Evidence map›Paper›PMID 38491829›Full record

Observational studyCancer medicine2024

A survey of carboplatin desensitization therapy in Japan: A multicenter retrospective study.

Hiroaki Komatsu, Koji Matsumoto, Mitsunori Morita, Takayuki Nagasawa, Hiroshi Nishio, Jiro Suzuki, Shin Nishio, Hisanori Kobara, Mayu Yunokawa, Kazuya Ariyoshi and 10 more

Open access · goldAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Cancer medicine, 2024. 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
2.2field-weighted citation impact, top 14% 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.

  1. Review
  2. Article
  3. Observational
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

20 authors at 19 institutions in 2 countries.

Hiroaki KomatsuDepartment of Obstetrics and Gynecology, Tottori University School of Medicine, Yonago, Tottori, Japan.ORCID 0000-0002-4507-6848
Koji MatsumotoDepartment of Medical Oncology, Hyogo Cancer Center, Akashi, Hyogo, Japan.ORCID 0000-0003-1907-0247
Mitsunori MoritaDepartment of Medical Oncology, Hyogo Cancer Center, Akashi, Hyogo, Japan.
Takayuki NagasawaDepartment of Obstetrics and Gynecology, Iwate Medical University School of Medicine, Morioka, Iwate, Japan.
Hiroshi NishioDepartment of Obstetrics and Gynecology, Keio University School of Medicine, Tokyo, Japan.
Jiro SuzukiDepartment of Obstetrics and Gynecology, The Jikei University School of Medicine, Tokyo, Japan.
Shin NishioDepartment of Obstetrics and Gynecology, Kurume University School of Medicine, Kurume, Japan.ORCID 0000-0003-2526-630X
Hisanori KobaraDepartment of Obstetrics and Gynecology, Shinshu University, Nagano, Japan.
Mayu YunokawaDepartment of Gynecology, The Cancer Institute Hospital of JFCR, Tokyo, Japan.
Kazuya AriyoshiDepartment of Gynecology Service, National Kyushu Cancer Center, Fukuoka, Japan.
Takashi HirayamaDepartment of Obstetrics and Gynecology, Juntendo University Hospital, Tokyo, Japan.
Hideki TokunagaDepartment of Gynecology, Tohoku University Graduate School of Medicine, Sendai, Japan.
Masayo UkitaDepartment of Gynecology and Obstetrics, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Kaori YorikiDepartment of Obstetrics and Gynecology, Graduate School of Medical Science, Kyoto Prefectural University of Medicine, Kyoto, Japan.
Mayuyo Mori-UchinoDepartment of Obstetrics and Gynecology, Faculty of Medicine, The University of Tokyo, Tokyo, Japan.
Akiko FurusawaDepartment of Gynecology, Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital, Tokyo, Japan.
Shinichi TogamiDepartment of Obstetrics and Gynecology, Faculty of Medicine, Kagoshima University, Kagoshima, Japan.
Hiroko NakamuraDepartment of Obstetrics and Gynecology, National Hospital Organization Kure Medical Center and Chugoku Cancer Center, Kure, Japan.
Mitsuya IshikawaDepartment of Gynecology, National Cancer Center Hospital, Tokyo, Japan.
Toyomi SatohDepartment of Obstetrics and Gynecology, Institute of Medicine, University of Tsukuba, Tsukuba, Japan.
Hyogo Prefectural Cancer Center · JPIwate Medical University · JPJikei University School of Medicine · JPJuntendo University Hospital · JPKagoshima University · JPKeio University · JPKurume University · JPKyoto Prefectural University of Medicine · JPKyoto University · JPNational Cancer Center · USNational Hospital Organization · JPNational Hospital Organization Kyushu Cancer Center · JPShinshu University · JPThe Cancer Institute Hospital · JPThe University of Tokyo · JPTohoku University · JPTokyo Metropolitan Komagome Hospital · JPTottori University · JPUniversity of Tsukuba · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionHypersensitivity reactions (HSRs) to chemotherapy are serious adverse events associated with cancer drug therapy and can occur with any antitumor drug. This study investigated the safety and efficacy of carboplatin desensitization therapy in Japan and established a method for treating carboplatin HSRs.

methodsPatients diagnosed with gynecological (ovarian, endometrial, or cervical) cancers who underwent carboplatin desensitization therapy between 2016 and 2020 at the Gynecologic Cancer Study Group of Japan Clinical Oncology Group were included. The carboplatin desensitization therapy at each institution and the implementation cases were registered in an online case report form.

resultsThis retrospective study enrolled 136 patients (ovarian, 108; endometrial, 17; and cervical cancer, 11). Pre-existing allergies were present in 37 (27.2%) patients, and 32 (23.5%) patients exhibited prodromal symptoms during treatment before HSR onset. Erythema was the most common symptom at HSR onset, affecting 93 (68.4%) patients, followed by itching in 72 (52.9%) patients and decreased oxygen saturation in 43 (31.6%) patients. Loss of consciousness occurred in three (2.2%) patients. The most common timing of HSR onset was during the first recurrence treatment (47%). The mean total carboplatin dose until HSR onset was 7331 (2620-18,282) mg, and the mean number of doses was 14 (4-63). Desensitization treatment was completed in 75% of cases, and breakthrough HSRs occurred in 25% (34/136). No deaths occurred in the study cohort. The risk factors for HSRs were not identified.

conclusionAlthough carboplatin desensitization therapy has high success rates in Japan, erythema and pruritus are important HSRs to consider.

Indexed as

Antineoplastic AgentsDrug HypersensitivityUterine Cervical NeoplasmsCarboplatinErythemaFemaleHumansJapanRetrospective StudiesAntineoplastic AgentsCarboplatincarboplatindesensitizationerythemahypersensitivity reactionpruritus

Identifiers

PMID38491829
PMCPMC10943373
OpenAlexW4392881725

What OpenQuestion holds

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LicenceCC BY
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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.