Evidence mapPaperPMID 32821286Full record

ReviewTherapeutic advances in gastroenterology2020

The potential role of metformin in the treatment of patients with pancreatic neuroendocrine tumors: a review of preclinical to clinical evidence.

Sara Pusceddu, Claudio Vernieri, Natalie Prinzi, Martina Torchio, Jorgelina Coppa, Maria Antista, Monica Niger, Massimo Milione, Luca Giacomelli, Francesca Corti and 5 more

Open access · goldAbstract readReview
In one paragraph

Review in Therapeutic advances in gastroenterology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
2.0field-weighted citation impact, top 12% of its field
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

11 citing papers in PubMed, 47 citations in OpenAlex.

  1. Diabetes and cancer: glucose control impact on survival and tumor outcomes.Reviews in endocrine & metabolic disorders · 2026
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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

15 authors at 4 institutions in 1 country.

Sara PuscedduFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Via Venezian 1, Milan, 20133, Italy.ORCID https://orcid.org/0000-0002-5096-660X
Claudio VernieriFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy The FIRC Institute of Molecular Oncology (IFOM), Milan, Italy.
Natalie PrinziFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Martina TorchioFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Jorgelina CoppaFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Maria AntistaFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Monica NigerFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Massimo MilioneFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Luca GiacomelliPolistudium SRL (Milan, Italy) and Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy.
Francesca CortiFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Michele PrisciandaroFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Michela MonteleoneFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Elena ColomboFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Maria Di BartolomeoFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy.
Filppo de BraudFondazione IRCCS Istituto Nazionale dei Tumori, ENETS Center of Excellence, Milan, Italy University of Milan, Milan, Italy.
Fondazione IRCCS Istituto Nazionale dei Tumori · ITIFOM · ITUniversity of Genoa · ITUniversity of Milan · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The incidence of pancreatic neuroendocrine tumors (panNETs) has increased worldwide in the last two decades. Given the indolent nature of these tumors, several patients are diagnosed with metastatic disease, which partially impairs the long-term efficacy of currently available treatments and reduces survival rates. The search for new therapeutic strategies for cancer patients has pushed towards the retrospective analysis of studies involving patients who concomitantly received other drugs together with standard anticancer agents. In this light, several retrospective analyses have shown that metformin use is associated with improved prognosis in patients with different tumor types treated with standard antitumor agents. Metformin, the cornerstone oral agent for the treatment of type 2 diabetes, plays a role in modulating glucose cell metabolism. Its potential ability to interfere with tumors may derive from the tight relationship between metabolic reprogramming in cancer cells and tumor progression. Indications for metformin use as an anticancer drug result from pre-clinical and clinical observations. In particular, metformin use in diabetic patients with advanced panNETs has been associated with better progression-free survival in patients treated with somatostatin analogues with or without metformin.

Indexed as

cancereverolimusmetforminpancreatic neuroendocrine tumorspanNETsreview

Identifiers

PMID32821286
PMCPMC7406937
OpenAlexW3046613381

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.