Evidence map›Paper›PMID 39499282›Full record

SynthesisEuropean journal of clinical pharmacology2025

Olaparib-associated toxicity in cancer patients: a systematic review and meta-analysis.

Wenfang Jin, Qing Yang, Zhifeng Zhang, Jing Li

Abstract readSystematic ReviewMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in European journal of clinical pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Review
  6. Role of PARP Inhibitors: A New Hope for Breast Cancer Therapy.International journal of molecular sciences · 2025
    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

4 authors.

Wenfang Jin *College of Pharmacy, Southwest Minzu University, No.16, South 4th Section 1st Ring Road, Chengdu, 610225, Sichuan, PR China.
Qing Yang *College of Pharmacy, Southwest Minzu University, No.16, South 4th Section 1st Ring Road, Chengdu, 610225, Sichuan, PR China.
Zhifeng ZhangCollege of Pharmacy, Southwest Minzu University, No.16, South 4th Section 1st Ring Road, Chengdu, 610225, Sichuan, PR China.
Jing LiCollege of Pharmacy, Southwest Minzu University, No.16, South 4th Section 1st Ring Road, Chengdu, 610225, Sichuan, PR China. 27918716@qq.com.

Funding

Southwest Minzu University Basic Scientific Research Business Special Fund project for Central Universities ZYN2023033
6 · The paper itself

Abstract

purposeTo investigate the characteristics of olaparib-associated adverse events (AEs) in cancer patients.

methodsDatabases were searched for phase II and III randomized controlled trials (RCTs) involving olaparib treatment up to March 2024. A systematic assessment was performed.

resultsTwenty-seven RCTs involving 9542 patients were included. This meta-analysis indicates that olaparib could significantly increase the risk of developing any all-grade (RR, 1.08; 95% CI, 1.03-1.13; p = 0.001) and high-grade (RR, 1.45; 95% CI, 1.19-1.77; p = 0.0003) AEs in cancer patients. Olaparib could increase the risk of dose reduction (RR, 3.00; 95% CI, 1.59-5.70; p = 0.0007) and treatment discontinuation (RR, 2.00; 95% CI, 1.28-3.14; p = 0.002). Hematologic toxicities and gastrointestinal toxicities commonly occur in patients receiving olaparib. Anemia, nausea, and fatigue were the most frequent AEs, with olaparib increasing the risk of both all-grade and high-grade occurrences of these events. Patients with longer treatment durations tend to have a higher risk of anemia. Patients with urinary system tumors tend to have a higher risk of nausea, while those with breast cancer tend to have a higher risk of fatigue. Olaparib maintenance therapy may be associated with a higher risk of fatigue. Olaparib could increase other AEs such as diarrhea, vomiting, decreased appetite, dyspepsia, dysgeusia, dizziness, headache, back pain, urinary tract infection, dyspnea, and cough.

conclusionOlaparib-containing therapy could increase the occurrence of specific AEs in patients with cancer. Clinicians should be aware of these risks and conduct regular monitoring.

Indexed as

Antineoplastic AgentsNeoplasmsPhthalazinesPiperazinesRandomized Controlled Trials as TopicHumansPoly(ADP-ribose) Polymerase InhibitorsAntineoplastic AgentsolaparibPhthalazinesPiperazinesPoly(ADP-ribose) Polymerase InhibitorsAdverse eventsCancerMeta-analysisOlaparibSystematic review

Identifiers

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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.