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2016 ; 7
(41
): 67661-67673
Nephropedia Template TP
gab.com Text
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Twit Text #
English Wikipedia
Incidence and risk of hypertension associated with vascular endothelial growth
factor receptor tyrosine kinase inhibitors in cancer patients: a comprehensive
network meta-analysis of 72 randomized controlled trials involving 30013
patients
#MMPMID27602778
Liu B
; Ding F
; Liu Y
; Xiong G
; Lin T
; He D
; Zhang Y
; Zhang D
; Wei G
Oncotarget
2016[Oct]; 7
(41
): 67661-67673
PMID27602778
show ga
BACKGROUND: Tyrosine kinase inhibitors (TKIs) have been developed during the last
decade that target the vascular endothelial growth factor receptor (VEGFR) are
currently being evaluated as treatments for malignant tumors. The increased
application of VEGFR-TKIs means that the probability of hypertension is a serious
concern. However, the reported incidence varies markedly between clinical trials.
Here, we undertook an up-to-date, comprehensive meta-analysis on clinical works
to build the incidence of hypertension along with VEGFR-TKIs. The goal was to
understand better of the overall venture of cancer patients' hypertension treated
with these drugs. METHODS: Databases (EMBASE, PubMed, and Cochrane library) and
the abstracts of the American Society of Clinical Oncology annual meeting and
European Society of Medical Oncology were searched to identify related studies.
95% confidence intervals (CIs), summary incidences, and relative risk (RR) were
calculated utilizing either fixed-effects models on the basis of the
heterogeneity of the included studies or random-effects. RESULTS: Seventy-two
randomized controlled trials (including 30013 patients) were involved. The total
incidence of high-grade and all-grade hypertensive events along with VEGFR-TKIs
was 23.0% (95% CI, 20.1-26.0%) and 4.4% (95% CI, 3.7-5.0%), respectively. The use
of VEGFR-TKIs remarkably enhanced the venture of developing high-grade (RR, 4.60;
95% CI, 3.92-5.40; P < 0.001) and all-grade (RR, 3.85; 95% CI, 3.37-4.40; P <
0.001) hypertensive events. Subgroup analyses revealed that the risk of a
hypertensive event varied significantly in accordance with tumor type, VEGFR-TKI,
trial phase, VEGFR-TKIs-based regimen, control therapy, and chemotherapy regimen.
CONCLUSIONS: Patients with cancer that receive VEGFR-TKIs are at a remarkable
venture of developing hypertension. Therefore, suitable treatment and monitoring
should be introduced to avoid cardiovascular complications.