Evidence map›Paper›PMID 41034674›Full record

Trial reportSupportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer2025

Evaluating the role of montelukast on doxorubicin-induced cardiotoxicity in breast cancer patients.

Naglaa F Gomaa, Rehab H Werida, Ahmed G El-Gowily, Noha A El-Bassiouny

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05959889 (Evaluating the Effect of Montelukast on Doxorubicin Induced Cardiotoxicity in Breast Cancer Patients.), which is not on this map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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.

NCT05959889 nacompletednot on this map

Evaluating the Effect of Montelukast on Doxorubicin Induced Cardiotoxicity in Breast Cancer Patients.

TypeinterventionalSponsorDamanhour UniversityRan2023 to 2024Enrolled50ConditionsBreast Cancer, Doxorubicin Induced CardiotoxicityArmsAC protocol, Montelukast
3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. 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.

Naglaa F GomaaDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.
Rehab H WeridaDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt.ORCID http://orcid.org/0000-0002-5983-3993
Ahmed G El-GowilyDepartment of Clinical Oncology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.
Noha A El-BassiounyDepartment of Clinical Pharmacy and Pharmacy Practice, Faculty of Pharmacy, Damanhour University, Damanhour, Egypt. noha.el.bassiouny@pharm.dmu.edu.eg.ORCID http://orcid.org/0000-0001-9277-2910

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDoxorubicin (DOX), a prominent anthracycline, is used to treat malignancies, but its cardiotoxicity restricts its therapeutic application. This study examined the potential protective effects of montelukast (ML), an anti-asthmatic drug with anti-inflammatory characteristics, against doxorubicin-induced cardiotoxicity (DIC) in breast cancer (BC) patients.

methodA prospective, randomized, controlled clinical study including fifty individuals with a confirmed diagnosis of BC, individuals scheduled to receive DOX 60 mg/m

resultsAfter treatment, a significant reduction in N-terminal Pro Brain Natriuretic Peptide (NT pro-BNP) levels was observed in the ML group compared to the control group (1756.0 [1054.0-2334.0] vs. 3788.0 [2226.0-4401.1] pg/mL, p < 0.001). Nuclear factor-kappa B (NF-κB) levels also decreased significantly in the ML group (2.23 [1.18-3.05] vs. 3.11 [2.39-3.25] pg/mL, p = 0.009). The median percentage reduction in Soluble suppression of tumorigenicity 2 (sST2) levels was more pronounced in the ML group (20.93 ± 5.45 ng/mL) than in the control group (24.16 ± 5.14 ng/mL, p = 0.036). Additionally, a strong positive correlation between NT pro-BNP and NF-κB levels was observed post-treatment (rs = 0.644, p < 0.001), supporting ML's potential anti-inflammatory and cardioprotective effects.

conclusionThe incorporation of ML into AC led to a substantial decrease in cardiac biomarkers confirming the feasibility of incorporating ML in individuals with breast cancer as an auxiliary treatment to prevent DOX-induced cardiotoxicity. Trial registration ClinicalTrials.gov: NCT05959889.

Indexed as

AcetatesBreast NeoplasmsCardiotoxicityDoxorubicinQuinolinesAdultAgedAntibiotics, AntineoplasticAntineoplastic Combined Chemotherapy ProtocolsCyclophosphamideCyclopropanesFemaleHumansMiddle AgedNatriuretic Peptide, BrainNF-kappa BAcetatesAntibiotics, AntineoplasticCyclophosphamideCyclopropanesDoxorubicinmontelukastNatriuretic Peptide, BrainNF-kappa BPeptide Fragmentspro-brain natriuretic peptide (1-76)QuinolinesSulfidesAnthracyclineBreast cancerCardiotoxicityMontelukast

Identifiers

PMID41034674
PMCPMC12488768

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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.