Attributable Risk of Infection to mTOR Inhibitors Everolimus and Temsirolimus in the Treatment of Cancer

被引:25
作者
Garcia, Christine A. [1 ]
Wu, Shenhong [2 ,3 ]
机构
[1] Univ Pittsburgh, Med Ctr, Dept Med, Div Hematol Oncol, Pittsburgh, PA USA
[2] Stony Brook Univ Hosp, Div Hematol Oncol, Dept Med, Stony Brook, NY USA
[3] Northport VA Med Ctr, Northport, NY USA
关键词
Infections; mTOR inhibitor; everolimus; temsirolimus; cancer; RENAL-CELL CARCINOMA; TUBEROUS SCLEROSIS COMPLEX; METASTATIC BREAST-CANCER; ADVERSE EVENT MANAGEMENT; PLACEBO-CONTROLLED TRIAL; CONTROLLED PHASE-3 TRIAL; DOUBLE-BLIND; GLIOBLASTOMA-MULTIFORME; NEUROENDOCRINE TUMORS; TARGETED THERAPIES;
D O I
10.1080/07357907.2016.1242009
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The risk of infection attributable to mTOR inhibitors has not been determined. Databases from PubMed and abstracts presented at the American Society of Clinical Oncology meetings were searched. Eligible studies included randomized controlled trials, in which everolimus or temsirolimus was compared with placebo. A total of 12 trials were included. The attributable incidences of all-grade and high-grade infections to mTOR inhibitors were 9.3% (95% confidence interval (CI): 5.8-14.6%) and 2.3% (95% CI: 1.2-4.4%) respectively. The risk varied widely with tumor types (p <.001). There was substantial risk of infection attributable to mTOR inhibitors everolimus and temsirolimus.
引用
收藏
页码:521 / 530
页数:10
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