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Risco de erupção cutânea em pacientes oncológicos tratados com inibidores da PD-1/PD-L1: Uma revisão sistemática atualizada e metanálise

Dermatologia
Imagem de arquivo, ilustrativa — não é do estudo. Linfócito T humano ao microscópio eletrônico de varredura (colorizado). NIAID · CC BY 2.0 · Wikimedia Commons

MetanáliseNível 1 · Evidência consolidadaMedicine10 jul 20260 citações

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Resumo original em inglês

O que aconteceu

This study was designed to assess the risk of programmed cell death-1 (PD-1) or programmed cell death ligand 1 (PD-L1) related rash in various situations.

Guided by Preferred Reporting Items for Systematic Reviews and Meta-Analyses, data on rash in clinical trials related to PD-1 or PD-L1 were collected to comprehensively evaluate its incidence risk in various situations.

O que encontraram

Ninety-five clinical trials, divided into 12 groups according to treatment regimens, were enrolled for the final comprehensive assessments and analyses. Compared with chemotherapy or placebo alone, both PD-1 and PD-L1 inhibitors increased the risk of developing rashes for all grades (odds ratio [OR] = 1.61, P = .0003; OR = 2.94, P < .00001). Whether used in combination with chemotherapy or other types of immunosuppressants, similar risk trends were observed (OR = 2.42, P < .00001; OR = 2.11, P = .0007; OR = 4.49, P < .00001; OR = 5.15, P = .0006; OR = 3.16, P = .0002).

Por que isso importa

Both PD-1 and PD-L1 increased the risk of rash occurrence, especially when used in combination with other immunosuppressive antitumor drugs.

Resumo publicado sob licença CC BY. A tradução para o português ainda não chegou a este estudo.

O estudo original

The risk of rash for cancer patients treated with PD-1/PD-L1 inhibitors: An updated systematic review and meta-analysis

Qunqun Jiang, Junru Liu, Zhuoqi Li, Chi Zhang, Qi Dang, Yuan Tian

Descritores MeSH

  • Immune Checkpoint Inhibitors
  • Exanthema
  • Neoplasms
  • B7-H1 Antigen
  • Programmed Cell Death 1 Receptor
  • Humans

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