PD-1/PD-L1 Inhibitors Monotherapy for the Treatment of Endometrial Cancer : Meta-Analysis and Systematic Review

PURPOSE: The efficacy of programmed cell death protein 1(PD-1)/Programmed cell death 1 ligand 1 (PD-L1) inhibitors for endometrial cancer remain controversial, and guidelines are inconsistent on which are preferred therapies for advanced disease, or who develop metastases and recurrence. Therefore, we aimed to estimate the efficacy and safety of PD-1/PD-L1 inhibitors in endometrial cancer on a more complete database by adding multiple randomized trials.

METHODS: A systematic and comprehensive search was carried out in PD-1/PD-L1 inhibitors monotherapy.

RESULTS: The ORR of PD-1/PDL-1 inhibitors was 29%, and subgroup analysis showed that the pooled ORR of the proficient mismatch repair (pMMR) group was 4% and which was 45% of the deficient mismatch repair (dMMR) group. The DCR of PD-1/PD-L1 inhibitors was 48%, through subgroup analysis, we found that the DCR of the pMMR group was 21% and which was 58% of the dMMR group. The proportion of patients occurring overall adverse events was 65% and grade three or higher adverse events was 14%. The proficient mismatch repair (pMMR) group and the deficient mismatch repair (dMMR) group showed different results.

CONCLUSION: PD-1/PD-L1 inhibitors had shown little success in the pMMR population and better efficacy in the dMMR population.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:40

Enthalten in:

Cancer investigation - 40(2022), 3 vom: 26. März, Seite 293-309

Sprache:

Englisch

Beteiligte Personen:

Dai, Yun [VerfasserIn]
Muaibati, Munawaer [VerfasserIn]
Xie, Weiming [VerfasserIn]
Abasi, Abuduyilimu [VerfasserIn]
Li, Kexin [VerfasserIn]
Tong, Qing [VerfasserIn]
Zhang, Tao [VerfasserIn]
Meng, Yifan [VerfasserIn]
Zhuang, Liang [VerfasserIn]
Huang, Xiaoyuan [VerfasserIn]

Links:

Volltext

Themen:

Endometrial cancer
Immune Checkpoint Inhibitors
Immune therapy
Journal Article
Meta-Analysis
PD-L1 inhibitors
PD1 inhibitors
Systematic Review

Anmerkungen:

Date Completed 21.02.2022

Date Revised 01.05.2022

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1080/07357907.2021.2012188

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM333629787