Evidence map›Paper›PMID 35790500›Full record

ArticleThoracic cancer2022

A retrospective study of the efficacy and safety of naldemedine for opioid-induced constipation in thoracic cancer patients.

Hisao Imai, Yukiyoshi Fujita, Eriko Hiruta, Takashi Masuno, Shigeki Yamazaki, Hajime Tanaka, Teruhiko Kamiya, Mitsuru Sandoh, Satoshi Takei, Kazuya Arai and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Thoracic cancer, 2022. 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
0.8field-weighted citation impact, top 29% 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, 5 citations in OpenAlex.

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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

14 authors at 12 institutions in 1 country.

Hisao ImaiDivision of Respiratory Medicine, Gunma Prefectural Cancer Center, Ota, Japan.ORCID 0000-0003-3097-4255
Yukiyoshi FujitaDivision of Pharmacy, Gunma Prefectural Cancer Center, Ota, Japan.
Eriko HirutaDivision of Pharmacy, Gunma Prefectural Cancer Center, Ota, Japan.
Takashi MasunoDivision of Pharmacy, Fujioka General Hospital, Fujioka, Japan.
Shigeki YamazakiDivision of Pharmacy, Kiryu Kosei General Hospital, Kiryu, Japan.
Hajime TanakaDivision of Pharmacy, Haramachi Red Cross Hospital, Higashiagatsuma-machi, Agatsuma-gun, Japan.
Teruhiko KamiyaDepartment of Pharmacy, Tatebayashi Kosei General Hospital, Tatebayashi, Japan.
Mitsuru SandohDivision of Pharmacy, Ota Memorial Hospital, Ota, Japan.
Satoshi TakeiDivision of Pharmacy, Tone Central Hospital, Numata, Japan.
Kazuya AraiDivision of Pharmacy, Gunma Saiseikai Maebashi Hospital, Maebashi, Japan.
Hiromi NishibaDivision of Pharmacy, Japan Community Health Care Organization (JCHO) Gunma Chuo Hospital, Maebashi, Japan.
Junnosuke MogiDivision of Pharmacy, Hidaka Hospital, Takasaki, Japan.
Kyoichi KairaDepartment of Respiratory Medicine, Comprehensive Cancer Center, International Medical Center, Saitama Medical University, Hidaka, Japan.ORCID 0000-0001-5548-7686
Koichi MinatoDivision of Respiratory Medicine, Gunma Prefectural Cancer Center, Ota, Japan.
Gunma Prefectural Cardiovascular Center · JPSaitama International Medical Center · JPFujieda Municipal General Hospital · JPFuji Heavy Industries Health Insurance Society Ota Memorial Hospital · JPGunma Saiseikai Maebashi Hospital · JPHidaka Hospital · JPHyogo Prefectural Cancer Center · JPKiryu University · JPObihiro Kosei General Hospital · JPTakamatsu Red Cross Hospital · JPTakasaki University of Health and Welfare · JPToneyama National Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWe conducted a multicenter, retrospective study on the efficacy and safety of naldemedine in thoracic cancer patients using opioids in clinical practice.

methodsWe retrospectively evaluated thoracic cancer patients treated with naldemedine at 10 institutions in Japan. Clinical data of patients administered naldemedine between June 2017 and August 2019 were extracted from electronic medical records. Inclusion criteria were as follows: (i) patients hospitalized for at least seven days before and after naldemedine administration, and (ii) those whose frequency of defecation was entered in the medical records.

resultsForty patients were analyzed, and defecation frequency was observed for at least seven days before and after naldemedine administration. The response rate was 65.0% (95% CI: 50.2%-79.7%). The number of defecations increased significantly after naldemedine administration in the overall population, as well as among only those who defecated <3 times/week before naldemedine administration, and those that were administered ≥30 mg/day of morphine equivalent. Diarrhea was the most common adverse event in all grades, occurring in 11 patients (27.5%), of which 9 (81.8%) were grade 1 or 2. None of the patients experienced grade 4 or higher adverse events.

conclusionThe efficacy and safety of naldemedine for thoracic cancer patients in clinical practice were comparable with those of prospective studies, which suggest that naldemedine may be effective and feasible for most thoracic cancer patients.

Indexed as

Opioid-Induced ConstipationThoracic NeoplasmsAnalgesics, OpioidConstipationHumansNaltrexoneNarcotic AntagonistsProspective StudiesRetrospective StudiesAnalgesics, OpioidnaldemedineNaltrexoneNarcotic Antagonistsclinical practiceefficacynaldemedineopioid-induced constipationperipherally-acting mu-opioid receptor antagonist

Identifiers

PMID35790500
PMCPMC9376157
OpenAlexW4284702018

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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.