Page last updated: 2024-10-29

ketorolac and Neoplasm Metastasis

ketorolac has been researched along with Neoplasm Metastasis in 6 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 It was withdrawn from the market in many countries in 1993 following association with haemorrhage and renal failure.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.

Neoplasm Metastasis: The transfer of a neoplasm from one organ or part of the body to another remote from the primary site.

Research Excerpts

ExcerptRelevanceReference
" 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)
"morphine) were found to induce triple negative breast cancer (TNBC) metastasis while nonsteroidal anti-inflammatory drugs (i."1.56Postoperative administration of ketorolac averts morphine-induced angiogenesis and metastasis in triple-negative breast cancer. ( Cao, M; Cheng, S; Fu, G; Ji, F; Liu, Z; Wang, C, 2020)
"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)

Research

Studies (6)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's0 (0.00)18.2507
2000's0 (0.00)29.6817
2010's5 (83.33)24.3611
2020's1 (16.67)2.80

Authors

AuthorsStudies
Liu, Z1
Cheng, S1
Fu, G1
Ji, F1
Wang, C1
Cao, M1
Desmedt, C1
Demicheli, R1
Fornili, M1
Bachir, I1
Duca, M1
Viglietti, G1
Berlière, M3
Piccart, M1
Sotiriou, C1
Sosnowski, M1
Forget, P3
Biganzoli, E1
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
Machiels, JP2
Coulie, PG1
Poncelet, AJ1
Tombal, B1
Stainier, A1
Legrand, C2
Canon, JL1
Kremer, Y1
De Kock, M2
Guo, Y1
Kenney, SR1
Muller, CY1
Adams, S1
Rutledge, T1
Romero, E1
Murray-Krezan, C1
Prekeris, R1
Sklar, LA1
Hudson, LG1
Wandinger-Ness, A1
Vandenhende, J1
Nussbaum, B1

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

Other Studies

6 other studies available for ketorolac and Neoplasm Metastasis

ArticleYear
Postoperative administration of ketorolac averts morphine-induced angiogenesis and metastasis in triple-negative breast cancer.
    Life sciences, 2020, Jun-15, Volume: 251

    Topics: Analgesics, Opioid; Animals; Anti-Inflammatory Agents, Non-Steroidal; Cell Line, Tumor; Female; Huma

2020
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
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
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
R-Ketorolac Targets Cdc42 and Rac1 and Alters Ovarian Cancer Cell Behaviors Critical for Invasion and Metastasis.
    Molecular cancer therapeutics, 2015, Volume: 14, Issue:10

    Topics: Allosteric Regulation; Aminoquinolines; Antineoplastic Agents; Carcinoma, Ovarian Epithelial; cdc42

2015
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