Weekly versus biweekly bortezomib given in patients with indolent non-Hodgkin lymphoma: A meta-analysis

Autor: Ting Yuan, Xin Wang, Qing-Min Yao, Feng Zhang, Yan-Xia Liu, Xiao-juan Zhu
Jazyk: angličtina
Rok vydání: 2017
Předmět:
Oncology
Male
lcsh:Medicine
Toxicology
Pathology and Laboratory Medicine
Hematologic Cancers and Related Disorders
Bortezomib
Database and Informatics Methods
White Blood Cells
0302 clinical medicine
Mathematical and Statistical Techniques
Animal Cells
immune system diseases
hemic and lymphatic diseases
Indolent Non-Hodgkin Lymphoma
Medicine and Health Sciences
Database Searching
lcsh:Science
Clinical Trials as Topic
Multidisciplinary
Lymphoma
Non-Hodgkin

Nausea
Hematology
Middle Aged
Treatment Outcome
Research Design
030220 oncology & carcinogenesis
Physical Sciences
Lymphomas
Female
medicine.symptom
Cellular Types
Statistics (Mathematics)
medicine.drug
Research Article
Diarrhea
medicine.medical_specialty
Neutropenia
Clinical Research Design
Immune Cells
Immunology
Antineoplastic Agents
Gastroenterology and Hepatology
Research and Analysis Methods
Drug Administration Schedule
03 medical and health sciences
Signs and Symptoms
Diagnostic Medicine
Internal medicine
medicine
Humans
Statistical Methods
Adverse effect
Survival analysis
Aged
Blood Cells
Toxicity
business.industry
lcsh:R
Cancers and Neoplasms
Biology and Life Sciences
Cell Biology
medicine.disease
Survival Analysis
Lymphoma
Clinical trial
lcsh:Q
Adverse Events
business
Mathematics
030215 immunology
Meta-Analysis
Zdroj: PLoS ONE, Vol 12, Iss 5, p e0177950 (2017)
PLoS ONE
ISSN: 1932-6203
Popis: Background Bortezomib is recently studied as a novel agent in indolent lymphoma. The optimal schedule of bortezomib used in indolent lymphoma is still uncertain. Methods We did a systematic review and meta-analysis of the clinical trials comparing the efficacy and toxicity of the weekly and biweekly schedules of bortezomib in patients with indolent lymphoma. We searched Pubmed, Cochrane Library and Emabase from inception to July 29, 2016. The primary outcome was the overall response rate including the complete response rate and the partial response rate. The secondary outcomes were the proportions of patients in each group experiencing the adverse events including the neutropathy, fatigue, diarrhea, nausea and neutropenia. Findings After final screening, six trials were considered eligible for analysis. The results showed that the overall response rate of biweekly schedule was higher than that of weekly schedule in indolent lymphoma (OR 1.691;95%CI 1.02-2.80). Furthermore, there were no significant differences between the two schedules of bortezomib for the main adverse events. Interpretation The biweekly schedule of bortezomib was more effective than the weekly schedule in indolent lymphoma, with similar proportion of toxicities.
Databáze: OpenAIRE