Evidence map›Paper›PMID 42157951›Full record

ReviewDrugs in context2026

Recombinant human erythropoietin therapy in patients with cancer: efficacy, risks and the controversy of EpoR expression.

Alessio Sturiale, Concetto Sessa, Rosaria Martina, Salvatore Maltese, Susanna Campo, Eleonora Crascì, Dario Galeano, Ivana Alessandrello, Carmelo Zuppardo, Viviana Scollo and 11 more

Abstract readReview
In one paragraph

Review in Drugs in context, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

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

21 authors.

Alessio Sturiale *Nephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Concetto Sessa *Nephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Rosaria MartinaMedical Oncology Department, D. Camberlingo Hospital, Francavilla Fontana, Brindisi, Italy.
Salvatore MalteseNephrology and Dialysis Department, San Giovanni di Dio Hospital, Agrigento, Italy.
Susanna CampoNephrology and Dialysis Department, Papardo Hospital, Messina, Italy.
Eleonora CrascìHead of the Nephrocare Dialysis Center at the Centro Nefrologico, Messina, Italy.
Dario GaleanoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Ivana AlessandrelloNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Carmelo ZuppardoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Viviana ScolloNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Fortunata ZirinoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Giulio DistefanoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Alessia TiganoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Elisa GiglioNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Vincenzo FicaraNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Roberta Maria MessinaNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Maria Stella MusumeciNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Elisa CiceroNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Lucrezia DimartinoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Fiorenza RauseoNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.
Walter MoraleNephrology and Dialysis Department, Maggiore "Nino Baglieri" Hospital, Modica, Ragusa, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Recombinant human erythropoietin (rHuEpo) is widely used to treat anaemia in patients with cancer. Concerns regarding its safety arose from early experimental studies suggesting erythropoietin receptor (EpoR) expression in tumour cells and potential pro-tumorigenic effects. However, many of these findings were generated using non-specific antibodies or incomplete molecular validation, leading to uncertainty about the clinical relevance of EpoR in oncology. A structured narrative review was conducted through a PubMed/MEDLINE search (1990-2025) using predefined terms related to EpoR and cancer. Additional references were identified via citation tracking. Studies evaluating EpoR expression in tumour-derived cell lines or human tumour tissues or exploring the clinical implications of rHuEpo therapy were included. A bibliometric analysis was also performed to contextualize historical trends in publication volume. Early studies reported widespread EpoR expression in cancer models; however, most used non-validated polyclonal antibodies and lacked molecular confirmation. When more rigorous approaches were adopted, EpoR detection in tumours was inconsistent or negligible. Clinical trials reporting adverse outcomes with rHuEpo were largely conducted before current regulatory restrictions, used variable haemoglobin targets or enrolled patients who would not be eligible for treatment today. Current evidence does not support a biologically meaningful role of EpoR in solid tumours. When used within approved indications and modern safety guidance, rHuEpo has not been consistently associated with tumour progression or reduced survival. Continued methodological rigour is essential to clarify remaining uncertainties and optimize rHuEpo use in oncology.

Indexed as

antibodieserythropoiesis-stimulating agentserythropoietinimmunohistochemistryneoplasmsreceptorssignal transductiontreatment outcome

Identifiers

PMID42157951
PMCPMC13182889

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.