Table 2.
Pooled incidence of common treatment-related adverse events (pooled rate ≥5%) in patients receiving pembrolizumab-based regimens.
| System/adverse event | No. of studies (k) | Events/total | Pooled rate (%) | 95% CI | I² (%) | p (Q test) |
|---|---|---|---|---|---|---|
| Hematologic | ||||||
| Neutrophil count decreased | 3 | 454/1730 | 24.9 | 10.3–49.0 | 98.5 | <0.001 |
| Anemia | 3 | 447/1730 | 24.7 | 19.0–31.4 | 90.1 | <0.001 |
| Neutropenia | 2 | 230/1289 | 17.8 | 15.8–20.0 | 0 | 0.774 |
| Decreased platelet count | 3 | 338/1730 | 15.7 | 5.2–38.9 | 97.4 | <0.001 |
| WBC decreased | 3 | 235/1730 | 12.7 | 5.9–25.2 | 96.2 | <0.001 |
| Thrombocytopenia | 2 | 110/1289 | 7.7 | 3.9–14.6 | 90.3 | 0.001 |
| Gastrointestinal | ||||||
| Nausea | 3 | 650/1730 | 36.9 | 30.6–43.6 | 87.2 | <0.001 |
| Diarrhea | 3 | 500/1730 | 27.6 | 15.8–43.7 | 96.8 | <0.001 |
| Decreased appetite | 3 | 392/1730 | 22.9 | 17.4–29.6 | 88.1 | <0.001 |
| Vomiting | 3 | 369/1730 | 19.7 | 13.5–27.9 | 93.8 | <0.001 |
| Stomatitis | 2 | 99/945 | 10.2 | 4.8–20.2 | 92.7 | <0.001 |
| Mucosal inflammation | 2 | 94/945 | 10 | 7.4–13.4 | 58.3 | 0.121 |
| Constipation | 2 | 68/945 | 7.1 | 4.1–12.1 | 81.3 | 0.021 |
| Dysgeusia | 2 | 49/945 | 5.2 | 4.0–6.8 | 0 | 0.531 |
| Skin | ||||||
| PPE syndrome | 3 | 343/1730 | 18.6 | 11.9–27.8 | 93.2 | <0.001 |
| Rash | 2 | 87/945 | 9.2 | 7.5–11.3 | 0 | 0.444 |
| Pruritus | 2 | 80/945 | 8.5 | 6.8–10.7 | 16 | 0.275 |
| Constitutional | ||||||
| Fatigue | 3 | 375/1730 | 21.8 | 19.6–24.1 | 17.2 | 0.299 |
| Asthenia | 3 | 178/1730 | 9.9 | 6.8–14.1 | 81 | 0.005 |
| Weight decreased | 2 | 95/945 | 9.1 | 2.8–26.1 | 96.4 | <0.001 |
| Hepatic | ||||||
| AST increased | 2 | 220/1226 | 17.9 | 15.9–20.2 | 0 | 0.772 |
| ALT increased | 2 | 171/1226 | 14.2 | 11.5–17.3 | 52.8 | 0.145 |
| Bilirubin increased | 2 | 113/1226 | 9.2 | 7.4–11.3 | 25.6 | 0.246 |
| Endocrine | ||||||
| Hypothyroidism | 3 | 273/1730 | 15.3 | 7.7–28.2 | 96.7 | <0.001 |
| Neurologic | ||||||
| Peripheral neuropathy | 3 | 245/1730 | 11.9 | 5.3–24.6 | 95.5 | <0.001 |
| Peripheral sensory neuropathy | 3 | 224/1730 | 11.4 | 6.5–19.5 | 93.5 | <0.001 |