Evidence map›Paper›PMID 38481033›Full record

ArticleJournal of cachexia, sarcopenia and muscle2024

Cancer anorexia-cachexia syndrome is characterized by more than one inflammatory pathway.

Bruno Gagnon, Jessica Murphy, David Simonyan, Claudia A Penafuerte, Jacinthe Sirois, Martin Chasen, Michel L Tremblay

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Journal of cachexia, sarcopenia and muscle, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07231120 (A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Efficacy of SXRN Injection in Patients With Cancer Cachexia), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
3.6field-weighted citation impact, top 7% 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.

NCT07231120 phase1recruitingnot on this mapstarted 2025, after this paper: background citation

A Phase I Clinical Study Evaluating the Safety, Tolerability, Pharmacokinetic Characteristics, and Preliminary Efficacy of SXRN Injection in Patients With Cancer Cachexia

TypeinterventionalSponsorJiangsu Nutai Biologics Co., LtdRan2025 to 2026Enrolled54ConditionsCachexia-Anorexia Syndrome, Solid Tumor MalignanciesArmsSXRN Injection
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Biomarkers associated with cancer-related anorexia in lung cancer: a scoping review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2025
    Article
  4. Article
  5. Inflammatory factors collaboratively linkFrontiers in immunology · 2025
    Review
  6. Article
  7. Article
  8. Article
  9. Review
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

7 authors at 5 institutions in 1 country.

Bruno GagnonDépartement de médecine familiale et de médecine d'urgence, Centre de recherche sur le cancer, Université Laval, Centre de recherche du CHU de Québec, Québec, Canada.ORCID 0000-0003-0843-0366
Jessica MurphyDivision of Clinical Epidemiology, McGill University Health Centre, Montreal, Canada.ORCID 0000-0001-8071-4457
David SimonyanClinical and Evaluative Research Platform, Université Laval, Centre de recherche du CHU de Québec, Québec, Canada.ORCID 0000-0001-8826-7428
Claudia A PenafuerteCura Therapeutics, NEOMED Institute, Saint-Laurent, Canada.
Jacinthe SiroisRosalind and Morris Goodman Cancer Institute, McGill University, Montreal, Canada.
Martin ChasenDepartments of Medicine and Family and Community Medicine, University of Toronto, Toronto, Canada.ORCID 0000-0002-0406-9692
Michel L TremblayRosalind and Morris Goodman Cancer Institute, McGill University, Montreal, Canada.
McGill University · CAMcGill University Health Centre · CANEOMED Institute · CAUniversité Laval · CAUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe interdependence of cytokines and appetite-modifying hormones implicated in cancer anorexia-cachexia syndrome (CACS) remains unclear. This study aimed to regroup these cytokines and hormones into distinct inflammatory (or non-inflammatory) pathways and determine whether these pathways can classify patients with CACS phenotypes.

methodsClinical characteristics of 133 patients [61.7% male; mean age = 63.4 (SD: 13.1) years] with advanced cancer prior to oncology treatments were documented, including weight loss history. Patients completed the Functional Assessment of Anorexia-Cachexia Therapy (FAACT) questionnaire and Timed Up and Go test and had their sex-standardized skeletal muscle index (z-SMI) and fat mass index (z-FMI) derived using computed tomography scans. Their plasma levels of cytokines and appetite-modifying hormones were also determined. Date of death was recorded. Exploratory factor analysis (EFA) was used to regroup 15 cytokines and hormone into distinct inflammatory pathways (factors). For each patient, regression factor scores (RFS), which tell how strongly the patient associates with each factor, were derived. Two-step cluster analysis on the RFS was used to classify patients into groups. CACS phenotypes were correlated with RFS and compared between groups. Groups' survival was estimated using Kaplan-Meier analysis.

resultsPatients had low z-SMI (mean = -3.78 cm

conclusionsThis exploratory study identified three distinct pathways of inflammation, or lack thereof, characterizing different CACS phenotypes.

Indexed as

AnorexiaCachexiaCytokinesInflammationNeoplasmsAgedFemaleHumansMaleMiddle AgedSyndromeCytokinesAnorexiaCachexiaCancerCytokinesInflammationSurvival analysis

Identifiers

PMID38481033
PMCPMC11154782
OpenAlexW4392814213

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.