已发表论文

Durvalumab(MEDI4736)治疗各种实体瘤的安全性和有效性

 

Authors Yang H, Shen K, Zhu C, Li Q, Zhao Y, Ma X

Received 11 January 2018

Accepted for publication 27 March 2018

Published 6 July 2018 Volume 2018:12 Pages 2085—2096

DOI https://doi.org/10.2147/DDDT.S162214

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Cristina Weinberg

Peer reviewer comments 3

Editor who approved publication: Dr Qiongyu Guo

Introduction: The prominent immune checkpoint molecule, programmed cell death ligand-1 (PD-L1), is the object of increasing attention. Here, we report a meta-analysis investigating the safety and efficacy of durvalumab (MEDI4736), an inhibitor of PD-L1, in various solid tumors. 
Methods: A systematic search of PubMed, Embase, and related articles was performed. Safety data were analyzed using Comprehensive Meta-Analysis software program version 2. Ultimately, 17 studies with 1,529 patients were included in our analysis. 
Results: The major adverse events associated with durvalumab were pruritus and fatigue, while pruritus, increased alanine transaminase, and increased aspartate aminotransferase were common among patients treated with a combination of durvalumab and tremelimumab. Higher PD-L1 expression was associated with a superior objective response rate. 
Conclusion: Durvalumab is safe in patients with many solid cancers and, in combination with tremelimumab, it has a tolerable safety profile and is associated with improved prognosis. PD-L1 expression is a biomarker of the efficacy of durvalumab.
Keywords: durvalumab, solid cancers, adverse effects, efficacy, meta-analysis




Figure 1 Flow chart illustrating the article searching process used for this study.