Evidence map›Paper›PMID 38239112›Full record

ArticleNeuropsychopharmacology reports2024

Asenapine versus olanzapine for the treatment of nausea and vomiting in patients with cancer: A retrospective study.

Tomohiko Kimura, Akifumi Kanai, Hiroyuki Muraoka, Yuichiro Takahashi, Masatomo Ara, Ken Inada

Abstract read
In one paragraph

Article in Neuropsychopharmacology reports, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

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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

2 citing papers in PubMed.

  1. Article
  2. Article
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

6 authors.

Tomohiko KimuraDepartment of Psychiatry, Kitasato University School of Medicine, Sagamihara-shi, Japan.
Akifumi KanaiDepartment of Research and Development Center for New Medical Frontiers, Kitasato University School of Medicine, Sagamihara-shi, Japan.
Hiroyuki MuraokaDepartment of Psychiatry, Kitasato University School of Medicine, Sagamihara-shi, Japan.
Yuichiro TakahashiDepartment of Anesthesiology, Kitasato University School of Medicine, Sagamihara-shi, Japan.
Masatomo AraDepartment of Anesthesiology, Kitasato University School of Medicine, Sagamihara-shi, Japan.
Ken InadaDepartment of Psychiatry, Kitasato University School of Medicine, Sagamihara-shi, Japan.ORCID https://orcid.org/0000-0002-3073-4588

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimPatients with cancer often experience nausea and vomiting (N/V), but may have difficulty using olanzapine (OLZ), a common antiemetic. Asenapine (ASE) is a multi-acting receptor-targeted antipsychotic like OLZ, although there is little evidence that ASE serves as an antiemetic. The aim of this study was to evaluate the efficacy and tolerability of ASE compared to those of OLZ for the treatment of N/V in patients with cancer.

methodsThis retrospective study involved patients who received 5 mg ASE, 5 mg OLZ, or 2.5 mg OLZ for 2 days. Daily worst N/V was rated on a scale of 0 (none) to 3 (very much). The primary endpoint was the proportion of patients who had a response, defined as any reduction in N/V score. A complete response (CR) was defined as a score reduction to 0. Secondary endpoints included the proportion of patients with CR and adverse events.

resultsBetween April 2017 and March 2023, 212 patients were enrolled to receive treatment: 5 mg ASE (n = 34), 5 mg OLZ (n = 102), or 2.5 mg OLZ (n = 76). No significant differences in response rates (52.9% vs. 58.8% vs. 52.6%, p = 0.671) or secondary endpoints were observed between the groups. Patients receiving ASE were more likely to experience oral hypoesthesia (p = 0.004).

conclusionThis preliminary study suggests that ASE may be effective for N/V. Further studies are required to confirm these findings.

Indexed as

AntiemeticsDibenzocycloheptenesNeoplasmsHumansNauseaOlanzapineRetrospective StudiesVomitingAntiemeticsasenapineDibenzocycloheptenesOlanzapineantiemeticasenapinemulti-acting receptor-targeted antipsychoticnausea and vomitingolanzapine

Identifiers

PMID38239112
PMCPMC10932765

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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.