Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs)
Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases,...
Ausführliche Beschreibung
Autor*in: |
Liu, J. [verfasserIn] Wu, Q. [verfasserIn] Wu, S. [verfasserIn] Xie, X. [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
Immune checkpoint inhibitors (ICIs) |
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Anmerkung: |
© Federación de Sociedades Españolas de Oncología (FESEO) 2021 |
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Übergeordnetes Werk: |
Enthalten in: Revista de oncología - Barcelona : Doyma, 2000, 23(2021), 9 vom: 13. Apr., Seite 1782-1793 |
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Übergeordnetes Werk: |
volume:23 ; year:2021 ; number:9 ; day:13 ; month:04 ; pages:1782-1793 |
Links: |
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DOI / URN: |
10.1007/s12094-021-02579-9 |
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Katalog-ID: |
SPR044656297 |
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520 | |a Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. | ||
650 | 4 | |a Immune checkpoint inhibitors (ICIs) |7 (dpeaa)DE-He213 | |
650 | 4 | |a Hyperprogressive disease (HPD) |7 (dpeaa)DE-He213 | |
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10.1007/s12094-021-02579-9 doi (DE-627)SPR044656297 (SPR)s12094-021-02579-9-e DE-627 ger DE-627 rakwb eng 610 ASE Liu, J. verfasserin aut Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Federación de Sociedades Españolas de Oncología (FESEO) 2021 Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. Immune checkpoint inhibitors (ICIs) (dpeaa)DE-He213 Hyperprogressive disease (HPD) (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Survival analysis (dpeaa)DE-He213 Wu, Q. verfasserin aut Wu, S. verfasserin aut Xie, X. verfasserin aut Enthalten in Revista de oncología Barcelona : Doyma, 2000 23(2021), 9 vom: 13. Apr., Seite 1782-1793 (DE-627)385985452 (DE-600)2143451-7 1578-195X nnns volume:23 year:2021 number:9 day:13 month:04 pages:1782-1793 https://dx.doi.org/10.1007/s12094-021-02579-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 23 2021 9 13 04 1782-1793 |
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10.1007/s12094-021-02579-9 doi (DE-627)SPR044656297 (SPR)s12094-021-02579-9-e DE-627 ger DE-627 rakwb eng 610 ASE Liu, J. verfasserin aut Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Federación de Sociedades Españolas de Oncología (FESEO) 2021 Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. Immune checkpoint inhibitors (ICIs) (dpeaa)DE-He213 Hyperprogressive disease (HPD) (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Survival analysis (dpeaa)DE-He213 Wu, Q. verfasserin aut Wu, S. verfasserin aut Xie, X. verfasserin aut Enthalten in Revista de oncología Barcelona : Doyma, 2000 23(2021), 9 vom: 13. Apr., Seite 1782-1793 (DE-627)385985452 (DE-600)2143451-7 1578-195X nnns volume:23 year:2021 number:9 day:13 month:04 pages:1782-1793 https://dx.doi.org/10.1007/s12094-021-02579-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 23 2021 9 13 04 1782-1793 |
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10.1007/s12094-021-02579-9 doi (DE-627)SPR044656297 (SPR)s12094-021-02579-9-e DE-627 ger DE-627 rakwb eng 610 ASE Liu, J. verfasserin aut Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Federación de Sociedades Españolas de Oncología (FESEO) 2021 Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. Immune checkpoint inhibitors (ICIs) (dpeaa)DE-He213 Hyperprogressive disease (HPD) (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Survival analysis (dpeaa)DE-He213 Wu, Q. verfasserin aut Wu, S. verfasserin aut Xie, X. verfasserin aut Enthalten in Revista de oncología Barcelona : Doyma, 2000 23(2021), 9 vom: 13. Apr., Seite 1782-1793 (DE-627)385985452 (DE-600)2143451-7 1578-195X nnns volume:23 year:2021 number:9 day:13 month:04 pages:1782-1793 https://dx.doi.org/10.1007/s12094-021-02579-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 23 2021 9 13 04 1782-1793 |
allfieldsGer |
10.1007/s12094-021-02579-9 doi (DE-627)SPR044656297 (SPR)s12094-021-02579-9-e DE-627 ger DE-627 rakwb eng 610 ASE Liu, J. verfasserin aut Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Federación de Sociedades Españolas de Oncología (FESEO) 2021 Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. Immune checkpoint inhibitors (ICIs) (dpeaa)DE-He213 Hyperprogressive disease (HPD) (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Survival analysis (dpeaa)DE-He213 Wu, Q. verfasserin aut Wu, S. verfasserin aut Xie, X. verfasserin aut Enthalten in Revista de oncología Barcelona : Doyma, 2000 23(2021), 9 vom: 13. Apr., Seite 1782-1793 (DE-627)385985452 (DE-600)2143451-7 1578-195X nnns volume:23 year:2021 number:9 day:13 month:04 pages:1782-1793 https://dx.doi.org/10.1007/s12094-021-02579-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 23 2021 9 13 04 1782-1793 |
allfieldsSound |
10.1007/s12094-021-02579-9 doi (DE-627)SPR044656297 (SPR)s12094-021-02579-9-e DE-627 ger DE-627 rakwb eng 610 ASE Liu, J. verfasserin aut Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Federación de Sociedades Españolas de Oncología (FESEO) 2021 Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. Immune checkpoint inhibitors (ICIs) (dpeaa)DE-He213 Hyperprogressive disease (HPD) (dpeaa)DE-He213 Predictors (dpeaa)DE-He213 Survival analysis (dpeaa)DE-He213 Wu, Q. verfasserin aut Wu, S. verfasserin aut Xie, X. verfasserin aut Enthalten in Revista de oncología Barcelona : Doyma, 2000 23(2021), 9 vom: 13. Apr., Seite 1782-1793 (DE-627)385985452 (DE-600)2143451-7 1578-195X nnns volume:23 year:2021 number:9 day:13 month:04 pages:1782-1793 https://dx.doi.org/10.1007/s12094-021-02579-9 lizenzpflichtig Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_90 GBV_ILN_95 GBV_ILN_100 GBV_ILN_105 GBV_ILN_120 GBV_ILN_152 GBV_ILN_161 GBV_ILN_171 GBV_ILN_187 GBV_ILN_224 GBV_ILN_250 GBV_ILN_281 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_702 AR 23 2021 9 13 04 1782-1793 |
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Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. 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Investigation on potential biomarkers of hyperprogressive disease (HPD) triggered by immune checkpoint inhibitors (ICIs) |
abstract |
Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. © Federación de Sociedades Españolas de Oncología (FESEO) 2021 |
abstractGer |
Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. © Federación de Sociedades Españolas de Oncología (FESEO) 2021 |
abstract_unstemmed |
Purpose This project aimed to survey the clinical characteristics and survivals of hyperprogressive disease (HPD) mediated by immune checkpoint inhibitors (ICIs) in an attempt to explore the potential predictors. Methods After searching PubMed, MEDLINE, Google Scholar and Cochrane Library databases, 12 studies incorporating 1766 individuals were enrolled. The data were analyzed with Review manager 5.3 software. Results The results revealed HPD correlated with previous metastatic sites > 2 (OR = 1.86, 95% CI 1.33–2.59, P = 0.0003), liver metastasis (OR = 3.35, 95% CI 2.09–5.35, P < 0.00001), Royal Marsden Hospital (RMH) score ≥ 2 (OR = 2.80, 95% CI 1.85–4.23, P < 0.00001), higher ECOG PS (OR = 1.60, 95% CI 1.13–2.27, P = 0.008) and LDH > upper limits of normal (ULN) (OR = 2.32, 95% CI 1.51–3.58, P = 0.0001). Instead, HPD was unrelated to gender, age, smoking status, PD-L1 expression, therapy, neutrophil-to-lymphocyte ratio, the histology, the status of EGFR, ALK and KRAS in non-small cell lung cancer and HER-2 expression in advanced gastric cancer. Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. Moreover, HPD was correlated with a poor OS and PFS in patients following ICI therapy. © Federación de Sociedades Españolas de Oncología (FESEO) 2021 |
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Moreover, HPD was evidently correlated with a shorter OS (HR = 2.92, 95% CI 1.79–4.76, P < 0.0001) and PFS (HR = 3.62, 95% CI 2.79–4.68, P < 0.00001). The same phenomena existed in stratified studies based on study regions and tumor types. Conclusions This study demonstrated that HPD was related to the number of prior metastatic sites > 2, liver metastasis, RMH score ≥ 2, higher ECOG PS score and LDH > ULN. 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