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Antidepressant drug use in glioblastoma patients: an epidemiological view

Dorothee Gramatzki, James Louis Rogers, Marian Christoph Neidert, Caroline Hertler, Emilie Le Rhun, Patrick Roth & Michael Weller

abstract

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 ( = .356). These data were confirmed in a multivariate analysis including age, Karnofsky Performance Scale (KPS), sex, extent of resection, O-methylguanine DNA methyltransferase () promoter methylation status, and first-line treatment as cofounders ( = .315). Also, there was no association of use of drugs modulating voltage-dependent potassium channels (citalopram; escitalopram) with survival ( = .639).

Conclusions
This signal-seeking study does not support the hypothesis that antidepressants have antitumor efficacy in glioblastoma on a population level.
   
citation Gramatzki D, Rogers J L, Neidert M C, Hertler C, Le Rhun E, Roth P, Weller M. Antidepressant drug use in glioblastoma patients: an epidemiological view. Neurooncol Pract 2020; 7:514-521.
   
type journal paper/review (English)
date of publishing 25-04-2020
journal title Neurooncol Pract (7/5)
ISSN print 2054-2577
pages 514-521
PubMed 33014392
DOI 10.1093/nop/npaa022