Antidepressant drug use in glioblastoma ...
Type de document :
Article dans une revue scientifique: Article original
DOI :
PMID :
URL permanente :
Titre :
Antidepressant drug use in glioblastoma patients: an epidemiological view
Auteur(s) :
Gramatzki, Dorothee [Auteur]
University hospital of Zurich [Zurich]
Rogers, James Louis [Auteur]
University hospital of Zurich [Zurich]
Neidert, Marian Christoph [Auteur]
University hospital of Zurich [Zurich]
Hertler, Caroline [Auteur]
University hospital of Zurich [Zurich]
Le Rhun, Emilie [Auteur]
Roth, Patrick [Auteur]
University hospital of Zurich [Zurich]
Weller, Michael [Auteur]
University hospital of Zurich [Zurich]
University hospital of Zurich [Zurich]
Rogers, James Louis [Auteur]
University hospital of Zurich [Zurich]
Neidert, Marian Christoph [Auteur]
University hospital of Zurich [Zurich]
Hertler, Caroline [Auteur]
University hospital of Zurich [Zurich]
Le Rhun, Emilie [Auteur]

Roth, Patrick [Auteur]
University hospital of Zurich [Zurich]
Weller, Michael [Auteur]
University hospital of Zurich [Zurich]
Titre de la revue :
Neuro-oncology practice
Nom court de la revue :
Neurooncol Pract
Numéro :
7
Pagination :
514-521
Éditeur :
Oxford University Press
Date de publication :
2020-10-01
ISSN :
2054-2577
Mot(s)-clé(s) :
glioblastoma
antidepressants
depression
epidemiology
survival
antidepressants
depression
epidemiology
survival
Discipline(s) HAL :
Sciences du Vivant [q-bio]
Résumé en anglais : [en]
BACKGROUND: Antidepressant drugs have shown antitumor activity in preclinical glioblastoma studies. Antidepressant drug use, as well as its association with survival, in glioblastoma patients has not been well characterized ...
Lire la suite >BACKGROUND: Antidepressant drugs have shown antitumor activity in preclinical glioblastoma studies. Antidepressant drug use, as well as its association with survival, in glioblastoma patients has not been well characterized on a population level. METHODS: Patient characteristics, including the frequency of antidepressant drug use, were assessed in a glioblastoma cohort diagnosed in a 10-year time frame between 2005 and 2014 in the Canton of Zurich, Switzerland. Cox proportional hazards regression models were applied for multivariate analysis. Kaplan-Meier survival curves were used to estimate overall survival (OS) data and the log-rank test was performed for comparisons. RESULTS: A total of 404 patients with isocitrate dehydrogenase wild-type glioblastoma were included in this study. Sixty-five patients (16.1%) took antidepressant drugs at some point during the disease course. Patients were most commonly prescribed selective serotonin reuptake inhibitors at any time (N = 46, 70.8%). Nineteen patients (29.2%) were on antidepressant drugs at the time of their tumor diagnosis. No differences were observed in OS between those patients who had taken antidepressants at some point in their disease course and those who had not (P = .356). These data were confirmed in a multivariate analysis including age, Karnofsky Performance Scale (KPS), sex, extent of resection, O(6)-methylguanine DNA methyltransferase (MGMT) promoter methylation status, and first-line treatment as cofounders (P = .315). Also, there was no association of use of drugs modulating voltage-dependent potassium channels (citalopram; escitalopram) with survival (P = .639). CONCLUSIONS: This signal-seeking study does not support the hypothesis that antidepressants have antitumor efficacy in glioblastoma on a population level.Lire moins >
Lire la suite >BACKGROUND: Antidepressant drugs have shown antitumor activity in preclinical glioblastoma studies. Antidepressant drug use, as well as its association with survival, in glioblastoma patients has not been well characterized on a population level. METHODS: Patient characteristics, including the frequency of antidepressant drug use, were assessed in a glioblastoma cohort diagnosed in a 10-year time frame between 2005 and 2014 in the Canton of Zurich, Switzerland. Cox proportional hazards regression models were applied for multivariate analysis. Kaplan-Meier survival curves were used to estimate overall survival (OS) data and the log-rank test was performed for comparisons. RESULTS: A total of 404 patients with isocitrate dehydrogenase wild-type glioblastoma were included in this study. Sixty-five patients (16.1%) took antidepressant drugs at some point during the disease course. Patients were most commonly prescribed selective serotonin reuptake inhibitors at any time (N = 46, 70.8%). Nineteen patients (29.2%) were on antidepressant drugs at the time of their tumor diagnosis. No differences were observed in OS between those patients who had taken antidepressants at some point in their disease course and those who had not (P = .356). These data were confirmed in a multivariate analysis including age, Karnofsky Performance Scale (KPS), sex, extent of resection, O(6)-methylguanine DNA methyltransferase (MGMT) promoter methylation status, and first-line treatment as cofounders (P = .315). Also, there was no association of use of drugs modulating voltage-dependent potassium channels (citalopram; escitalopram) with survival (P = .639). CONCLUSIONS: This signal-seeking study does not support the hypothesis that antidepressants have antitumor efficacy in glioblastoma on a population level.Lire moins >
Langue :
Anglais
Audience :
Internationale
Vulgarisation :
Non
Établissement(s) :
INSERM
Université de Lille
Université de Lille
Collections :
Date de dépôt :
2022-06-15T13:59:53Z
2023-03-08T09:34:32Z
2023-04-21T10:12:46Z
2023-03-08T09:34:32Z
2023-04-21T10:12:46Z
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