Evidence map›Paper›PMID 40601039›Full record

ArticleCancer chemotherapy and pharmacology2025

Trends in renal function following vascular endothelial growth factor inhibitor administration in patients with cancer and diabetes mellitus.

Yuma Shibutani, Miki Hayakawa, Mayu Ishizaka

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Article in Cancer chemotherapy and pharmacology, 2025. 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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5 · Who and what money

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3 authors.

Yuma ShibutaniDepartment of Pharmacy, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Chiba, Japan. yshibuta@east.ncc.go.jp.
Miki HayakawaDepartment of Pharmacy, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Chiba, Japan.
Mayu IshizakaDepartment of Pharmacy, National Cancer Center Hospital East, 6-5-1 Kashiwanoha, Kashiwa, 277-8577, Chiba, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundVascular endothelial growth factor (VEGF) inhibitors are associated with a high incidence of proteinuria. In patients with diabetes, increased proteinuria is closely associated with decreased renal function; however, the impact of increased proteinuria on renal function in patients with cancer and diabetes mellitus undergoing VEGF inhibitor therapy remains unknown.

methodsThe incidence of proteinuria and renal function in patients with cancer and a history of diabetes who were treated with VEGF inhibitors at the National Cancer Center Hospital East between January 2018 and December 2019 was retrospectively investigated.

resultsAmong the 49 patients included, 21 (43%) developed proteinuria ≥ 3 + after VEGF inhibitor treatment. In all patients, a decreasing trend in the estimated glomerular filtration rate (eGFR) was observed beginning 2 years after treatment initiation. The decrease in eGFR from baseline was - 6.6% at 1 year, -11% at 2 years, and - 13% at 4 years. Patients who developed proteinuria ≤ 2 + showed no significant decrease in eGFR from baseline to either the end of treatment (p = 0.91) or the latest value during the observation period (p = 0.64). Similarly, no significant decrease in eGFR was observed in those with proteinuria ≥ 3+ (end of treatment, p = 0.91; latest value during the observation period, p = 0.18).

conclusionsIn patients with cancer and diabetes mellitus, increased proteinuria after VEGF inhibitor therapy suggested that it was not associated with a significant decline in renal function.

Indexed as

Angiogenesis InhibitorsDiabetes MellitusKidneyNeoplasmsProteinuriaVascular Endothelial Growth Factor AAgedFemaleGlomerular Filtration RateHumansIncidenceMaleMiddle AgedRetrospective StudiesAngiogenesis InhibitorsVascular Endothelial Growth Factor AVEGFA protein, humanDiabetes mellitusOnco-nephrologyProteinuriaVascular endothelial growth factor inhibitors

Identifiers

PMID40601039

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