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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Immunol+Res
2018 ; 2018
(ä): 1027323
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Risk of Immune-Related Pancreatitis in Patients with Solid Tumors Treated with
Immune Checkpoint Inhibitors: Systematic Assessment with Meta-Analysis
#MMPMID29971244
Su Q
; Zhang XC
; Zhang CG
; Hou YL
; Yao YX
; Cao BW
J Immunol Res
2018[]; 2018
(ä): 1027323
PMID29971244
show ga
We performed a systematic review and meta-analysis to determine the risk of
immune-related pancreatitis associated with the treatment by immune checkpoint
inhibitors (ICIs) for solid tumors. Eligible studies were selected from multiple
databases including phase II/III randomized controlled trials (RCTs) with ICIs in
solid tumor patients. The data were analyzed with Stata version 12.0 software.
After excluding ineligible studies, a total of 15 clinical trials were considered
eligible for the meta-analysis, which included 9099 patients. Compared with
chemotherapy or placebo, the risk ratio (RR) for all-grade lipase elevation after
CTLA-4 inhibitor treatment was 1.05 (95% confidence interval (CI): 1.01-2.24, p =
0.047). However, the risk for pancreatitis after ICI treatment in any subgroup
was not significantly higher than that after control therapy. In addition,
compared with ipilimumab/nivolumab alone, the RR for all-grade and high-grade
lipase elevation under combination treatment of nivolumab and ipilimumab was 6.43
(95% CI: 1.43-28.99, p = 0.015) and 6.44 (95% CI: 1.39-29.79, p = 0.017),
respectively, and the RR for all-grade amylase elevation under combination
treatment was 6.08 (95% CI: 1.51-24.44, p = 0.011). Our meta-analysis has
demonstrated that both CTLA-4 inhibitors alone and combination treatment of
nivolumab and ipilimumab could increase the risk of amylase or lipase elevation,
but not significantly increase the risk of pancreatitis when compared with
controls.
|Amylases/blood
[MESH]
|Antineoplastic Agents, Immunological/administration & dosage/*adverse
effects/therapeutic use
[MESH]