Evidence map›Paper›PMID 34938893›Full record

ArticleHealth science reports2021

Oral magnesium supplements for cancer treatment-induced hypomagnesemia: Results from a pilot randomized trial.

Arif Awan, Bassam Basulaiman, Carol Stober, Mark Clemons, Dean Fergusson, John Hilton, Waleed Al Ghareeb, Rachel Goodwin, Mohammed Ibrahim, Brian Hutton and 3 more

Open access · goldAbstract read
In one paragraph

Article in Health science reports, 2021. 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 35% 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, 8 citations in OpenAlex.

  1. 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

13 authors at 3 institutions in 1 country.

Arif AwanDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Bassam BasulaimanDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Carol StoberCancer Therapeutics Program Ottawa Hospital Research Institute Ottawa Ontario Canada.
Mark ClemonsDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.ORCID https://orcid.org/0000-0001-9392-8219
Dean FergussonDepartment of Medicine University of Ottawa Ottawa Ontario Canada.
John HiltonDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Waleed Al GhareebDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Rachel GoodwinDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Mohammed IbrahimDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Brian HuttonClinical Epidemiology Program Ottawa Hospital Research Institute Ottawa Ontario Canada.
Lisa VandermeerCancer Therapeutics Program Ottawa Hospital Research Institute Ottawa Ontario Canada.
Ranjeeta MallickClinical Epidemiology Program Ottawa Hospital Research Institute Ottawa Ontario Canada.
Michael M VickersDepartment of Medicine, Division of Medical Oncology The Ottawa Hospital Cancer Centre Ottawa Ontario Canada.
Ottawa Hospital · CAOntario Institute for Cancer Research · CAUniversity of Ottawa · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

aimsOptimal management of cancer treatment-induced hypomagnesemia (hMg) is not known. We assessed the feasibility of using a novel pragmatic clinical trials model to compare two commonly used oral Mg replacement strategies.

methodsPatients with grade 1 to 3 hMg while receiving either platinum-based chemotherapy or epidermal growth factor receptor inhibitors (EGFRI) were randomized to oral magnesium oxide (MgOx) or oral magnesium citrate (MgCit). The trial methodology utilized the integrated consent model. Feasibility would be successful if; accrual rate was ≥5 patients a month and if measures of patient and physician engagement, were > 50%. Secondary endpoints included; comparison of Mg levels, cardiac arrhythmias, and rates of treatment delay/hospitalizations.

resultsFrom July 2016 to December 2017, an average of 1 patient a month was accrued. All 15 eligible and approached patients consented to participate in the study (100% engagement) and 7/15 were randomized to MgOx and 8/15 to MgCit. The percentage of physicians who approached patients for the study was 4 of 6 (66.6% engagement). The mean slope of change in Mg (mmol/L/day) was 0.0022 (95% CI: -0.0001 to 0.0044) for MgOx and 0.0006 (95% CI, -0.0012 to 0.0024) for MgCit (

conclusionDespite oral magnesium tolerability and meeting most of its feasibility endpoints, this study did not meet its target accrual rate. Alternative designs would be necessary for a definitive efficacy study.

Indexed as

chemotherapyEGFR inhibitorshypomagnesemiaintegrated consent model

Identifiers

PMID34938893
PMCPMC8669698
OpenAlexW4200280977

What OpenQuestion holds

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LicenceCC BY
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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.