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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

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机构: [1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Pathol, Shanghai, Peoples R China [2]Hebei Univ, Affiliated Hosp, Dept Radiotherapy, Baoding, Peoples R China
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关键词: VEGFR-TKIs proteinuria meta-analysis cancer patients RCTs

摘要:
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.

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出版当年[2021]版
大类 | 3 区 医学
小类 | 3 区 药学
最新[2025]版
大类 | 3 区 医学
小类 | 3 区 药学
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出版当年[2020]版:
Q1 PHARMACOLOGY & PHARMACY
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Q2 PHARMACOLOGY & PHARMACY

影响因子: 最新[2023版] 最新五年平均 出版当年[2020版] 出版当年五年平均 出版前一年[2019版] 出版后一年[2021版]

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第一作者机构: [1]Tongji Univ, Sch Med, Shanghai Peoples Hosp 10, Dept Pathol, Shanghai, Peoples R China
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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
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