Evidence map›Paper›PMID 35932318›Full record

ReviewSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2022

Complexity and clinical significance of drug-drug interactions (DDIs) in oncology: challenging issues in the care of patients regarding cancer-associated thrombosis (CAT).

Nikolaos Tsoukalas, Norman Brito-Dellan, Carme Font, Taylor Butler, Cristhiam M Rojas-Hernandez, Thomas Butler, Carmen Escalante, MASCC Hemostasis Study Group

Erratum issuedOpen access · hybridAbstract readReview
In one paragraph

Review in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 3% 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

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 25 citations in OpenAlex.

  1. SEOM clinical guidelines on venous thromboembolism (VTE) and cancer (2023).Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
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  8. Frontiers in pharmacology · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 4 institutions in 3 countries.

Nikolaos TsoukalasMedical Oncology Department, 401 General Military Hospital of Athens, Athens, Greece. tsoukn@yahoo.gr.ORCID https://orcid.org/0000-0002-1455-1503
Norman Brito-DellanHospital Medicine Department, The University of Texas M.D. Anderson Cancer Center, TX, Houston, USA.ORCID https://orcid.org/0000-0002-5816-9285
Carme FontMedical Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.ORCID https://orcid.org/0000-0002-3547-7373
Taylor ButlerVanderbilt University Medical Center, Nashville, TN, USA.ORCID https://orcid.org/0000-0003-4788-8484
Cristhiam M Rojas-HernandezSection of Benign Hematology, The University of Texas M.D. Anderson Cancer Center, TX, Houston, USA.ORCID https://orcid.org/0000-0003-3890-3929
Thomas ButlerUniversity of South Alabama Mitchell Cancer Institute, Mobile, Alabama, USA.ORCID https://orcid.org/0000-0002-5096-9376
Carmen EscalanteGeneral Internal Medicine Department, The University of Texas M.D. Anderson Cancer Center, TX, Houston, USA.ORCID https://orcid.org/0000-0001-5465-8594
MASCC Hemostasis Study Group
The University of Texas MD Anderson Cancer Center · USUSA Mitchell Cancer Institute · US401 General Military Hospital of Athens · GRHospital Clínic de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cancer patients have an increased risk of developing venous thromboembolic events. Anticoagulation management includes prophylactic or therapeutic doses of low molecular weight heparins (LMWHs) or direct oral anticoagulants (DOACs). However, the management of thrombosis in patients with cancer is complex due to various individual and disease-related factors, including drug-drug interactions (DDIs). Furthermore, DDIs may impact both, cancer and venous thrombosis, treatment effectiveness and safety; their relevance is highlighted by the advances in cancer therapeutics. Given that these new oncology drugs are extensively used, more attention should be given to monitoring potential DDIs to minimize risks. Recognition of DDIs is of utmost importance in an era of rapid developments in cancer treatments and introduction of novel treatments and protocols. When managing cancer-associated thrombosis (CAT), the concomitant use of a DOAC and a moderate or strong modulator (inhibitor or inducer) of CYP3A4 or a P-glycoprotein (P-gp) is most likely to be associated with significant DDIs. Therefore, LMWHs remain the first-line option for the long-term management of CAT under these circumstances and physicians must consider utilizing LMWHs as first line. This review describes the risk of DDIs and their potential impact and outcomes in patients with cancer associated thrombosis (CAT) receiving anticoagulation.

Indexed as

NeoplasmsThrombosisVenous ThromboembolismAdministration, OralAnticoagulantsATP Binding Cassette Transporter, Subfamily BCytochrome P-450 CYP3ADrug InteractionsHeparin, Low-Molecular-WeightHumansAnticoagulantsATP Binding Cassette Transporter, Subfamily BCytochrome P-450 CYP3AHeparin, Low-Molecular-WeightAnticoagulantBleedingCancer-Associated Thrombosis (CAT)Direct Oral Anticoagulants (DOACs)Drug-Drug Interactions (DDIs)Low Molecular Weight Heparins (LMWHs)Oncology

Identifiers

PMID35932318
PMCPMC9512854
OpenAlexW4290038694

What OpenQuestion holds

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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.