Table 2. Meta analysis summary of adverse events.
AE | Number of studies | Number of evaluable patients | Number of patients with AE | Random effects toxicity rate (%) | Random effects 95% confidence interval | Heterogeneity p-value |
I2 |
---|---|---|---|---|---|---|---|
Any AE | 10 | 1450 | 1435 | 98.4 | 96.9–99.2 | 0.12 | 36.5 |
Any Serious AE | 9 | 1198 | 430 | 34.5 | 28.1–41.6 | < 0.001 | 82.6 |
Any Grade 3/4 AE | 8 | 1147 | 751 | 64.0 | 47.1–78.0 | < 0.001 | 96.1 |
Diarrhea | 15 | 2005 | 1133 | 54.4 | 40.5–67.6 | < 0.001 | 96.5 |
Diarrhea 3/4 | 15 | 2005 | 49 | 2.6 | 1.6–4.2 | 0.013 | 50.7 |
Nausea | 15 | 2005 | 1087 | 51.5 | 29.5–63.3 | < 0.001 | 95.8 |
Nausea 3/4 | 15 | 2005 | 53 | 2.5 | 1.6–4.1 | 0.003 | 56.9 |
Vomiting | 15 | 2005 | 852 | 38.3 | 29.1–48.3 | < 0.001 | 94.3 |
Vomiting 3/4 | 15 | 2005 | 51 | 2.7 | 1.8–4.2 | 0.025 | 46.4 |
Constipation | 14 | 1973 | 618 | 31.0 | 26.5–35.8 | < 0.001 | 79.7 |
Constipation 3/4 | 14 | 1973 | 12 | 1.2 | 0.7–1.9 | 0.68 | 0.0 |
Fatigue | 14 | 1901 | 533 | 27.2 | 22.9–31.9 | < 0.001 | 78.8 |
Fatigue 3/4 | 14 | 1901 | 54 | 3.2 | 2.0–5.0 | 0.004 | 57.7 |
ALT | 12 | 1552 | 502 | 28.2 | 19.8–38.3 | < 0.001 | 93.5 |
ALT 3/4 | 12 | 1552 | 239 | 11.1 | 7.1–16.9 | < 0.001 | 89.4 |
AST | 13 | 1662 | 447 | 24.8 | 18.3–32.5 | < 0.001 | 90.7 |
AST 3/4 | 13 | 1662 | 125 | 6.8 | 4.6–9.9 | < 0.001 | 74.5 |
QTc | 5 | 477 | 40 | 8.6 | 4.9–14.8 | 0.04 | 60.1 |
QTc 3/4 | 11 | 1558 | 28 | 2.1 | 1.2–3.6 | 0.061 | 43.4 |
ILD | 9 | 1255 | 26 | 2.2 | 1.2–4.0 | 0.04 | 50.5 |
ILD 3/4 | 10 | 1346 | 17 | 1.9 | 1.2–3.0 | 0.54 | 0 |
Abbreviations: AE = Adverse Event; ALT = Alanine Aminotransferase; AST = Aspartate Aminotransferase; ILD = Interstial Lung Disease.
*Meta-analyses were conducted using one-sample proportions to obtain random effects, estimates of toxicity rates and 95% confidence intervals. Heterogeneity was assessed by the Q chi square statistic. p ≤ 0.05 was considered statistically significant.
The percent of total variance for study heterogeneity was estimated using the I squared (I2) statistic. Analyses were conducted using Comprehensive Meta-Analysis software package (Comprehensive Meta-Analysis, Version 3.3.070, 2014, Biostatic; Englewood NJ).