Risk of gastrointestinal events with newly approved (after 2011) vascular endothelial growth factor receptor tyrosine kinase inhibitors in cancer patients: a meta-analysis of randomized controlled trials
| Autor: | Jian Gu, Jing Li |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Risk
Oncology medicine.medical_specialty Cabozantinib Gastrointestinal Diseases Nausea Antineoplastic Agents Pharmacology Vandetanib law.invention 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Randomized controlled trial law Neoplasms Regorafenib Internal medicine medicine Humans Pharmacology (medical) 030212 general & internal medicine Protein Kinase Inhibitors Randomized Controlled Trials as Topic business.industry Cancer General Medicine medicine.disease Axitinib Receptors Vascular Endothelial Growth Factor chemistry 030220 oncology & carcinogenesis medicine.symptom Lenvatinib business medicine.drug |
| Zdroj: | European Journal of Clinical Pharmacology. 73:1209-1217 |
| ISSN: | 1432-1041 0031-6970 |
| Popis: | We performed a meta-analysis to systematically review the gastrointestinal (GI) events (diarrhea, nausea, vomiting, anorexia) of five newly approved (after 2011) VEGFR-TKIs in cancer patients. The relevant studies of the randomized controlled trials (RCTs) in cancer patients treated with cabozantinib, vandetanib, lenvatinib, regorafenib, and axitinib were retrieved and the systematic evaluation was conducted. Forty-one randomized controlled trials and 10,860 patients were included. Current analysis suggested that the use of these agents increased the risk of all-grade and high-grade GI events, and the diarrhea was the most common GI events. The risk of all-grade and high-grade GI events varies significantly within drug types, tumor types, and VEGFR-TKIs-based regimens. The available data suggested that the use of the five newly approved VEGFR-TKIs may increase risk of GI events in cancer patients. Physicians and patients should be aware of these risks and frequent monitoring and careful management should be emphasized when managing these VEGFR-TKIs. |
| Databáze: | OpenAIRE |
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