Evidence map›Paper›PMID 42876825›Full record

ArticleFrontiers in oncology2026

Oxaliplatin desensitization for gastrointestinal cancer patients with hypersensitivity reactions: real-world experience from Vietnam.

Le Trang Nguyen, Van Thang Nguyen, Hong Thach Nong, Nguyen Thanh Dat Doan, Hoang Tuan La, Thi Mai Vu, Thanh Thien Le, Thanh Dung Quach, Quynh Lan Phan, Van Dinh Nguyen and 1 more

Abstract read
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Article in Frontiers in oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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No citing paper in PubMed yet.

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

11 authors.

Le Trang NguyenPharmacy Department, Vinmec Times City International Hospital, Hanoi, Vietnam.
Van Thang NguyenPharmacy Department, Vinmec Times City International Hospital, Hanoi, Vietnam.
Hong Thach NongPharmacy Department, Vinmec Times City International Hospital, Hanoi, Vietnam.
Nguyen Thanh Dat DoanPharmacy Department, Vinmec Times City International Hospital, Hanoi, Vietnam.
Hoang Tuan LaHanoi University of Pharmacy, Hanoi, Vietnam.
Thi Mai VuCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.
Thanh Thien LeVinmec-VinUni Institute of Immunology, College of Health Sciences, VinUniversity, Hanoi, Vietnam.
Thanh Dung QuachCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.
Quynh Lan PhanCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.
Van Dinh NguyenAllergy and Immunology Department, Vinmec Times City International Hospital, Hanoi, Vietnam.
Ngoc May LeCollege of Health Sciences, VinUniversity, Hanoi, Vietnam.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Oxaliplatin-induced hypersensitivity reactions (HSRs) can interrupt clinically indicated treatment for gastrointestinal malignancies. We evaluated the early implementation of a multidisciplinary oxaliplatin desensitization pathway at Vinmec Times City International Hospital. Methods: We conducted a retrospective case series of patients who underwent oxaliplatin desensitization between 2022 and 2025 following an index HSR. Clinical characteristics, skin testing results, desensitization procedures, breakthrough reactions (BTRs), and subsequent oxaliplatin treatment completion were reviewed. Results: Ten patients underwent desensitization after index HSRs occurring at a median of six oxaliplatin cycles (range, 2-11); six index reactions were Brown grade 2. Skin prick testing was negative in all patients, whereas intradermal testing was positive in six, negative in three, and equivocal in one. Three patients initially underwent a three-bag desensitization procedure and seven a four-bag procedure. Eight BTRs occurred in six patients, none requiring epinephrine. Seven patients completed all additional oxaliplatin cycles planned by their oncology team, receiving a median of four additional cycles. Three patients discontinued oxaliplatin after BTRs: two because of recurrent reactions despite procedure modification and one because the patient declined further treatment after a single BTR in the metastatic setting. Discussion: Multidisciplinary oxaliplatin desensitization enabled most patients in this early case series to continue and complete planned oxaliplatin treatment, although BTRs were common. Given the small, retrospective cohort, these findings are descriptive and require further study to establish comparative safety or efficacy, superiority of a specific desensitization procedure, or predictors of treatment completion.

Indexed as

chemotherapy - oncologydesensitization therapyFOLFOXgastrointestinal cancerhypersensitivity reactionoxaliplatin (43805)skin test (medline id d012882)

Identifiers

PMID42876825
PMCPMC13661475

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