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Antiangiogenic Drugs Used With Chemotheropy For Patients With Recurrent Ovarian Cancer:a Meta-analysis

Posted on:2018-02-25Degree:MasterType:Thesis
Country:ChinaCandidate:S Y YiFull Text:PDF
GTID:2334330518452745Subject:Obstetrics and gynecology
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Objective The value of antiangiogenic inhibitors for patients with recurrent ovarian cancer has not been completely affirmed.Therefore,we aimed to assess the effectiveness and toxicities of various antiangiogenic drugs for the treatment of recurrent ovarian cancer.Method In this meta-analysis,we searched PubMed,EMBASE,and the Cochrane Central Register of Controlled Trials for complete randomized controlled trials(RCTs).The searches were extended to March 15,2017.The risk of bias of the included studies was evaluated via a Cochrane systematic evaluation,and the statistical analyses were performed using RevMan 5.2software.Results In total,we included 8 randomized controlled trials involving 3,211 patients and divided them into 3 groups,vascular endothelial growth factor receptor inhibitors(VEGFRIs),vascular endothelial growth factor(VEGF)inhibitors(bevacizumab),and angiopoietin inhibitors(trebananib).The progression-free survival improved significantly in all the groups being given antiangiogenic drugs(hazard ratio [HR]: 0.55,95% confidence interval [CI]:0.45–0.67,I2=0%,P,0.00001 for the VEGFRI group;HR: 0.53,95% CI: 0.45–0.63,I2=51%,P,0.00001 for the VEGF inhibitor group;HR: 0.67,95% CI:0.58–0.77,I2=0%,P,0.00001 for the trebananib group).Overall survival was obviously prolonged in the VEGFRI(HR: 0.76,95% CI: 0.59–0.97,I2=0%,P=0.03),the VEGF inhibitor(HR: 0.87,95% CI: 0.77–0.99,I2=0%,P=0.03),and trebananib groups(HR: 0.81,95% CI: 0.67–0.99,I2=0%,P=0.04).The incidence of grade 3/4 side effects was different among the 3 groups,for example,proteinuria,hypertension,gastrointestinal perforation,and arterial thromboembolism were presented in the VEGF inhibitor group.Increased incidences of fatigue,diarrhea,and hypertension were seen in the VEGFRI group,and the trebananib group had a higher incidence of hypokalemia.Conclusion Antiangiogenic drugs improved the progression free survival and overall survival.Adding antiangiogenic drugs to chemotherapy treatment resulted in a higher incidence of grade 3/4 side effects.
Keywords/Search Tags:antiangiogenesis, recurrent ovarian cancer, progression-free survival, overall survival, toxicity
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