Evidence map›Paper›PMID 41052913›Full record

ReviewCardiovascular research2025

Chronotherapy as a novel strategy to limit anthracycline-induced cardiotoxicity.

Ilse R Kelters, Markella I Printezi, Annabelle Ballesta, Pieterjan Dierickx, Yvonne Koop, Pasquale F Innominato, Francis A Lévi, J Corné van Dam, Pieter A Doevendans, Alwin D R Huitema and 4 more

Abstract readReview
In one paragraph

Review in Cardiovascular research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Review
  2. Article
  3. 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

14 authors.

Ilse R KeltersDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.ORCID 0009-0002-5001-4665
Markella I PrinteziDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-6265-6230
Annabelle BallestaInserm Unit 900, Cancer Systems Pharmacology Team, Institut Curie, Saint-Cloud, France.
Pieterjan DierickxMax Planck Institute for Heart and Lung Research, Bad Nauheim, Germany.ORCID 0000-0002-1709-1477
Yvonne KoopJulius Center for Health Sciences and Primary Care, Utrecht University Medical Center, Utrecht University, Utrecht, The Netherlands.ORCID 0000-0001-6150-0859
Pasquale F InnominatoOncology Department, Ysbyty Gwynedd Hospital, Betsi Cadwaladr University Health Board, Bangor, UK.
Francis A LéviChronotherapy, Cancers and Transplantation Research Unit, Faculty of Medicine, Paris-Saclay University, Villejuif, France.
J Corné van DamRegenerative Medicine Center Utrecht, Circulatory Health Research Center, University Utrecht, Utrecht, The Netherlands.
Pieter A DoevendansDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-6257-7169
Alwin D R HuitemaDepartment of Clinical Pharmacy, University Medical Center Utrecht, Utrecht University, Utrecht, The Netherlands.
Arco J TeskeDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.ORCID 0000-0001-5305-1619
Anne M MayDepartment of Epidemiology, Julius Center for Health Sciences and Primary Care, Utrecht University, Utrecht, The Netherlands.
Joost P G SluijterDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.
Linda W van LaakeDepartment of Cardiology and Experimental Cardiology Laboratory, Division of Heart & Lungs, University Medical Center Utrecht, Heidelberglaan 100, 3584 CX Utrecht, The Netherlands.ORCID 0000-0002-5027-0661

Funding

Alliance FundCUREPLaN LeducqDutch Heart Foundation 2019T056EU Horizon 2022 programme 101080204European Research CouncilHealth Cardinnov RESCUE-2024/KIC/01627794Horizon 2020 programme 725229ITMO Cancer of AviesanNOW-TTP HARVEY 2021/TTW/01038252PLN FoundationZonMw Psider-Heart 10250022110004
6 · The paper itself

Abstract

Anthracycline cardiotoxicity is a severe chemotherapeutic side effect that can lead to heart failure in cancer patients and survivors. Chronomodulated chemotherapy is a promising preventive strategy that encompasses the adjustment of anthracycline administration time to the circadian rhythms (24-hour rhythms) of the body. Circadian rhythms play a major role in cardiovascular physiology and disease and may lead to a time-dependent variation in cardiac sensitivity to anthracyclines. In this review, all available evidence on the topic of chronomodulated anthracyclines for cardiotoxicity reduction and/or oncological efficacy enhancement is summarized. In total, 3 in vitro studies, 12 animal studies, and 9 clinical studies were included. Potential mechanistic explanations involved 24-hour variation in oxidative stress regulation, DNA damage repair, and systemic or intracellular pharmacokinetics. We identified a hypothesized optimal time frame from 3 to 11 AM for anthracycline administration in humans, based on extrapolation of findings in animal studies.

Indexed as

AnthracyclinesAntibiotics, AntineoplasticCircadian RhythmDrug ChronotherapyHeart DiseasesAnimalsCardiotoxicityDrug Administration ScheduleHumansOxidative StressRisk FactorsTime FactorsTreatment OutcomeAnthracyclinesAntibiotics, AntineoplasticAnthracyclineCardio-oncologyCardiotoxicityChronomodulationChronotherapyCircadian Rhythms

Identifiers

PMID41052913
PMCPMC12638736

What OpenQuestion holds

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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.