Evidence map›Paper›PMID 40652143›Full record

SynthesisJournal of cancer research and clinical oncology2025

Does propranolol have a role in cancer treatment? A systematic review of the epidemiological and clinical trial literature on beta-blockers.

Jessica O'Logbon, Ludovica Tarantola, Norman R Williams, Shreeya Mehta, Aamir Ahmed, Elizabeth A Davies

Registry-linked trialAbstract readSystematic Review
In one paragraph

Synthesis in Journal of cancer research and clinical oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07583134 (A Pragmatic Clinical Trial to Evaluate the Impact of Clinical Propranolol Strategies on Myocardial Injury After Non-cardiac Surgery), which is not on this map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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.

NCT07583134 phase4not yet recruitingnot on this mapstarted 2026, after this paper: background citation

A Pragmatic Clinical Trial to Evaluate the Impact of Clinical Propranolol Strategies on Myocardial Injury After Non-cardiac Surgery (MINS) in Patients Undergoing Breast Cancer Surgery With Hypertension or Angina

TypeinterventionalSponsorChang-Ik YoonRan2026 to 2033Enrolled100ConditionsBreast Cancer, Myocardial Injury After Noncardiac Surgery (MINS)Armspropranolol, Usual Care
3 · Its place in the literature

Who cites it

17 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

6 authors.

Jessica O'LogbonGuy's and St. Thomas' NHS Trust, St Thomas' Hospital, Westminster Bridge Rd, London, SE1 7EH, UK. j.ologbon@nhs.net.ORCID http://orcid.org/0000-0003-1216-9703
Ludovica TarantolaProstate Cancer Research Centre at the Centre for Stem Cell and Regenerative Medicine, 28 Floor Guy's Hospital, King's College London, Great Maze Pond, London, SE1 9RT, UK.ORCID http://orcid.org/0000-0001-7922-1997
Norman R WilliamsDivision of Surgery & Interventional Science, University College London, 43-45 Foley, London, W1W 7TY, UK.ORCID http://orcid.org/0000-0001-6496-312X
Shreeya MehtaGKT School of Medical Education, Guy's Campus, Great Maze Pond London, London, SE1 1UL, UK.
Aamir AhmedProstate Cancer Research Centre at the Centre for Stem Cell and Regenerative Medicine, 28 Floor Guy's Hospital, King's College London, Great Maze Pond, London, SE1 9RT, UK.ORCID http://orcid.org/0000-0001-7405-5336
Elizabeth A DaviesComprehensive Cancer Centre, 3rd Floor Bermondsey Wing, Guy's Hospital, King's College London, London, SE1 7LB, UK.ORCID http://orcid.org/0000-0003-2325-0849

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBeta-blockers, originally developed for cardiovascular conditions, have been explored for their potential role in cancer treatment. Propranolol, a non-selective beta-blocker, has shown promise in inhibiting stress-induced signalling pathways associated with cancer progression. This systematic review aims to assess the evidence for the repurposing of propranolol as a treatment for various cancers, particularly breast cancer to answer the research question: Does propranolol improve cancer outcomes, including survival and recurrence?

methodsWe conducted a systematic search of MEDLINE, EMBASE, Global Health, Web of Science, and the Cochrane Library, including studies up to July 2024. Randomised Controlled Trials (RCTs), systematic reviews, and meta-analyses were included if they assessed the effects of propranolol on cancer outcomes such as mortality, survival, recurrence, or biomarkers of tumour regression. A narrative synthesis was performed to summarise the findings.

resultsThirty-one studies were included, consisting of 7 RCTs, 4 systematic reviews and 20 meta-analyses. The evidence suggests that propranolol may improve cancer outcomes, especially when administered perioperatively, by reducing recurrence risk. However, the results remain inconclusive regarding its use in combination with chemotherapy or radiotherapy, as studies showed mixed results. The timing of propranolol administration, alongside its combination with other cancer therapies, appears to be a key factor in its effectiveness.

conclusionPropranolol has potential as an adjunctive therapy in cancer treatment, particularly in reducing recurrence risk during the perioperative period. However, further clinical trials are needed to better define its role in cancer therapy, particularly regarding optimal treatment regimens and patient populations.

Indexed as

Adrenergic beta-AntagonistsNeoplasmsPropranololHumansRandomized Controlled Trials as TopicAdrenergic beta-AntagonistsPropranololBeta-blockersCancer treatmentPropranololRepurposingSystematic reviews

Identifiers

PMID40652143
PMCPMC12255574

What OpenQuestion holds

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Registered trials

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.