PMID- 25550575 OWN - NLM STAT- MEDLINE DCOM- 20150310 LR - 20220321 IS - 1791-7530 (Electronic) IS - 0250-7005 (Linking) VI - 35 IP - 1 DP - 2015 Jan TI - Differential impact of fosaprepitant on infusion site adverse events between cisplatin- and anthracycline-based chemotherapy regimens. PG - 379-83 AB - BACKGROUND: Fosaprepitant may be associated with infusion site adverse events (AEs), and these adverse events possibly vary according to chemotherapy regimen. PATIENTS AND METHODS: 267 oncology patients who were administered anthracycline- or cisplatin-based regimens were retrospectively studied. Multivariate logistic regression was performed in stratified analyses to evaluate potential regimen-specific effects of fosaprepitant. RESULTS: 41.7% of patients administered fosaprepitant experienced infusion site AEs. On the other hand, only 10.9% of patients administered aprepitant experienced AEs. Multivariate analysis showed a statistically significant overall increased risk of infusion site reaction associated with fosaprepitant (p<0.001), but when evaluated separately according to chemotherapy regimen, this relationship appeared to be largely confined to patients receiving an anthracycline-based regimen (OR=12.95, 95%CI=5.74-29.20). No association was observed among patients on cisplatin-based regimens. A test for interaction was statistically significant (p=0.001). CONCLUSION: Fosaprepitant is associated with an elevated risk of infusion site reaction in patients receiving anthracyclines. CI - Copyright(c) 2015 International Institute of Anticancer Research (Dr. John G. Delinassios), All rights reserved. FAU - Fujii, Takeo AU - Fujii T AD - Division of Medical Oncology, Department of Internal Medicine, St. Luke's International Hospital, Tokyo, Japan Division of Pulmonary Medicine, Department of Internal Medicine, St. Luke's International Hospital, Tokyo, Japan. FAU - Nishimura, Naoki AU - Nishimura N AD - Division of Pulmonary Medicine, Department of Internal Medicine, St. Luke's International Hospital, Tokyo, Japan nina@luke.ac.jp. FAU - Urayama, Kevin Y AU - Urayama KY AD - Department of Human Genetics and Disease Diversity, Tokyo Medical and Dental University, Tokyo, Japan Center for Clinical Epidemiology, St. Luke's Life Science Institute, Tokyo, Japan. FAU - Kanai, Hisako AU - Kanai H AD - Breast Center/Oncology Center, St. Luke's International Hospital, Tokyo, Japan. FAU - Ishimaru, Hiromasa AU - Ishimaru H AD - Department of Pharmacology, St. Luke's International Hospital, Tokyo, Japan. FAU - Kawano, Junko AU - Kawano J AD - Department of Breast Surgery, St. Luke's International Hospital, Tokyo, Japan. FAU - Takahashi, Osamu AU - Takahashi O AD - Center for Clinical Epidemiology, St. Luke's Life Science Institute, Tokyo, Japan. FAU - Yamauchi, Hideko AU - Yamauchi H AD - Department of Breast Surgery, St. Luke's International Hospital, Tokyo, Japan. FAU - Yamauchi, Teruo AU - Yamauchi T AD - Division of Medical Oncology, Department of Internal Medicine, St. Luke's International Hospital, Tokyo, Japan. LA - eng PT - Comparative Study PT - Journal Article PL - Greece TA - Anticancer Res JT - Anticancer research JID - 8102988 RN - 0 (Anthracyclines) RN - 0 (Antiemetics) RN - 0 (Morpholines) RN - 6L8OF9XRDC (fosaprepitant) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Adult MH - Aged MH - Anthracyclines/administration & dosage MH - Antiemetics/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/*adverse effects/therapeutic use MH - Breast Neoplasms/drug therapy MH - Cisplatin/administration & dosage MH - Female MH - Humans MH - Infusions, Parenteral MH - Lung Neoplasms/drug therapy MH - Male MH - Middle Aged MH - Morpholines/*therapeutic use MH - Nausea/chemically induced/*drug therapy MH - Retrospective Studies MH - Skin Diseases/*chemically induced OTO - NOTNLM OT - Fosaprepitant OT - anthracycline OT - cisplatin OT - infusion site adverse events EDAT- 2015/01/01 06:00 MHDA- 2015/03/11 06:00 CRDT- 2015/01/01 06:00 PHST- 2015/01/01 06:00 [entrez] PHST- 2015/01/01 06:00 [pubmed] PHST- 2015/03/11 06:00 [medline] AID - 35/1/379 [pii] PST - ppublish SO - Anticancer Res. 2015 Jan;35(1):379-83.