Evidence map›Paper›PMID 38528382›Full record

ArticleAllergy, asthma & immunology research2024

Hypersensitivity Reactions to Taxanes: A Multicenter Study for Outcomes and Safety of Rapid Drug Desensitization.

Makbule Seda Bayrak Durmaz, Done Gulcin Unutmaz, Meryem Demir, Ozlem Goksel, Adile Berna Dursun, Sevim Bavbek

Abstract read
In one paragraph

Article in Allergy, asthma & immunology research, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

15 citing papers in PubMed.

  1. Article
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  4. Reduced-dose dexamethasone premedication for weekly paclitaxel: a retrospective cohort study of early hypersensitivity reactions and steroid-related toxicity.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
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  12. Review
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  14. Review
  15. Understanding and Challenging of Taxane Hypersensitivity.Allergy, asthma & immunology research · 2024
    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.

Makbule Seda Bayrak DurmazDivision of Immunology and Allergy, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.ORCID https://orcid.org/0000-0001-8272-5686
Done Gulcin UnutmazDivision of Immunology and Allergy, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey.ORCID https://orcid.org/0000-0001-6157-767X
Meryem DemirDivision of Immunology and Allergy, Department of Chest Diseases, Ege University School of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0003-2915-6300
Ozlem GokselDivision of Immunology and Allergy, Department of Chest Diseases, Ege University School of Medicine, Izmir, Turkey.ORCID https://orcid.org/0000-0003-1121-9967
Adile Berna DursunDivision of Immunology and Allergy, Department of Chest Diseases, Memorial Ankara Hospital, Ankara, Turkey.ORCID https://orcid.org/0000-0002-6337-6326
Sevim BavbekDivision of Immunology and Allergy, Department of Chest Diseases, Ankara University School of Medicine, Ankara, Turkey. bavbek@medicine.ankara.edu.tr.ORCID https://orcid.org/0000-0002-7884-0830

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTaxanes can cause hypersensitivity reactions (HSRs), which pose a significant challenge in the treatment of malignancies. Patients who are eligible for rapid drug desensitization (RDD) can continue treatment; however, some patients experience breakthrough reactions (BTRs). Data about risk factors for BTRs during RDDs in patients with HSRs to taxanes are limited.

methodsThis was a multicenter, retrospective study of patients with immediate-HSRs to taxanes. Initial HSRs were classified as grade 1, 2, or 3 based on severity. Prick/intradermal skin tests were performed with implicated taxanes. A 12-step protocol was used during RDD.

resultsThe study comprised 75 patients (F/M: 63/12, mean age 49.92 ± 11.72 years, 43 HSRs to paclitaxel, 32 HSRs to docetaxel). The majority of reactions (86.7%) occurred during the first or second exposure. The prevalence of drug allergy history was higher in patients with paclitaxel HSR than in those with docetaxel HSR, although it was not statistically significant (23.3% vs. 6.3%). The initial HSRs were mostly grade 2 (n = 50, 66.7%) or grade 3 (n = 22, 29.3%). Skin tests with implicated taxanes were done on 48 patients, and the rate of positive response in patients with grade 1, 2, and 3 initial HSRs were 50%, 17.6%, and 16.7%, respectively. . A total of 255 RDDs were completely performed, although BTRs occurred in 27 (grade 1, 55.6%; grade 2, 40.7%; grade 3, 3.7%). There were no statistically significant correlations between the risk of BTR and age, drug cycle, gender, positivity of skin test or atopy. The step reduction was successfully done on 9 eligible patients with mild or moderate HSRs during the 12-step RDDs.

conclusionsOur experience demonstrates a 100% success rate in completing the 255 RDDs for taxanes, affirming the safety and efficacy of the RDD within the study population.

Indexed as

chemotherapyDesensitizationdocetaxeldrug hypersensitivityneoplasmspaclitaxelsafetytaxoids

Identifiers

PMID38528382
PMCPMC10973638

What OpenQuestion holds

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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.