Differential impact of fosaprepitant on infusion site adverse events between cisplatin- and anthracycline-based chemotherapy regimens

Copyright© 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved..

BACKGROUND: Fosaprepitant may be associated with infusion site adverse events (AEs), and these adverse events possibly vary according to chemotherapy regimen.

PATIENTS AND METHODS: 267 oncology patients who were administered anthracycline- or cisplatin-based regimens were retrospectively studied. Multivariate logistic regression was performed in stratified analyses to evaluate potential regimen-specific effects of fosaprepitant.

RESULTS: 41.7% of patients administered fosaprepitant experienced infusion site AEs. On the other hand, only 10.9% of patients administered aprepitant experienced AEs. Multivariate analysis showed a statistically significant overall increased risk of infusion site reaction associated with fosaprepitant (p<0.001), but when evaluated separately according to chemotherapy regimen, this relationship appeared to be largely confined to patients receiving an anthracycline-based regimen (OR=12.95, 95%CI=5.74-29.20). No association was observed among patients on cisplatin-based regimens. A test for interaction was statistically significant (p=0.001).

CONCLUSION: Fosaprepitant is associated with an elevated risk of infusion site reaction in patients receiving anthracyclines.

Medienart:

E-Artikel

Erscheinungsjahr:

2015

Erschienen:

2015

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Anticancer research - 35(2015), 1 vom: 13. Jan., Seite 379-83

Sprache:

Englisch

Beteiligte Personen:

Fujii, Takeo [VerfasserIn]
Nishimura, Naoki [VerfasserIn]
Urayama, Kevin Y [VerfasserIn]
Kanai, Hisako [VerfasserIn]
Ishimaru, Hiromasa [VerfasserIn]
Kawano, Junko [VerfasserIn]
Takahashi, Osamu [VerfasserIn]
Yamauchi, Hideko [VerfasserIn]
Yamauchi, Teruo [VerfasserIn]

Themen:

6L8OF9XRDC
Anthracycline
Anthracyclines
Antiemetics
Cisplatin
Comparative Study
Fosaprepitant
Infusion site adverse events
Journal Article
Morpholines
Q20Q21Q62J

Anmerkungen:

Date Completed 10.03.2015

Date Revised 21.03.2022

published: Print

Citation Status MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM244981493