Evidence map›Paper›PMID 39764309›Full record

ArticleCureus2024

Urotoxicity of Cyclophosphamide: A Comparison Across Neoplastic, Autoimmune, and Transplant Indications.

Joyce H Gu, Mark Samarneh

Abstract read
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. 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

2 authors.

Joyce H GuMedicine, Lake Erie College of Osteopathic Medicine, Greensburg, USA.
Mark SamarnehInternal Medicine/Nephrology, Riverside Health System, Yonkers, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We conducted a large-scale disproportionality analysis of the urotoxicity of cyclophosphamide (CYC) and the related drug ifosfamide (IFO) using the US Food and Drug Administration Adverse Event Reporting System (FAERS) database, with data ranging from Q4 2012 to Q2 2024. We compared the reporting odds ratio (ROR) of various urotoxicity manifestations of CYC and IFO across patient populations being treated for antineoplastic, immunosuppressive, and transplantation indications. When a wide range of urotoxicity manifestations was aggregated, we found that transplant patients had an increased relative susceptibility to CYC urotoxicity. For the notable adverse effects of chemical and viral hemorrhagic cystitis, we observed a high ROR in the overall population, but this number decreased when the population was restricted to patients treated for neoplastic or transplant indications, revealing that a significant portion of the ROR is explained by the risk associated with these indications. These conclusions did not hold among patients using the uroprotective agent MESNA, where no association with urotoxicity was found, indicating a protective effect of MESNA. Our research reveals heterogeneous behaviors in the urotoxicity of CYC/IFO across indications and toxicity manifestations, providing healthcare professionals with valuable insights for approaching this important drug adverse event association.

Indexed as

cyclophosphamidedisproportionality analysishemorrhagic cystitisifosfamideurotoxicity

Identifiers

PMID39764309
PMCPMC11701789

What OpenQuestion holds

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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.