Evidence map›Paper›PMID 38212825›Full record

ArticleCardio-oncology (London, England)2024

Sodium-glucose co-transporter-2 inhibitors in patients treated with immune checkpoint inhibitors.

Moran Gvili Perelman, Rafael Y Brzezinski, Barliz Waissengrin, Yasmin Leshem, Or Bainhoren, Tammi Arbel Rubinstein, Maxim Perelman, Zach Rozenbaum, Ofer Havakuk, Yan Topilsky and 3 more

Open access · goldAbstract read
In one paragraph

Article in Cardio-oncology (London, England), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 4 pooled it
8.9field-weighted citation impact, top 2% 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

30 citing papers in PubMed, 4 syntheses or guidelines pooled it, 25 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

13 authors at 3 institutions in 2 countries.

Moran Gvili PerelmanDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Rafael Y BrzezinskiDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Barliz WaissengrinDivision of Oncology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Yasmin LeshemDivision of Oncology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Or BainhorenDivision of Oncology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Tammi Arbel RubinsteinDivision of Oncology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Maxim PerelmanSchool of Medicine, Tel Aviv University, Tel Aviv, Israel.
Zach RozenbaumDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Ofer HavakukDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Yan TopilskyDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Shmuel BanaiDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Ido WolfDivision of Oncology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel.
Michal Laufer-PerlDivision of Cardiology, Tel-Aviv Sourasky Medical Center, Tel Aviv, Israel. michalpela@gmail.com.
Tel Aviv Sourasky Medical Center · ILTel Aviv University · ILSheba Medical Center · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have revolutionized the prognosis of cancer. Diabetes mellitus (DM) has been shown to have a negative effect on patients treated with ICIs. Sodium-glucose cotransporter 2 inhibitors (SGLT2i) are effective antidiabetic therapies associated with reduced all-cause mortality and cardiovascular (CV) outcomes.

objectiveTo evaluate the prognostic value of SGLT2i on all-cause mortality and cardiotoxicity among patients treated with ICIs.

methodsWe performed a retrospective analysis of patients diagnosed with cancer and type 2 DM (DM2) and treated with ICIs at our center. Patients were divided into two groups according to baseline treatment with or without SGLT2i. The primary endpoint was all-cause mortality and the secondary endpoint was MACE, including myocarditis, acute coronary syndrome, heart failure, and arrhythmia.

resultsThe cohort included 119 patients, with 24 (20%) patients assigned to the SGLT2i group. Both groups exhibited a comparable prevalence of cardiac risk factors, although the SGLT2i group displayed a higher incidence of ischemic heart disease. Over a median follow-up of 28 months, 61 (51%) patients died, with a significantly lower all-cause mortality rate in the SGLT2i group (21% vs. 59%, p = 0.002). While there were no significant differences in MACE, we observed zero cases of myocarditis and atrial fibrillation in the SGLT2i, compared to 2 and 6 cases in the non-SGLT2i group.

conclusionsSGLT2i therapy was associated with a lower all-cause mortality rate in patients diagnosed with cancer and DM2 and treated with ICIs. Further studies are needed to understand the mechanism and evaluate its benefit on cardiotoxicity.

Indexed as

Cardio-oncologyCardiotoxicityDiabetesICIsImmune checkpoint inhibitorSGLT2

Identifiers

PMID38212825
PMCPMC10782769
OpenAlexW4390747172

What OpenQuestion holds

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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.