Muataz Kashbour, Abdulhameed Alhadeethi, Sara Awwad, Mazen Yassin, Ahmed Amin, Mohamed Abed, Abubaker Abdelmalik, Yasmeen Jamal Alabdallat
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引用次数: 0
摘要
研究目的本荟萃分析旨在研究多ADP核糖聚合酶抑制剂veliparib联合化疗治疗支气管癌的有效性：方法：在PubMed、Cochrane、Scopus和Web of Science网站上检索了2023年7月之前在成人肺癌患者中比较veliparib联合化疗与标准化疗的符合条件的随机对照试验。主要结果为总生存期（OS）和无进展生存期（PFS）：这项荟萃分析包括六项研究，共涉及2136名患者。与安慰剂相比，Veliparib的OS略有改善，HR = 0.91，95% CI [0.83 to 1.0]，P = 0.05。在非小细胞肺癌（NSCLC）亚群中，Veliparib比小细胞肺癌（SCLC）带来更多的OS获益，分别为HR = 0.89，95% CI [0.81,0.99]，p = 0.03和HR = 1.00，95% CI [0.79,1.28]，p = 0.97。两组患者的 PFS 均无明显获益（HR = 0.92，95% CI [0.81-1.01]，p = 0.08）：结论：Veliparib在改善总生存期方面有微弱的倾向性，在NSCLC中更为明显，其安全性可接受。我们的研究结果值得进行更有力的试验，以进一步证实veliparib对肺癌患者的有效性：prospero（CRD42023453705）。
The efficacy of Veliparib in combination with chemotherapy in the treatment of lung cancer: systematic review and meta-analysis.
Objective: This meta-analysis aims to examine the effectiveness of veliparib, a poly ADP-ribose polymerase inhibitor, in combination with chemotherapy in treating bronchogenic carcinoma.
Methods: PubMed, Cochrane, Scopus, and Web of Science were searched for eligible randomized controlled trials comparing veliparib plus chemotherapy to standard chemotherapy in adult lung cancer patients, until July 2023. The main outcomes were overall survival (OS) and progression-free survival (PFS).
Results: This meta-analysis included six studies encompassing 2,136 patients. Veliparib has a slight OS improvement over placebo, HR = 0.91, 95% CI [0.83 to 1.0], p = 0.05. Veliparib offers more OS benefit in the subpopulation of non-small cell lung cancer (NSCLC) than small-cell lung cancer (SCLC), HR = 0.89, 95% CI [0.81,0.99], p = 0.03 and HR = 1.00, 95% CI [0.79, 1.28], p = 0.97, respectively. There was no significant PFS benefit between the two groups, HR = 0.92, 95% CI [0.81-1.01], p = 0.08).
Conclusion: Veliparib has a marginal inclination for overall survival improvement, more so in NSCLC, with an acceptable safety profile. Our results merit the pursuit of better-powered trials to support further the extent of veliparib's effectiveness in lung cancer patients.
期刊介绍：
Expert Review of Anticancer Therapy (ISSN 1473-7140) provides expert appraisal and commentary on the major trends in cancer care and highlights the performance of new therapeutic and diagnostic approaches.
Coverage includes tumor management, novel medicines, anticancer agents and chemotherapy, biological therapy, cancer vaccines, therapeutic indications, biomarkers and diagnostics, and treatment guidelines. All articles are subject to rigorous peer-review, and the journal makes an essential contribution to decision-making in cancer care.
Comprehensive coverage in each review is complemented by the unique Expert Review format and includes the following sections:
Expert Opinion - a personal view of the data presented in the article, a discussion on the developments that are likely to be important in the future, and the avenues of research likely to become exciting as further studies yield more detailed results
Article Highlights – an executive summary of the author’s most critical points.
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