论文已发表
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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