Background. Severe adverse events (AEs) have been reported in cancer patients treated with bevacizumab. Currently, safety of bevacizumab in patients with non-small cell lung cancer (NSCLC) is not clear. We conducted a meta-analysis to evaluate the risk profile of bevacizumab in NSCLC patients. Methods. Relevant trials were identified by searching databases and conference proceedings. Data on treatment-related deaths and grade 3 or 4 AEs were extracted and pooled to calculate relative risks (RRs) with 95% confidence interval (CI) for bevacizumab compared with chemotherapy alone. Results. A total of 2210 patients were included in the analysis. Compared with chemotherapy alone, high-dosage (15 mg/kg) bevacizumab was associated with an increased risk of treatment-related deaths (RR = 2.04, 95% CI = 1.18-3.52), but not for low-dosage (7.5 mg/kg) group (RR = 1.20, 95% CI = 0.60-2.41). In addition, treatment with bevacizumab was associated with several grade 3 or 4 AEs in patients with NSCLC, especially in high-dosage bevacizumab group. Conclusion. The use of the bevacizumab increases the risk of treatment-related deaths and several grade 3 or 4 AEs in patient with NSCLC. The risk may be dose-dependent. Close monitoring and adequate management are recommended to decrease severe AEs.
第一作者单位:[1]Huazhong Univ Sci & Technol, Tongji Med Coll, Tongji Hosp, Dept Resp Med, Wuhan 430030, Peoples R China[2]Ningbo Univ, Coll Med, Affiliated Hosp, Dept Resp Med, Ningbo 315020, Zhejiang, Peoples R China
通讯作者:
推荐引用方式(GB/T 7714):
Cao Chao,Wang Jianmiao,Bunjhoo Hansvin,et al.Risk profile of bevacizumab in patients with non-small cell lung cancer: A meta-analysis of randomized controlled trials[J].ACTA ONCOLOGICA.2012,51(2):151-156.doi:10.3109/0284186X.2011.631579.
APA:
Cao, Chao,Wang, Jianmiao,Bunjhoo, Hansvin,Xu, Yongjian&Fang, Huijuan.(2012).Risk profile of bevacizumab in patients with non-small cell lung cancer: A meta-analysis of randomized controlled trials.ACTA ONCOLOGICA,51,(2)
MLA:
Cao, Chao,et al."Risk profile of bevacizumab in patients with non-small cell lung cancer: A meta-analysis of randomized controlled trials".ACTA ONCOLOGICA 51..2(2012):151-156