Evidence map›Paper›PMID 40010971›Full record

ArticleIn vivo (Athens, Greece)

Safety and Feasibility of Outpatient Zolbetuximab Administration in Community Cancer Care: A Mixed-methods Analysis.

Erina Yakuwa, Yuko Shoji, Takashi Oizumi, Yuka Kobayashi, Taichi Motoishi, Takuto Katagiri, Shuhei Suzuki

Abstract read
In one paragraph

Article in In vivo (Athens, Greece). 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.

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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

7 authors.

Erina YakuwaDepartment of Nursing, Yamagata Prefectural Shinjo Hospital, Yamagata, Japan.
Yuko ShojiDepartment of Nursing, Yamagata Prefectural Shinjo Hospital, Yamagata, Japan.
Takashi OizumiDepartment of Pharmacology, Yamagata Prefectural Shinjo Hospital, Yamagata, Japan.
Yuka KobayashiDepartment of Pharmacology, Yamagata Prefectural Shinjo Hospital, Yamagata, Japan.
Taichi MotoishiAin Pharmacy Shinjo Store, Yamagata, Japan.
Takuto KatagiriNihon Chozai Shinjo Store, Yamagata, Japan.
Shuhei SuzukiDepartment of Clinical Oncology, Yamagata Prefectural Shinjo Hospital, Yamagata, Japan; s-suzuki@med.id.yamagata-u.ac.jp.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimZolbetuximab, a CLAUDIN18.2-targeted antibody, traditionally requires inpatient administration due to potential adverse events. This study evaluated the safety and feasibility of outpatient administration in a community cancer center setting. PATIENTS AND

methodsFive patients with CLAUDIN18.2-positive advanced gastric cancer received outpatient zolbetuximab between July and November 2024. We implemented a structured protocol incorporating standardized premedication, hospital-pharmacy collaboration, and comprehensive monitoring. Safety, treatment adherence, economic outcomes, and patient experiences were analyzed using mixed methods.

resultsNo grade 3 or higher adverse events were observed, with mild nausea being the most common toxicity. Treatment adherence was high, with only two patients experiencing non-toxicity-related delays. Outpatient administration reduced costs by approximately 10-15% compared to inpatient administration. Qualitative analysis revealed that while anticipated clinical challenges were effectively managed, practical aspects such as transportation and financial considerations emerged as primary patient concerns. One patient proceeded to conversion surgery, one discontinued due to financial constraints, and three continue treatment.

conclusionOutpatient zolbetuximab administration proved safe and feasible in a community setting when implemented with appropriate protocols and support systems. This implementation model could serve as a template for delivering complex cancer therapies in resource-limited settings.

Indexed as

NeoplasmsStomach NeoplasmsAgedAmbulatory CareFeasibility StudiesFemaleHumansMaleMiddle AgedOutpatientsTreatment OutcomefosnetupitantolanzapineoutpatientZolbetuximab

Identifiers

PMID40010971
PMCPMC11884467

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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.