Incidence and risk of proteinuria associated with newly approved vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: an up-to-date meta-analysis of randomized controlled trials
Objective: We performed a meta-analysis to quantify the overall incidence and risk of proteinuria associated with five newly approved VEGFR-TKIs (regorafenib, vandetanib, cabozantinib, lenvatinib, axitinib) in cancer patients. Methods: Pubmed, Embase, ASCO abstracts, and ESMO abstracts were searched to identify relevant studies. Overall incidence rates, relative risk (RR), and 95% confidence intervals (CI) were estimated using random or fixed effects models according to the heterogeneity of included studies. Results: A total of 9,446 patients from 20 RCTs were included for the meta-analysis. The use of newly approved VEGFR-TKIs was associated with an increased risk of all-grade (RR 2.35, 95% CI 1.69-3.27, P < 0.001) and high-grade (RR 3.70, 95% CI 2.09-6.54, P < 0.001) proteinuria. On subgroup analysis, lenvatinib, axitinib, and vandetanib significantly increased the risk of all-grade proteinuria, and lenvatinib was associated with an increased risk of high-grade proteinuria. In addition, the risk of developing high-grade proteinuria events was significant for patients with hepatocellular carcinoma (HCC) and renal cell carcinoma (RCC), but not for patients with colorectal cancer (CRC) and thyroid cancer (TC). Conclusion: Treatment with newly approved VEGFR-TKIs significantly increases the risk of developing proteinuria events in cancer patients, especially for patients treated with lenvatinib.
第一作者机构:[1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Pathol, Shanghai, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[2]Hebei Univ, Affiliated Hosp, Dept Radiotherapy, Baoding, Peoples R China[*1]Hebei Univ, Affiliated Hosp, Dept Radiat Oncol, 212 East Yuhua Rd, Baoding 071000, Hebei, Peoples R China
推荐引用方式(GB/T 7714):
Zhang Wei,Feng Li-Jin,Teng Fei,et al.Incidence and risk of proteinuria associated with newly approved vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: an up-to-date meta-analysis of randomized controlled trials[J].EXPERT REVIEW OF CLINICAL PHARMACOLOGY.2020,13(3):311-320.doi:10.1080/17512433.2020.1734450.
APA:
Zhang, Wei,Feng, Li-Jin,Teng, Fei,Li, Yan-Hong,Zhang, Xi&Ran, Yu-Ge.(2020).Incidence and risk of proteinuria associated with newly approved vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: an up-to-date meta-analysis of randomized controlled trials.EXPERT REVIEW OF CLINICAL PHARMACOLOGY,13,(3)
MLA:
Zhang, Wei,et al."Incidence and risk of proteinuria associated with newly approved vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: an up-to-date meta-analysis of randomized controlled trials".EXPERT REVIEW OF CLINICAL PHARMACOLOGY 13..3(2020):311-320