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Verfasst von:Vardarli, Irfan [VerfasserIn]   i
 Tan, Susanne [VerfasserIn]   i
 Brandenburg, Tim Niclas [VerfasserIn]   i
 Weidemann, Frank [VerfasserIn]   i
 Görges, Rainer [VerfasserIn]   i
 Herrmann, Ken [VerfasserIn]   i
 Führer, Dagmar [VerfasserIn]   i
Titel:Risk and incidence of endocrine immune-related adverse effects under checkpoint inhibitor mono- or combination therapy in solid tumors
Titelzusatz:a meta-analysis of randomized controlled trials
Verf.angabe:Irfan Vardarli, Susanne Tan, Tim Brandenburg, Frank Weidemann, Rainer Görges, Ken Herrmann, and Dagmar Führer
E-Jahr:2024
Jahr:April 2024
Umfang:13 S.
Fussnoten:Gesehen am 29.11.2023
Titel Quelle:Enthalten in: The journal of clinical endocrinology & metabolism
Ort Quelle:Oxford : Oxford University Press, 1941
Jahr Quelle:2024
Band/Heft Quelle:109(2024), 4 vom: Apr., Seite 1132–1144
ISSN Quelle:1945-7197
Abstract:Few meta-analyses on incidence of endocrine immune-related adverse effects (eirAEs) have been published and many trials have been published since.We performed a comprehensive meta-analysis with updated literature to assess risk and incidence of eirAEs of any grade and grade 3 to 5 by immune checkpoint inhibitor (ICI) monotherapy or combination therapy in solid tumors.An electronic search using PubMed/Medline, Embase, and the Cochrane Library was performed. Randomized controlled studies (RCTs) assessing eirAEs under ICI monotherapy or ICI combination therapy were selected. Stata software (v17) was used for statistical analyses and risk of bias was evaluated using Review Manager version 5.3.A total of 69 RCTs with 80 independent reports, involving 42 886 patients, were included in the study. Meta-analysis revealed the following pooled estimates for risk ratio and incidence, respectively: for any grade hypothyroidism 7.81 (95% CI, 5.68-10.74, P < .0001) and 7.64% (95% CI, 6.23-9.17, P < .0001); significantly increased also for hyperthyroidism, hypophysitis/hypopituitarism, and adrenal insufficiency; and for insulin-dependent diabetes mellitus 1.52 (95% CI, 1.07-2.18, P = .02), and 0.087% (95% CI, 0.019-0.189, P = .0006), respectively. Meta-regression showed that combination of ICIs (nivolumab plus ipilimumab; durvalumab plus tremelimumab) is an independent risk factor for any grade hypophysitis/hypopituitarism, and that ICI agent is an independent factor of risk for adrenal insufficiency, but that cancer type is not an independent risk factor for eirAEs.We showed that risk, independent from cancer type, and incidence of eirAEs are substantially increased with ICI therapy. Combination of ICIs increases risk for eirAEs, especially for hypophysitis/hypopituitarism.
DOI:doi:10.1210/clinem/dgad670
URL:Bitte beachten Sie: Dies ist ein Bibliographieeintrag. Ein Volltextzugriff für Mitglieder der Universität besteht hier nur, falls für die entsprechende Zeitschrift/den entsprechenden Sammelband ein Abonnement besteht oder es sich um einen OpenAccess-Titel handelt.

Volltext: https://doi.org/10.1210/clinem/dgad670
 DOI: https://doi.org/10.1210/clinem/dgad670
Datenträger:Online-Ressource
Sprache:eng
Bibliogr. Hinweis:Forschungsdaten: Vardarli, Irfan: Risk and incidence of endocrine immune related adverse effects under checkpoint inhibitor mono or combination therapy in solid tumors
K10plus-PPN:1871573270
Verknüpfungen:→ Zeitschrift

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