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ketorolac and Local Neoplasm Recurrence

ketorolac has been researched along with Local Neoplasm Recurrence in 11 studies

Ketorolac: A pyrrolizine carboxylic acid derivative structurally related to INDOMETHACIN. It is an NSAID and is used principally for its analgesic activity. (From Martindale The Extra Pharmacopoeia, 31st ed)
ketorolac : A racemate comprising equimolar amounts of (R)-(+)- and (S)-(-)-5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid. While only the (S)-(-) enantiomer is a COX1 and COX2 inhibitor, the (R)-(+) enantiomer exhibits potent analgesic activity. A non-steroidal anti-inflammatory drug, ketorolac is mainly used (generally as the tromethamine salt) for its potent analgesic properties in the short-term management of post-operative pain, and in eye drops to relieve the ocular itching associated with seasonal allergic conjunctivitis. It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.
5-benzoyl-2,3-dihydro-1H-pyrrolizine-1-carboxylic acid : A member of the class of pyrrolizines that is 2,3-dihydro-1H-pyrrolizine which is substituted at positions 1 and 5 by carboxy and benzoyl groups, respectively.

Research Excerpts

ExcerptRelevanceReference
"Triple negative breast cancer may be the ideal group with which to test perioperative ketorolac to prevent early relapses."5.38NSAID analgesic ketorolac used perioperatively may suppress early breast cancer relapse: particular relevance to triple negative subgroup. ( Baum, M; Dekock, M; Demicheli, R; Forget, P; Gukas, I; Hrushesky, WJ; Pachmann, K; Retsky, M; Rogers, R; Vaidya, JS, 2012)
"Focusing on a high-risk group with preoperative inflammation could lead to a clinical trial to test the effect of ketorolac on cancer outcome."4.90Perspectives in anaesthesia for cancer surgery. ( De Kock, M; Forget, P, 2014)
" Preoperative, but not postoperative, administration of the nonsteroidal antiinflammatory drug ketorolac and/or resolvins, a family of specialized proresolving autacoid mediators, eliminated micrometastases in multiple tumor-resection models, resulting in long-term survival."3.91Preoperative stimulation of resolution and inflammation blockade eradicates micrometastases. ( Bhasin, M; Bhasin, SS; Bielenberg, DR; Chang, J; Fishbein, A; Gartung, A; Gilligan, MM; Hammock, BD; Huang, S; Kieran, MW; Panigrahy, D; Piwowarski, J; Schmidt, BA; Serhan, CN; Soler-Ferran, D; Sparks, MA; Staffa, SJ; Sukhatme, V; Sukhatme, VP; Sulciner, ML; Yang, H; Yang, J, 2019)
"This retrospective analysis suggests that intraoperative administration of ketorolac decreases the risk of breast cancer relapse compared with other analgesícs."3.76Do intraoperative analgesics influence breast cancer recurrence after mastectomy? A retrospective analysis. ( Berliere, M; De Kock, M; Forget, P; Legrand, C; Machiels, JP; Nussbaum, B; Vandenhende, J, 2010)
"This may also explain sudden confusion and dementia for the elderly after surgery."1.48Breast Cancer Relapse, Post-Surgical Confusion, and Dementia in the Elderly: An Unexpected Connection but with the Same Proposed Solution. ( Forget, P; Retsky, MW, 2018)
"Eighty patients with advanced ovarian cancer (International Federation of Gynecologists and Obstetricians, stage IIIC and IV) undergoing surgery between January 2000 and March 2011 were studied."1.39The relationship between neuraxial anesthesia and advanced ovarian cancer-related outcomes in the Chilean population. ( Assel, M; Brañes, J; Cartagena, J; Echevarría, GC; Lacassie, HJ, 2013)
"The intraoperative use of NSAIDs in breast cancer patients (Centre 1) is associated with a reduced recurrence rate (HR = 0."1.39Neutrophil:lymphocyte ratio and intraoperative use of ketorolac or diclofenac are prognostic factors in different cohorts of patients undergoing breast, lung, and kidney cancer surgery. ( Berliere, M; Canon, JL; Coulie, PG; De Kock, M; Forget, P; Kremer, Y; Legrand, C; Machiels, JP; Poncelet, AJ; Stainier, A; Tombal, B, 2013)
"Triple negative breast cancer may be the ideal group with which to test perioperative ketorolac to prevent early relapses."1.38NSAID analgesic ketorolac used perioperatively may suppress early breast cancer relapse: particular relevance to triple negative subgroup. ( Baum, M; Dekock, M; Demicheli, R; Forget, P; Gukas, I; Hrushesky, WJ; Pachmann, K; Retsky, M; Rogers, R; Vaidya, JS, 2012)

Research

Studies (11)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's9 (81.82)24.3611
2020's2 (18.18)2.80

Authors

AuthorsStudies
de Castro Araujo, BL1
de Oliveira, JL1
Rezende, JFN1
Noguera, WS1
de Melo, AC1
Thuler, LCS1
Connolly, JG1
Scarpa, JR1
Gupta, HV1
Tan, KS1
Mastrogiacomo, B1
Dycoco, J1
Caso, R1
Jones, GD1
Sanchez-Vega, F1
Adusumilli, PS1
Rocco, G1
Isbell, JM1
Bott, MJ1
Irie, T1
McCormick, PJ1
Fischer, GW1
Jones, DR1
Mincer, JS1
Ben-Eliyahu, S1
Golan, T1
Desmedt, C1
Demicheli, R2
Fornili, M1
Bachir, I1
Duca, M1
Viglietti, G1
Berlière, M3
Piccart, M1
Sotiriou, C1
Sosnowski, M1
Forget, P6
Biganzoli, E1
Retsky, MW1
Panigrahy, D1
Gartung, A1
Yang, J1
Yang, H1
Gilligan, MM1
Sulciner, ML1
Bhasin, SS1
Bielenberg, DR1
Chang, J1
Schmidt, BA1
Piwowarski, J1
Fishbein, A1
Soler-Ferran, D1
Sparks, MA1
Staffa, SJ1
Sukhatme, V1
Hammock, BD1
Kieran, MW1
Huang, S1
Bhasin, M1
Serhan, CN1
Sukhatme, VP1
Lacassie, HJ1
Cartagena, J1
Brañes, J1
Assel, M1
Echevarría, GC1
Machiels, JP2
Coulie, PG1
Poncelet, AJ1
Tombal, B1
Stainier, A1
Legrand, C2
Canon, JL1
Kremer, Y1
De Kock, M3
Vandenhende, J1
Nussbaum, B1
Retsky, M1
Rogers, R1
Hrushesky, WJ1
Gukas, I1
Vaidya, JS1
Baum, M1
Dekock, M1
Pachmann, K1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
Perioperative Ketorolac in High Risk Breast Cancer Patients With and Without Inflammation. A Prospective Randomized Placebo-controlled Trial.[NCT01806259]Phase 3203 participants (Actual)Interventional2013-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Overall Survival

2 years for the primary analysis + 3 additional years for secondary analysis (From date of randomization until the date of death from any cause assessed up to 5 years) (NCT01806259)
Timeframe: 5 years

InterventionParticipants (Count of Participants)
Ketorolac 30 mg93
NaCl 0.9% 3mL105

Recurrence-free Survival

2 years for the primary analysis + 3 additional years for secondary analysis (From date of randomization until the date of first documented progression or date of death from any cause, whichever came first, assessed up to 5 years) (NCT01806259)
Timeframe: 5 years

InterventionParticipants (Count of Participants)
Ketorolac 30 mg80
NaCl 0.9% 3mL96

Reviews

1 review available for ketorolac and Local Neoplasm Recurrence

ArticleYear
Perspectives in anaesthesia for cancer surgery.
    Journal of cancer research and clinical oncology, 2014, Volume: 140, Issue:3

    Topics: Anti-Inflammatory Agents, Non-Steroidal; Biomarkers; Breast Neoplasms; Clinical Trials as Topic; Fem

2014

Other Studies

10 other studies available for ketorolac and Local Neoplasm Recurrence

ArticleYear
Impact of Non-Steroidal Anti-Inflammatory Drugs on Recurrence and Survival after Melanoma Surgery: A Cohort Study.
    Cancer investigation, 2020, Volume: 38, Issue:7

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Cohort Studies; Female; Humans; Isoxazoles; Kaplan-Me

2020
Intraoperative ketorolac may interact with patient-specific tumour genomics to modify recurrence risk in lung adenocarcinoma: an exploratory analysis.
    British journal of anaesthesia, 2021, Volume: 127, Issue:3

    Topics: Adenocarcinoma of Lung; Anti-Inflammatory Agents, Non-Steroidal; Biomarkers, Tumor; Gene Regulatory

2021
Harnessing the Perioperative Period to Improve Long-term Cancer Outcomes.
    Journal of the National Cancer Institute, 2018, 10-01, Volume: 110, Issue:10

    Topics: Body Mass Index; Breast Neoplasms; Humans; Ketorolac; Neoplasm Recurrence, Local; Perioperative Peri

2018
Potential Benefit of Intra-operative Administration of Ketorolac on Breast Cancer Recurrence According to the Patient's Body Mass Index.
    Journal of the National Cancer Institute, 2018, 10-01, Volume: 110, Issue:10

    Topics: Adult; Aged; Body Mass Index; Breast Neoplasms; Female; Humans; Intraoperative Care; Ketorolac; Midd

2018
Breast Cancer Relapse, Post-Surgical Confusion, and Dementia in the Elderly: An Unexpected Connection but with the Same Proposed Solution.
    Medicina (Kaunas, Lithuania), 2018, Dec-03, Volume: 54, Issue:6

    Topics: Aged; Aged, 80 and over; Animals; Anti-Inflammatory Agents, Non-Steroidal; Breast Neoplasms; Confusi

2018
Preoperative stimulation of resolution and inflammation blockade eradicates micrometastases.
    The Journal of clinical investigation, 2019, 06-17, Volume: 129, Issue:7

    Topics: Animals; Docosahexaenoic Acids; Immunity, Cellular; Ketorolac; Male; Mice; Mice, Knockout; Neoplasm

2019
The relationship between neuraxial anesthesia and advanced ovarian cancer-related outcomes in the Chilean population.
    Anesthesia and analgesia, 2013, Volume: 117, Issue:3

    Topics: Aged; Anesthesia, Conduction; Anesthesia, Epidural; Anesthesia, General; Anti-Inflammatory Agents, N

2013
Neutrophil:lymphocyte ratio and intraoperative use of ketorolac or diclofenac are prognostic factors in different cohorts of patients undergoing breast, lung, and kidney cancer surgery.
    Annals of surgical oncology, 2013, Volume: 20 Suppl 3

    Topics: Adenocarcinoma; Anti-Inflammatory Agents, Non-Steroidal; Breast Neoplasms; Carcinoma, Non-Small-Cell

2013
Do intraoperative analgesics influence breast cancer recurrence after mastectomy? A retrospective analysis.
    Anesthesia and analgesia, 2010, Jun-01, Volume: 110, Issue:6

    Topics: Adult; Aged; Analgesics; Analgesics, Opioid; Analysis of Variance; Anti-Inflammatory Agents, Non-Ste

2010
NSAID analgesic ketorolac used perioperatively may suppress early breast cancer relapse: particular relevance to triple negative subgroup.
    Breast cancer research and treatment, 2012, Volume: 134, Issue:2

    Topics: Aged; Anti-Inflammatory Agents, Non-Steroidal; Antineoplastic Agents; Breast Neoplasms; Combined Mod

2012