Evidence map›Paper›PMID 41938274›Full record

ArticleAACE endocrinology and diabetes

Capivasertib-Induced Refractory Hyperglycemia in a Nondiabetic Patient With Metastatic Breast Cancer.

Hima Darapu, Miya McKnight

Abstract readCase Reports
In one paragraph

Article in AACE endocrinology and diabetes. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

2 citing papers in PubMed.

  1. Article
  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

2 authors.

Hima DarapuWake Forest School of Medicine, Department of Endocrinology & Metabolism, Medical Center Blvd, Winston Salem, North Carolina.
Miya McKnightWake Forest School of Medicine, Department of Endocrinology & Metabolism, Medical Center Blvd, Winston Salem, North Carolina.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background/Objective: Selective AKT inhibitors such as capivasertib are approved to treat hormone receptor-positive, HER2-negative advanced breast cancer. Hyperglycemia is a known side effect of these agents; however, severe hyperglycemia is uncommon. We describe a patient without known history of diabetes who developed a rare presentation of refractory, severe hyperglycemia with mixed diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) following treatment with capivasertib. Case Report: A 59-year-old female with history of obesity (body mass index 39 kg/m Discussion: While hyperglycemia is a known potential side effect of capivasertib, DKA, HHS, and refractory hyperglycemia are rare. Potential risk factors for this presentation include obesity, acute renal failure, and hemodynamic instability. Conclusion: Capivasertib can induce DKA/HHS and refractory hyperglycemia in nondiabetic patients. Prompt recognition, intensive management, and drug discontinuation are critical. This is one of the first case reports to describe sustained euglycemia following severe and refractory hyperglycemia due to capivasertib therapy.

Indexed as

AKT inhibitorcapivasertibdiabetic ketoacidosishyperglycemic hyperosmolar stateinsulin resistancePI3K inhibitors

Identifiers

PMID41938274
PMCPMC13043469

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.