Evidence map›Paper›PMID 39107874›Full record

ArticleBritish journal of clinical pharmacology2025

Exploring the contribution of genetic variants to high sunitinib exposure in patients with cancer.

Eline L Giraud, Stefanie D Krens, Stefan Böhringer, Ingrid M E Desar, Sita H Vermeulen, Lambertus A Kiemeney, Alwin D R Huitema, Neeltje Steeghs, Nielka P van Erp, Jesse J Swen

Abstract read
In one paragraph

Article in British journal of clinical pharmacology, 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
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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

10 authors.

Eline L GiraudDepartment of Pharmacy, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-1628-942X
Stefanie D KrensDepartment of Pharmacy, Radboud University Medical Centre, Nijmegen, The Netherlands.
Stefan BöhringerDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.
Ingrid M E DesarDepartment of Medical Oncology, Radboud University Medical Centre, Nijmegen, The Netherlands.
Sita H VermeulenDepartment for Health Evidence, Radboud University Medical Centre, Nijmegen, The Netherlands.
Lambertus A KiemeneyDepartment for Health Evidence, Radboud University Medical Centre, Nijmegen, The Netherlands.
Alwin D R HuitemaDepartment of Pharmacy & Pharmacology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
Neeltje SteeghsDepartment of Clinical Pharmacology and Department of Medical Oncology, The Netherlands Cancer Institute, Amsterdam, CX, The Netherlands.
Nielka P van ErpDepartment of Pharmacy, Radboud University Medical Centre, Nijmegen, The Netherlands.ORCID https://orcid.org/0000-0003-1553-178X
Jesse J SwenDepartment of Clinical Pharmacy and Toxicology, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.ORCID https://orcid.org/0000-0002-3965-5552

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsSunitinib exhibits considerable interindividual variability in exposure. While the target total plasma concentration of sunitinib and its active metabolite is 50-87.5 ng/mL for the intermittent dosing schedule, ~10-21% of patients experience higher exposures (>87.5 ng/mL), correlated with an increased risk for toxicity. Previous research identified single nucleotide variants (SNVs) in genes from the sunitinib pharmacokinetic pathway to be associated with efficacy and toxicity. However, significant interindividual variability in exposure remains unexplained. Our aim was to identify genetic variants associated with supratherapeutic exposure of sunitinib.

methodsThis was a genome-wide association study. Cases were identified during routine therapeutic drug monitoring and consisted of patients with dose-normalized sunitinib plasma concentrations >87.5 ng/mL (intermittent dosing) or >75 ng/mL (continuous dosing). Controls were sampled from the historical cohort EuroTARGET who tolerated the standard dose of 50 mg in an intermittent schedule. SNVs were tested for an association with sunitinib exposure. A P-value ≤5 × 10

resultsSixty-nine cases and 345 controls were included for association analysis. One SNV (rs6923761), located on the gene glucagon-like peptide 1 receptor, was significantly associated with increased sunitinib exposure (P = 7.86 × 10

conclusionsWhile rs6923761 is associated with high sunitinib exposure, the underlying mechanism is not yet clarified and warrants further investigation. [Corrections made on 23 September 2024, after first online publication: In the preceding sentence, identifier rs6923671 has been changed to rs6923761 in this version.] We could not confirm the earlier found associations between SNVs in candidate genes involved in the pharmacokinetic pathway of sunitinib and its efficacy and toxicity.

Indexed as

Antineoplastic AgentsNeoplasmsSunitinibAdultAgedAged, 80 and overCase-Control StudiesDrug MonitoringFemaleGenome-Wide Association StudyHumansMaleMiddle AgedPolymorphism, Single NucleotideAntineoplastic AgentsSunitinibcancergenetic polymorphismgenetics and pharmacogeneticspharmacokineticstoxicity

Identifiers

PMID39107874
PMCPMC11773116

What Socratic holds

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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 Socratic graph.