Evidence map›Paper›PMID 39891102›Full record

SynthesisBMC cancer2025

Incidence and risk of endocrine and metabolic abnormalities linked to PARP inhibitors in solid tumors: a meta-analysis.

Shunlian Fu, Pingjin Zou, Zengyi Fang, Xinxiang Zhou, Junyang Chen, Cuicui Gong, Li Quan, Bing Lin, Qiu Chen, Jinyi Lang and 1 more

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMC cancer, 2025. 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
–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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. 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.

Shunlian FuChengdu University of Traditional Chinese Medicine, Chengdu, 611137, P.R. China.
Pingjin ZouDepartment of Radiation Oncology, Radiation Oncology Key Laboratory of Sichuan Province, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610041, China.
Zengyi FangDepartment of Radiation Oncology, Radiation Oncology Key Laboratory of Sichuan Province, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610041, China.
Xinxiang ZhouDepartment of Radiation Oncology, Radiation Oncology Key Laboratory of Sichuan Province, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610041, China.
Junyang ChenChengdu University of Traditional Chinese Medicine, Chengdu, 611137, P.R. China.
Cuicui GongChengdu University of Traditional Chinese Medicine, Chengdu, 611137, P.R. China.
Li QuanChengdu University of Traditional Chinese Medicine, Chengdu, 611137, P.R. China.
Bing LinHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, P.R. China.
Qiu ChenHospital of Chengdu University of Traditional Chinese Medicine, Chengdu, 610072, P.R. China. chenqiu1005@cdutcm.edu.cn.
Jinyi LangDepartment of Radiation Oncology, Radiation Oncology Key Laboratory of Sichuan Province, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610041, China. langjy610@163.com.
Meihua ChenDepartment of Radiation Oncology, Radiation Oncology Key Laboratory of Sichuan Province, Sichuan Clinical Research Center for Cancer, Sichuan Cancer Hospital & Institute, Sichuan Cancer Center, University of Electronic Science and Technology of China, Chengdu, 610041, China. chenmeihua@scszlyy.org.cn.

Funding

Chengdu Technology Burea 2024-YF05-02494-SNHealth Commission of Sichuan Province 2024-803National Natural Science Foundation of China 81703070
6 · The paper itself

Abstract

backgroundPoly (ADP-ribose) polymerase inhibitors (PARPi) serve as crucial therapeutic agents in solid tumor treatment. Preclinical investigations suggest a potential protective function of PARPi against endocrine and metabolic impairments. Nevertheless, the existing body of evidence remains inconclusive on this aspect. PURPOSE: Our aim was to evaluate the potential impact of PARPi on endocrine and metabolic disruptions in clinical trials. DATA SOURCES: We conducted a comprehensive search across the Medline, EMBASE, PubMed, and Web of Science databases, along with the ClinicalTrials.gov registry. STUDY SELECTION: Phase II/III randomized controlled trials (RCTs) investigating the effects of PARPi in metabolic and endocrine processes were selected for inclusion in patients with solid tumors. DATA EXTRACTION: The primary outcomes of interest encompassed metabolic and endocrine dysfunctions. DATA SYNTHESIS: A total of 26 trials (n = 9,590 patients) were included in our meta-analysis. Niraparib demonstrated an increased risk of any-grade hyperglycemia (OR = 2.15, 95% CI 1.28-3.62), with patients receiving PARPi for metastatic pancreatic cancer showing a higher susceptibility to any-grade hyperglycemia (OR = 1.78, 95% CI 1.04-3.04). Conversely, rucaparib exhibited a potential ameliorative effect on hyperglycemia (OR = 0.54, 95% CI 0.30-0.97). No statistically significant disparities were observed for other outcomes associated with PARPi utilization. LIMITATIONS: Among these RCTs included, 50% were assessed as low qualities due to high risk of bias.

conclusionsOur meta-analysis demonstrated that PARPi may exert adverse effects on endocrine and metabolic pathways. Close monitoring of hyperglycemia is recommended for patients undergoing niraparib therapy, especially those with pancreatic cancer.

trial registrationThis meta-Analysis was prospectively registered in the PROSPERO database with ID CRD42023457959.

Indexed as

Endocrine System DiseasesMetabolic DiseasesNeoplasmsPoly(ADP-ribose) Polymerase InhibitorsHumansIncidenceRandomized Controlled Trials as TopicPoly(ADP-ribose) Polymerase InhibitorsEndocrine and metabolic abnormalitiesMeta-analysisPARP inhibitors

Identifiers

PMID39891102
PMCPMC11783722

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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.