Evidence map›Paper›PMID 34637360›Full record

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

Potential interactions between antineoplastic agents and medicines used to treat Covid-19.

Mario Jorge Sobreira da Silva, Claudia Garcia Serpa Osorio-de-Castro, Rafael Duarte Paes, Christopher Lucas Negrete, Elizangela Eugênio, Elaine Lazzaroni Moraes, Annemeri Livinalli

Open access · hybridAbstract 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. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.3field-weighted citation impact, top 41% 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

0 citing papers in PubMed, 3 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 4 institutions in 1 country.

Mario Jorge Sobreira da Silva37908National Cancer Institute of Brazil, Brazil.ORCID 0000-0002-0477-8595
Claudia Garcia Serpa Osorio-de-Castro42499Sergio Arouca National School of Public Health, Brazil.
Rafael Duarte Paes434749Oncoclinicas of Brazil, Brazil.
Christopher Lucas Negrete42522Sírio-Libanês Hospital, Brazil.
Elizangela Eugênio67754AMO Clinic, Brazil.
Elaine Lazzaroni Moraes37908National Cancer Institute of Brazil, Brazil.
Annemeri LivinalliCF Onco, Brazil.
Instituto Nacional de Câncer - INCA · BRCentro de Pesquisas Oncológicas · BREscola Nacional de Saúde Pública · BRHospital Sírio-Libanês · BR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionCancer patients with Covid-19 are exposed to treatment combinations that can potentially result in interactions that adversely affect patient outcomes. This study aimed to identify potential drug-drug interactions between antineoplastic agents and medicines used to treat Covid-19.

methodsWe conducted a search for potential interactions between 201 antineoplastic agents and 26 medicines used to treat Covid-19 on the Lexicomp

resultsA total of 388 "major" or "contraindicated" drug-drug interactions were detected. Eight drugs or combinations (baricitinib, lopinavir/ritonavir, atazanavir, darunavir, azithromycin, chloroquine, hydroxychloroquine, and sirolimus) accounted for 91.5% of these interactions. The class of antineoplastic agents with the greatest potential for interaction was tyrosine kinase inhibitors (accounting for 46.4% of all interactions). The findings show that atazanavir, baricitinib, and lopinavir/ritonavir can affect the treatment of all common types of cancer. The most common pharmacokinetic effect of the potential drug-drug interactions was increased plasma concentration of the antineoplastic medicine (39.4%).

conclusionsCovid-19 is a recent disease and pharmacological interventions are undergoing constant modification. This study identified a considerable number of potential drug-drug interactions. In view of the vulnerability of patients with cancer, it is vital that health professionals carefully assess the risks and benefits of drug combinations.

Indexed as

Antineoplastic AgentsAntiviral AgentsCOVID-19 Drug TreatmentAtazanavir SulfateAzetidinesDrug CombinationsDrug InteractionsHumansLopinavirPurinesPyrazolesRitonavirSulfonamidesAntineoplastic AgentsAntiviral AgentsAtazanavir SulfateAzetidinesbaricitinibDrug CombinationsLopinavirPurinesPyrazolesRitonavirSulfonamidesantineoplastic agentsCovid-19drug–drug interactions

Identifiers

PMID34637360
PMCPMC9619075
OpenAlexW3206604360

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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.