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. 2020 Nov;8(21):1404. doi: 10.21037/atm-20-4441

Table 2. Meta-analysis of toxicities in cancer patients receiving metformin plus standard treatment.

Toxicities N Metformin Placebo RR (95%CI) P value Heterogeneity
(I2, P value)
No ≥ Grade 3 No ≥ Grade 3
Neutropenia 4 56/165 64/162 0.86 (0.66–1.12) 0.258 14%, 0.315
Febrile neutropenia 2 2/75 7/71 0.22 (0.04–1.17) 0.076 0%, 0.734
Anemia 3 2/102 3/110 0.79 (0.18–3.49) 0.758 0%, 0.592
Thrombocytopenia 3 8/147 6/156 1.39 (0.51–3.78) 0.518 0%, 0.865
Nausea 4 7/234 4/232 1.52 (0.48–4.85) 0.479 0%, 0.900
Vomiting 6 9/345 5/343 1.363 (0.501–3.706) 0.544 0%, 0.609
Fatigue 4 10/216 7/226 1.50 (0.60–3.75) 0.386 0%, 0.407
Diarrhea 5 26/327 14/337 1.871 (1.002–3.494) 0.049 0%, 0.929
Mucotis 3 2/186 1/193 1.47 (0.30–7.31) 0.636 0%, 0.525
Infection 2 2/75 0/71 1.84 (0.10–33.82) 0.681 0%, –
Alopecia 3 1/147 3/156 0.46 (0.07–3.01) 0.417 0%, 0.403
Rash 2 8/171 12/172 0.67 (0.28–1.60) 0.369 0%, 0.985

N, number of included studies; RR, relative risk; CI: confidence interval.