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. 2026 Aug 19;17:1862751. doi: 10.3389/fimmu.2026.1862751

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