1. Risk of severe hematologic toxicities in cancer patients treated with PARP inhibitors: a meta-analysis of randomized controlled trials.
- Author
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Zhou JX, Feng LJ, and Zhang X
- Subjects
- Anemia chemically induced, Anemia epidemiology, Antineoplastic Agents administration & dosage, Hematologic Diseases epidemiology, Humans, Incidence, Neoplasms drug therapy, Neutropenia chemically induced, Neutropenia epidemiology, Poly(ADP-ribose) Polymerase Inhibitors administration & dosage, Randomized Controlled Trials as Topic, Risk, Thrombocytopenia chemically induced, Thrombocytopenia epidemiology, Antineoplastic Agents adverse effects, Hematologic Diseases chemically induced, Poly(ADP-ribose) Polymerase Inhibitors adverse effects
- Abstract
Purpose: Hematologic toxicities, including neutropenia, thrombocytopenia, and anemia, are major adverse effects of PARP inhibitors (PARPis), but the incidence rate and overall risk has not been systematically studied. Therefore, we conducted a meta-analysis of published clinical trials to investigate the incidence and relative risks (RRs) of severe (high-grade) hematologic events in cancer patients treated with PARPis., Methods: PubMed, Embase, and oncology conference proceedings were searched for relevant studies. Eligible studies were Phase II and III randomized controlled trials (RCTs) of PARPis in cancer patients with adequate safety data on hematologic toxicities. The summary incidence, RRs, and 95% confidence intervals (CIs) were calculated., Results: A total of 2,479 patients from 12 RCTs revealed that the incidence of PARPi-associated severe hematologic toxicities was, respectively: neutropenia: 32.9% (95% CI, 20.5%-48.3%); thrombocytopenia: 15.9% (95% CI, 9.5%-25.4%), and anemia: 9.1% (95% CI, 5.1%-15.7%). Olaparib was associated with an increased risk of severe neutropenia. Veliparib was associated with an increased risk of severe neutropenia and thrombocytopenia. Niraparib was associated with an increased risk of severe thrombocytopenia, anemia, and neutropenia. When stratified by combination therapy, significantly increased risk of hematologic toxicities was observed for patients treated with PARPis monotherapy and PARPis combined with single-agent chemotherapy., Conclusion: Treatment with PARPis olaparib, veliparib, and niraparib is associated with a significant increase in the risk of hematologic toxicities in cancer patients, and frequent clinical monitoring should be emphasized when managing these PARPis., Competing Interests: Disclosure The authors report no conflicts of interest in this work.
- Published
- 2017
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