Congestive heart failure with vascular endothelial growth factor receptor tyrosine kinase inhibitors

被引:91
作者
Ghatalia, Pooja [1 ]
Morgan, Charity J. [2 ]
Je, Youjin [3 ]
Nguyen, Paul L. [4 ,5 ]
Quoc-Dien Trinh [4 ,5 ]
Choueiri, Toni K. [4 ,5 ]
Sonpavde, Guru [6 ]
机构
[1] Univ Alabama Birmingham, Dept Internal Med, Birmingham, AL USA
[2] Kyung Hee Univ, UAB Sch Publ Hlth, Dept Biostat, Seoul, South Korea
[3] Kyung Hee Univ, Dept Food & Nutr, Seoul, South Korea
[4] Brigham & Womens Hosp, Dana Farber Canc Inst, Boston, MA 02115 USA
[5] Harvard Univ, Sch Med, Boston, MA USA
[6] UAB Med Ctr, Sect Med Oncol, Dept Internal Med, Birmingham, AL 35233 USA
关键词
Vascular endothelial growth factor receptor; Tyrosine kinase inhibitors; Approved; Congestive heart failure; Meta-analysis; PHASE-III TRIAL; DOUBLE-BLIND; 1ST-LINE TREATMENT; CANCER-PATIENTS; SUNITINIB; METAANALYSIS; PLACEBO; SORAFENIB; RISK; PLUS;
D O I
10.1016/j.critrevonc.2014.12.008
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
A systematic review and meta-analysis was conducted to determine the relative risk (RR) of congestive heart failure (CHIP) associated with approved multi-targeted vascular endothelial growth factor receptor (VEGFR) tyrosine kinase inhibitors (TKI). Eligible studies included randomized trials comparing arms with and without an FDA-approved VEGFR TKI. Statistical analyses calculated the relative risk (RR) and 95% confidence intervals (CI). A total of 10,647 patients from 16 phase III trials and 5 phase II trials were selected. All grade CHIP occurred in 138 of 5752 (2.39%) patients receiving VEGFR TKIs and 37 of 4895 (0.75%) patients in the non-TKI group. High-grade CHF occurred in 17 of 1426(1.19%) patients receiving VEGFR TKIs and 8 of 1232(0.65%) patients in the non-TKI group. The RR of all grade and high-grade CHF for the TKI vs. no TKI arms was 2.69 (p<0.001; 95% CI: 1.86 to 3.87) and 1.65 (p=0.227, 95% CI: 0.73 to 3.70), respectively. The RR of relatively specific TKIs (axitinib) was similar to relatively non-specific TKIs (sunitinib, sorafenib, vandetanib, pazopanib). (C) 2014 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:228 / 237
页数:10
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