Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis

Abstract Background We aimed to clarify the benefits of the addition of rh‐endostatin into concurrent chemoradiotherapy (CCRT) versus CCRT alone for locally advanced non‐small cell lung cancer (NSCLC) by a meta‐analysis. Methods PubMed, Embase, Cochrane Central Register of Controlled Trials, Wanfang...

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Autores principales: Meng Yuan, Yirui Zhai, Yu Men, Jianyang Wang, Lei Deng, Wenqing Wang, Yongxing Bao, Xu Yang, Shuang Sun, Zeliang Ma, Yunsong Liu, Jun Wang, Hui Zhu, Zhouguang Hui
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Publicado: Wiley 2021
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Acceso en línea:https://doaj.org/article/a597e61c70d744ec9bc1c2305f16b691
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spelling oai:doaj.org-article:a597e61c70d744ec9bc1c2305f16b6912021-12-02T02:34:55ZEndostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis1759-77141759-770610.1111/1759-7714.14188https://doaj.org/article/a597e61c70d744ec9bc1c2305f16b6912021-12-01T00:00:00Zhttps://doi.org/10.1111/1759-7714.14188https://doaj.org/toc/1759-7706https://doaj.org/toc/1759-7714Abstract Background We aimed to clarify the benefits of the addition of rh‐endostatin into concurrent chemoradiotherapy (CCRT) versus CCRT alone for locally advanced non‐small cell lung cancer (NSCLC) by a meta‐analysis. Methods PubMed, Embase, Cochrane Central Register of Controlled Trials, Wanfang and Chinese National Knowledge Infrastructure (CNKI) were systematically screened from inception to November 2020 using the prespecified terms. Prospective trials (evaluating or) comparing the efficacy of endostar combined with CCRT and CCRT for locally advanced NSCLC were included. The primary endpoints were risk ratios (RRs) for objective response rate (ORR) and disease control rate (DCR). The secondary endpoints were RRs for overall survival (OS) and adverse events (AEs). Results Ten studies with 716 patients were included in this meta‐analysis. Endostar combined with CCRT significantly improved ORR and DCR compared with CCRT. The RRs of ORR and DCR for endostar combined with CCRT versus CCRT were 1.263 (95% CI: 1.137–1.403, p < 0.001) and 1.274 (95% CI: 1.124–1.444, p < 0.001), respectively. Endostar combined with CCRT significantly improved one‐year survival rate compared with CCRT with pooled RR = 1.113 (95% CI: 1.006–1.231, p = 0.038). Endostar combination treatments had similar incidences of main adverse events compared with CCRT (p > 0.05). Conclusion Endostar combined with CCRT is associated with significantly higher ORR, DCR and survival rate than CCRT with similar incidences of main adverse events in NSCLC.Meng YuanYirui ZhaiYu MenJianyang WangLei DengWenqing WangYongxing BaoXu YangShuang SunZeliang MaYunsong LiuJun WangHui ZhuZhouguang HuiWileyarticlechemoradiotherapyendostarmeta‐analysisNSCLCNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENThoracic Cancer, Vol 12, Iss 23, Pp 3208-3215 (2021)
institution DOAJ
collection DOAJ
language EN
topic chemoradiotherapy
endostar
meta‐analysis
NSCLC
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle chemoradiotherapy
endostar
meta‐analysis
NSCLC
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Meng Yuan
Yirui Zhai
Yu Men
Jianyang Wang
Lei Deng
Wenqing Wang
Yongxing Bao
Xu Yang
Shuang Sun
Zeliang Ma
Yunsong Liu
Jun Wang
Hui Zhu
Zhouguang Hui
Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
description Abstract Background We aimed to clarify the benefits of the addition of rh‐endostatin into concurrent chemoradiotherapy (CCRT) versus CCRT alone for locally advanced non‐small cell lung cancer (NSCLC) by a meta‐analysis. Methods PubMed, Embase, Cochrane Central Register of Controlled Trials, Wanfang and Chinese National Knowledge Infrastructure (CNKI) were systematically screened from inception to November 2020 using the prespecified terms. Prospective trials (evaluating or) comparing the efficacy of endostar combined with CCRT and CCRT for locally advanced NSCLC were included. The primary endpoints were risk ratios (RRs) for objective response rate (ORR) and disease control rate (DCR). The secondary endpoints were RRs for overall survival (OS) and adverse events (AEs). Results Ten studies with 716 patients were included in this meta‐analysis. Endostar combined with CCRT significantly improved ORR and DCR compared with CCRT. The RRs of ORR and DCR for endostar combined with CCRT versus CCRT were 1.263 (95% CI: 1.137–1.403, p < 0.001) and 1.274 (95% CI: 1.124–1.444, p < 0.001), respectively. Endostar combined with CCRT significantly improved one‐year survival rate compared with CCRT with pooled RR = 1.113 (95% CI: 1.006–1.231, p = 0.038). Endostar combination treatments had similar incidences of main adverse events compared with CCRT (p > 0.05). Conclusion Endostar combined with CCRT is associated with significantly higher ORR, DCR and survival rate than CCRT with similar incidences of main adverse events in NSCLC.
format article
author Meng Yuan
Yirui Zhai
Yu Men
Jianyang Wang
Lei Deng
Wenqing Wang
Yongxing Bao
Xu Yang
Shuang Sun
Zeliang Ma
Yunsong Liu
Jun Wang
Hui Zhu
Zhouguang Hui
author_facet Meng Yuan
Yirui Zhai
Yu Men
Jianyang Wang
Lei Deng
Wenqing Wang
Yongxing Bao
Xu Yang
Shuang Sun
Zeliang Ma
Yunsong Liu
Jun Wang
Hui Zhu
Zhouguang Hui
author_sort Meng Yuan
title Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
title_short Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
title_full Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
title_fullStr Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
title_full_unstemmed Endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: A systematic review and meta‐analysis
title_sort endostar (rh‐endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non‐small cell lung cancer: a systematic review and meta‐analysis
publisher Wiley
publishDate 2021
url https://doaj.org/article/a597e61c70d744ec9bc1c2305f16b691
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