Evidence map›Paper›PMID 40482082›Full record

ReviewHuman reproduction (Oxford, England)2025

Gonadotoxicity of immunotherapy and targeted agents in patients with cancer and impact on subsequent pregnancies.

Luca Arecco, Luciana de Moura Leite, Gabriella Gentile, Kristina Jankovic, Mihaela Stana, Silvia Ottonello, Graziana Scavone, Stefano Spinaci, Matteo Lambertini

Abstract readReview
In one paragraph

Review in Human reproduction (Oxford, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Trial
  2. Review
  3. Fertility in breast cancer survivorship: a scoping review.Journal of cancer survivorship : research and practice · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. 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

9 authors.

Luca AreccoDepartment of Internal Medicine and Medical Specialties (DIMI), School of Medicine, University of Genova, Genova, Italy.ORCID 0000-0002-3818-0364
Luciana de Moura LeiteDepartment of Medical Oncology, A.C. Camargo Cancer Center, São Paulo, SP, Brazil.ORCID 0000-0003-4620-081X
Gabriella GentileDepartment of Radiological, Oncological and Pathological Sciences, Sapienza-University of Rome, Rome, Italy.ORCID 0009-0008-2714-2769
Kristina JankovicClinic of Oncology, University Clinical Center Nis, Nis, Serbia.ORCID 0009-0009-0530-9318
Mihaela StanaDepartment of Medical Oncology, Elysee Hospital, Alba Iulia, Alba, Romania.ORCID 0000-0001-9368-1922
Silvia OttonelloDepartment of Medical Oncology, U.O.C. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0009-0008-5916-2449
Graziana ScavoneDepartment of Medical Oncology, U.O.C. Clinica di Oncologia Medica, IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0009-0008-4185-3436
Stefano SpinaciDepartment of Breast Surgery, Ospedale Villa Scassi ASL3, Genova, Italy.ORCID 0000-0002-9255-534X
Matteo LambertiniDepartment of Internal Medicine and Medical Specialties (DIMI), School of Medicine, University of Genova, Genova, Italy.ORCID 0000-0003-1797-5296

Funding

Italian Association for Cancer Research
6 · The paper itself

Abstract

In recent years, cancer treatment has been revolutionized by the introduction of many novel drugs, including immunotherapy and targeted agents, which have significantly improved the prognosis of patients with different solid tumors. While the role of traditional cytotoxic agents on fertility and reproductive health of patients with cancer is currently well established, the impact of novel treatments remains an unmet medical need and a subject of concern. Limited clinical evidence exists to date on the potential gonadotoxicity of targeted agents and immunotherapy. However, in preclinical male and female animal models, several new treatments have demonstrated the potential to affect reproductive capacity. Hence, the possible impact of these treatments on patients' reproductive potential should be urgently addressed. This work aims to review the most recent evidence regarding the gonadotoxicity of immunotherapy and novel targeted agents from the mechanisms of action of these treatments to the preclinical and clinical available data, as well as the implications on chances and risks of subsequent pregnancies. The final aim is to provide a useful tool to both physicians and patients for an informed decision-making process regarding fertility preservation and family planning before and after exposure to the new anticancer treatments.

Indexed as

Antineoplastic AgentsImmunotherapyMolecular Targeted TherapyNeoplasmsAnimalsFemaleFertilityFertility PreservationHumansMalePregnancyAntineoplastic Agentsassisted reproductioncancer treatmentscounselingfemale infertilitygonadotoxicityimmunotherapymale infertilityovarian reservetargeted agentsyoung patients

Identifiers

PMID40482082
PMCPMC12314150

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.