc prolongation, neurotoxicity, and cardiac toxicity between groups. In consolidation, patients receiving >10 mg/dose experienced a greater incidence of neurotoxicity (66.7% vs 22.2%; p = 0.046). Capping doses saved $24634.37/patient and reduced waste of partially-used vials. At a median follow-up of 27 months, no disease relapses occurred in either group. This represents an opportunity to improve the safety profile of this highly effective regimen.

Indexed as

ArsenicalsLeukemia, Promyelocytic, AcuteAntineoplastic Combined Chemotherapy ProtocolsArsenic TrioxideHumansOxidesRetrospective StudiesTreatment OutcomeTretinoinArsenicalsArsenic TrioxideOxidesTretinoinAcute promyelocytic leukemiaarsenic trioxidecapped doseobesitytoxicity

Identifiers

PMID34134554
PMCPMC10084784
OpenAlexW3171257997

What OpenQuestion holds

Textmetadata
LicenceTDM
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.