Table 3.
Adverse events | N of studies | N of pts in mAb group | N of pts in control group | RR (95% CI) | P-valuea | Heterogeneity | |
---|---|---|---|---|---|---|---|
I2 | P-valuea | ||||||
Comparison 1: RT/CRT + anti-EGFR mAbs versus RT/CRT alone | |||||||
Leukopenia | 7 | 565 | 1147 | 0.99 (0.83-1.19) | 0.95 | 11% | 0.34 |
Thrombocytopenia | 5 | 438 | 1013 | 1.01 (0.53-1.95) | 0.97 | 13% | 0.33 |
Anemia | 5 | 477 | 1049 | 1.21 (0.68-2.15) | 0.52 | 9% | 0.35 |
Nausea/vomiting | 7 | 565 | 1147 | 0.95 (0.58-1.56) | 0.84 | 46% | 0.09 |
Liver dysfunction | 3 | 294 | 869 | 1.18 (0.55-2.54) | 0.68 | 0% | 0.66 |
Renal impairment | 1 | 189 | 689 | 0.87 (0.33-2.27) | 0.77 | NA | NA |
Radiodermatitis | 5 | 163 | 304 | 1.04 (0.81-1.35) | 0.74 | 0% | 0.68 |
Skin rash | 4 | 358 | 943 | 4.08 (1.59-10.47) | 0.003 | 70% | 0.02 |
Mucositis | 7 | 565 | 1152 | 1.84 (1.10-3.10) | 0.02 | 89% | < 0.001 |
Weight loss | 2 | 264 | 839 | 1.51 (0.95- 2.39) | 0.08 | 0% | 0.62 |
Comparison 2: RT + Concurrent Anti-EGFR mAbs Versus CCRT | |||||||
Leukopenia | 3 | 251 | 680 | 0.23 (0.10-0.53) | < 0.001 | 51% | 0.13 |
Thrombocytopenia | 4 | 279 | 712 | 0.27 (0.11-0.62) | 0.002 | 0% | 0.59 |
Anemia | 3 | 227 | 660 | 0.09 (0.03-0.33) | < 0.001 | 0% | 0.92 |
Nausea/vomiting | 4 | 279 | 712 | 0.10 (0.05-0.18) | < 0.001 | 10% | 0.34 |
Liver dysfunction | 3 | 227 | 660 | 1.41(0.10-20.76) | 0.80 | 60% | 0.08 |
Renal impairment | 3 | 227 | 660 | 0.20 (0.05-0.79) | 0.02 | 48% | 0.15 |
Radiodermatitis | 1 | 52 | 52 | 2.00 (0.19-21.38) | 0.57 | NA | NA |
Skin rash | 5 | 300 | 735 | 4.09 (1.21-13.87) | 0.02 | 63% | 0.03 |
Mucositis | 5 | 300 | 735 | 1.28 (0.97-1.68) | 0.08 | 61% | 0.04 |
Weight loss | 3 | 251 | 680 | 0.96 (0.64- 1.45) | 0.84 | 12% | 0.32 |
Abbreviations: N = number; pts = patients; anti-EGFR mAb = anti-epidermal growth factor receptor monoclonal antibody; RT = radiotherapy; CRT = chemoradiotherapy; CCRT = concurrent chemoradiotherapy; RR = risk ratio; CI = confidence interval; NA = not applicable. a Statistically significant results are shown in bold.