Evidence map›Paper›PMID 38862741›Full record

Observational studyBritish journal of cancer2024

Proactive monitoring of drug-drug interactions between direct oral anticoagulants and small-molecule inhibitors in patients with non-small cell lung cancer.

Judith L Gulikers, Leila-Sophie Otten, Lizza E L Hendriks, Kristien Winckers, Yvonne Henskens, Jenneke Leentjens, Michel M van den Heuvel, Rob Ter Heine, Sander Croes, Berber Piet and 1 more

Abstract readObservational Study
In one paragraph

Observational study in British journal of cancer, 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

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

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

11 authors.

Judith L Gulikers *Department of Clinical Pharmacy & Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-8844-6992
Leila-Sophie Otten *Department of Pharmacy, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-1225-4740
Lizza E L HendriksDepartment of Respiratory Medicine, GROW - School for Oncology and Reproduction, Maastricht University Medical Centre+, Maastricht, The Netherlands.ORCID http://orcid.org/0000-0002-3521-2535
Kristien WinckersDepartment of Internal Medicine, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Yvonne HenskensCentral Diagnostic Laboratory Units for Haematology, Transfusion and Haemostasis, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Jenneke LeentjensDepartment of Internal Medicine, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.
Michel M van den HeuvelDepartment of Pulmonology, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.
Rob Ter HeineDepartment of Pharmacy, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.
Sander CroesDepartment of Clinical Pharmacy & Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands.
Berber PietDepartment of Pulmonology, Radboud Institute for Health Sciences, Radboudumc, Nijmegen, The Netherlands.ORCID http://orcid.org/0000-0002-9069-3597
Robin M J M van GeelDepartment of Clinical Pharmacy & Toxicology, Maastricht University Medical Centre+, Maastricht, The Netherlands. robin.van.geel@mumc.nl.ORCID http://orcid.org/0000-0003-1880-8131

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSmall-molecule inhibitors (SMIs) have revolutionised the treatment of non-small cell lung cancer (NSCLC). However, SMI-induced drug-drug interactions (DDIs) with frequently co-administered direct oral anticoagulants (DOACs), increase thromboembolic and bleeding risks. This study investigated and proactively managed the consequences of DOAC-SMI DDIs.

methodsThis prospective, observational study enrolled patients with NSCLC concomitantly using a DOAC and SMI. The primary outcome was the proportion of patients with DOAC plasma trough (C

resultsThirty-three patients were analysed. Thirty-nine percent (13/33) had DOAC C

conclusionProactive monitoring showed that a substantial proportion of patients had DOAC concentrations outside the expected ranges. DOAC concentrations were successfully normalised after treatment modifications. These results highlight the importance of proactive monitoring of DOAC-SMI DDIs to improve treatment in patients with NSCLC.

Indexed as

AnticoagulantsCarcinoma, Non-Small-Cell LungDrug InteractionsLung NeoplasmsAdministration, OralAgedAged, 80 and overDrug MonitoringFactor Xa InhibitorsFemaleHemorrhageHumansMaleMiddle AgedProspective StudiesThromboembolismAnticoagulantsFactor Xa Inhibitors

Identifiers

PMID38862741
PMCPMC11300802

What OpenQuestion holds

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Registered trials

None linked

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.