Evidence map›Paper›PMID 40622571›Full record

Trial reportCancer chemotherapy and pharmacology2025

Protective effect of celecoxib against capecitabine induced hand and foot syndrome in patients with colorectal Cancer.

Ahmed M Kettana, Tarek M Mostafa, Amr A Ghannam, Dalia R El-Afify

Abstract readRandomized Controlled Trial
PubMed Publisher
In one paragraph

Trial report in Cancer chemotherapy and pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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.

Ahmed M KettanaClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt. ahmed150848@pharm.tanta.edu.eg.
Tarek M MostafaClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt.
Amr A GhannamClinical Oncology Department, Faculty of Medicine, Tanta University, Tanta, Egypt.
Dalia R El-AfifyClinical Pharmacy Department, Faculty of Pharmacy, Tanta University, Tanta, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHand-foot syndrome (HFS) is the most common adverse effect of capecitabine.

objectiveWe aimed at evaluating the protective effect of celecoxib against capecitabine induced hand and foot syndrome in patients with colorectal cancer (CRC).

methodsIn this randomized controlled parallel study, 44 newly diagnosed patients with stage II CRC were randomly allocated into two groups; Group 1(control group; n = 22) which received 6 cycles of capecitabine-based chemotherapy (cycle is every 3 weeks) and group 2 (celecoxib group; n = 22) which received 6 cycles of capecitabine-based chemotherapy (cycle is every 3 weeks) in addition to 200 mg of oral celecoxib twice daily for 14 days of the 3-week cycle. At baseline and after the 6th chemotherapy cycle the patients' quality of life (QOL) was assessed using hand and foot syndrome (HFS) specific QOL questionnaire (HFS-14). Moreover, blood samples were collected in order to evaluate the serum levels of cyclooxygenase-2 (COX-2), tumour necrosis factor-alpha (TNF-α) and malondialdehyde (MDA). Data was analysed using paired and un-paired t-tests.

resultsAt the end of the study and as compared to control group, celecoxib treated group showed significantly lower incidence of HFS (P = 0.015). Additionally, celecoxib treated group showed significant decline in the serum levels of TNF-α (P = 0.016) and MDA (P = 0.014) which was associated with non-significant difference in the serum level of COX-2 between the two groups (P = 0.476). Celecoxib was safe and well-tolerated throughout the study period.

conclusionCelecoxib may represent a potential protective agent against capecitabine induced hand and foot syndrome in patients with colorectal cancer.

Indexed as

Antimetabolites, AntineoplasticCapecitabineCelecoxibColorectal NeoplasmsCyclooxygenase 2 InhibitorsHand-Foot SyndromeAdultAgedCyclooxygenase 2FemaleHumansMaleMalondialdehydeMiddle AgedQuality of LifeTumor Necrosis Factor-alphaAntimetabolites, AntineoplasticCapecitabineCelecoxibCyclooxygenase 2Cyclooxygenase 2 InhibitorsMalondialdehydeTumor Necrosis Factor-alphaCapecitabineCelecoxibColorectal cancerHand and foot syndromeMDATNF-α

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.