Table 2.
Impact of Anticancer Treatments on COVID-19 Severity
Summary of Select Studies Exploring the Impact of Cancer Treatments on COVID-19 Severity | ||||
---|---|---|---|---|
Study | Country/Countries | Cancer Types | Number of Patients With COVID-19 | Key Insights |
Grivas et al.42 | 95% in U.S. | All cancer | 4966 | Recent (past 3 mo) cytotoxic chemotherapy associated with severe COVID-19 (OR = 1.28) and 30-d mortality (OR = 1.61). Noncytotoxic anticancer therapies, including immunotherapy, targeted therapy, and endocrine therapy not associated with severe COVID-19 nor 30-d mortality |
Thoracic | 409 | |||
Kuderer et al.47 | U.S. | All cancer | 928 | No association between 30-d all-cause mortality and recent surgery, recent noncytotoxic therapy, or recent cytotoxic systemic therapy |
Thoracic | 91 | |||
Pinato et al.45 | UK, Italy, Spain, and Germany | All cancer | 890 | No association between cytotoxic chemotherapy, targeted therapy, or immunotherapy and COVID-19 severity |
Lee et al.44 | UK | All cancer | 800 | No significant mortality effect for recent (past 4 wk) chemotherapy, immunotherapy, hormonal therapy, targeted therapy, or radiotherapy |
Respiratory and intrathoracic organs | 90 | |||
Mehta et al.78 | U.S. | All cancer | 218 | Neither chemotherapy nor radiotherapy associated with |
Lung | 11 | increased case fatality rate | ||
Garassino et al.7 | Mostly Italy, Spain, and France | Thoracic cancer | 200 | In multivariable analysis, TKIs, chemotherapy, and immunotherapy, not associated with increased mortality |
Luo et al.41 | U.S. | Lung cancer | 102 | No observed impact of TKIs or chemotherapy and COVID-19 severity |
Luo et al.6 | U.S. | Lung cancer | 69 | No significant association between PD-1 blockade and COVID-19 severity |
Note: Active cancer treatments do not worsen COVID-19 outcomes in patients with cancer and COVID-19.
COVID-19, coronavirus disease 2019; PD-1, programmed cell death protein-1; TKI, tyrosine kinase inhibitor; U.S., United States; UK, United Kingdom.