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. 2022 Sep 27;2022(9):CD014638. doi: 10.1002/14651858.CD014638.pub2

Comparison 1. Dexrazoxane versus no dexrazoxane or placebo.

Outcome or subgroup title No. of studies No. of participants Statistical method Effect size
1.1 Clinical heart failure available‐case 10   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.1.1 Adults 7 1221 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.11, 0.43]
1.1.2 Children 3 885 Risk Ratio (M‐H, Random, 95% CI) 0.20 [0.01, 4.19]
1.2 Clinical heart failure best‐case 10   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.2.1 Adults 7 1249 Risk Ratio (M‐H, Random, 95% CI) 0.22 [0.11, 0.43]
1.2.2 Children 3 959 Risk Ratio (M‐H, Random, 95% CI) 0.20 [0.01, 4.19]
1.3 Clinical heart failure worst‐case 10   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.3.1 Adults 7 1249 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.21, 0.84]
1.3.2 Children 3 959 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.68, 1.43]
1.4 Cardiomyopathy/heart failure primary cause of death available‐case (best‐case and worst‐case identical results) 3 1008 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.4.1 Children 3 1008 Risk Ratio (M‐H, Random, 95% CI) Not estimable
1.5 Heart failure (i.e. clinical heart failure and subclinical myocardial dysfunction combined) available‐case 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.5.1 Adults (comparable definition 1) 3 417 Risk Ratio (M‐H, Random, 95% CI) 0.37 [0.24, 0.56]
1.5.2 Adults (comparable definition 2) 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.46 [0.33, 0.66]
1.5.3 Children (comparable definition 1) 1 33 Risk Ratio (M‐H, Random, 95% CI) 0.33 [0.13, 0.85]
1.6 Heart failure (i.e. clinical heart failure and subclinical myocardial dysfunction combined) best‐case 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.6.1 Adults (comparable definition 1) 4 605 Risk Ratio (M‐H, Random, 95% CI) 0.29 [0.19, 0.44]
1.6.2 Adults (comparable definition 2) 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.46 [0.33, 0.66]
1.6.3 Children (comparable definition 1) 1 38 Risk Ratio (M‐H, Random, 95% CI) 0.36 [0.14, 0.95]
1.7 Heart failure (i.e. clinical heart failure and subclinical myocardial dysfunction combined) worst‐case 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.7.1 Adults (comparable definition 1) 3 455 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.42, 0.86]
1.7.2 Adults (comparable definition 2) 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.46 [0.33, 0.66]
1.7.3 Children (comparable definition 1) 1 38 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.20, 0.86]
1.8 Overall survival 4   Hazard Ratio (IV, Random, 95% CI) Subtotals only
1.8.1 Adults 4   Hazard Ratio (IV, Random, 95% CI) 1.04 [0.88, 1.23]
1.9 Overall mortality 3   Hazard Ratio (IV, Random, 95% CI) 1.01 [0.72, 1.42]
1.9.1 Children 3   Hazard Ratio (IV, Random, 95% CI) 1.01 [0.72, 1.42]
1.10 Progression‐free survival 4   Hazard Ratio (IV, Random, 95% CI) Subtotals only
1.10.1 Adults (PFS defined as time from first date of complete response, partial response or stable disease until the date progressive disease was first noticed) 1   Hazard Ratio (IV, Random, 95% CI) 0.62 [0.43, 0.90]
1.10.2 Adults (PFS defined as time to progression; starting point nm) 1   Hazard Ratio (IV, Random, 95% CI) 0.95 [0.64, 1.40]
1.10.3 Adults (PFS defined as time from randomisation to progression either on or off treatment) 2   Hazard Ratio (IV, Random, 95% CI) 1.18 [0.97, 1.43]
1.11 Response rate available‐case 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.11.1 Adults 6 956 Risk Ratio (M‐H, Random, 95% CI) 0.91 [0.79, 1.04]
1.11.2 Children (complete response defined as disappearance of active Hodgkin lymphoma (gallium negative, ≥ 70% decrease in the sum of the products of the perpendicular diameters of measurable lesions, and negative bone marrow or bone scan if initially positive)) 1 200 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.84, 1.01]
1.12 Response rate best‐case 8   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.12.1 Adults 6 1021 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.82, 1.08]
1.12.2 Children (complete response defined as disappearance of active Hodgkin lymphoma (gallium negative, ≥ 70% decrease in the sum of the products of the perpendicular diameters of measurable lesions, and negative bone marrow or bone scan if initially positive)) 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.92 [0.84, 1.00]
1.12.3 Children (no definition of complete remission provided) 1 206 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.95, 1.07]
1.13 Response rate worst‐case 7   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.13.1 Adults 6 1021 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.78, 1.01]
1.13.2 Children (complete response defined as disappearance of active Hodgkin lymphoma (gallium negative, ≥ 70% decrease in the sum of the products of the perpendicular diameters of measurable lesions, and negative bone marrow or bone scan if initially positive)) 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.85, 1.07]
1.14 Adverse effects: Secondary malignant neoplasms (Children) 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.14.1 Secondary malignant neoplasms available‐case 3 1015 Risk Ratio (M‐H, Random, 95% CI) 3.08 [1.13, 8.38]
1.14.2 Secondary malignant neoplasms best‐case 4 1220 Risk Ratio (M‐H, Random, 95% CI) 2.51 [0.96, 6.53]
1.14.3 Secondary malignant neoplasms worst‐case 3 1015 Risk Ratio (M‐H, Random, 95% CI) 3.08 [1.13, 8.38]
1.15 Adverse effects: Haematological effects (Adults) 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.15.1 Thrombocytopenia grade 3 or 4 (WHO/CTCAEv2 criteria)available‐case 3 452 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.48, 2.20]
1.15.2 Thrombocytopenia grade 3 or 4 (WHO/CTCAEv2 criteria) best‐case 3 455 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.47, 2.17]
1.15.3 Thrombocytopenia grade 3 or 4 (WHO/CTCAEv2 criteria) worst‐case 3 455 Risk Ratio (M‐H, Random, 95% CI) 1.20 [0.58, 2.46]
1.15.4 Neutropenia grade 3 or 4 (WHO/CTCAEv2 criteria) available‐case 2 292 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.96, 1.15]
1.15.5 Neutropenia grade 3 or 4 (WHO/CTCAEv2 criteria) best‐case 2 293 Risk Ratio (M‐H, Random, 95% CI) 1.03 [0.94, 1.14]
1.15.6 Neutropenia grade 3 or 4 (WHO/CTCAEv2 criteria) worst‐case 2 293 Risk Ratio (M‐H, Random, 95% CI) 1.05 [0.96, 1.15]
1.15.7 Abnormal granulocyte count at nadir grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.96, 1.13]
1.15.8 Abnormal granulocyte count at recovery grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.85 [0.59, 1.21]
1.15.9 Abnormal white blood cell count at nadir grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.16 [1.05, 1.29]
1.15.10 Abnormal white blood cell count at recovery grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.69 [0.36, 1.31]
1.15.11 Abnormal platelet count at nadir grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.88 [0.42, 1.84]
1.15.12 Abnormal platelet count at recovery grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.84 [0.16, 4.42]
1.15.13 Anaemia grade 3 or 4 (WHO/CTCAEv2 criteria) available‐case 3 452 Risk Ratio (M‐H, Random, 95% CI) 1.37 [0.79, 2.39]
1.15.14 Anaemia grade 3 or 4 (WHO/CTCAEv2 criteria) best‐case 3 455 Risk Ratio (M‐H, Random, 95% CI) 1.36 [0.78, 2.35]
1.15.15 Anaemia grade 3 or 4 (WHO/CTCAEv2 criteria) worst‐case 3 455 Risk Ratio (M‐H, Random, 95% CI) 1.50 [0.82, 2.73]
1.15.16 Severe myelosuppresion (no definition provided) available‐case 1 108 Risk Ratio (M‐H, Random, 95% CI) 2.00 [0.19, 21.41]
1.15.17 Severe myelosuppresion (no definition provided) best‐case 1 110 Risk Ratio (M‐H, Random, 95% CI) 2.00 [0.19, 21.42]
1.15.18 Severe myelosuppresion (no definition provided) worst‐case 1 110 Risk Ratio (M‐H, Random, 95% CI) 1.50 [0.26, 8.63]
1.15.19 Leukopenia grade 3 or 4 (WHO/CTCAEv2 criteria) available‐case 2 324 Risk Ratio (M‐H, Random, 95% CI) 1.10 [0.66, 1.83]
1.15.20 Leukopenia grade 3 or 4 (WHO/CTCAEv2 criteria) best‐case 2 326 Risk Ratio (M‐H, Random, 95% CI) 1.09 [0.66, 1.82]
1.15.21 Leukopenia grade 3 or 4 (WHO/CTCAEv2 criteria) worst‐case 2 326 Risk Ratio (M‐H, Random, 95% CI) 1.17 [0.71, 1.93]
1.16 Adverse effects: Haematological effects (Children) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.16.1 Lymphocytes (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.07, 16.37]
1.16.2 Lymphocytes (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.06, 15.94]
1.16.3 Lymphocytes (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.20 [0.65, 2.22]
1.16.4 Haemoglobin grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 1.48 [1.13, 1.95]
1.16.5 Haemoglobin grade (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 2.96 [1.31, 6.72]
1.16.6 Haemoglobin grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.48 [1.12, 1.95]
1.16.7 Haemoglobin grade (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 2.88 [1.26, 6.57]
1.16.8 Haemoglobin grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.47 [1.12, 1.93]
1.16.9 Haemoglobin grade (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.74 [1.09, 2.77]
1.16.10 White blood cell count (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.87 [1.30, 2.68]
1.16.11 White blood cell count (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.81 [1.25, 2.63]
1.16.12 White blood cell count (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.61 [1.22, 2.13]
1.16.13 Thrombosis grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 4.08 [0.46, 35.87]
1.16.14 Thrombosis grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 4.07 [0.46, 35.87]
1.16.15 Thrombosis grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.55 [0.51, 12.84]
1.16.16 Platelets grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 2.45 [1.79, 3.35]
1.16.17 Platelets grade (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.87 [0.90, 3.86]
1.16.18 Platelets grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.45 [1.79, 3.36]
1.16.19 Platelets (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.81 [0.87, 3.78]
1.16.20 Platelets grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.41 [1.77, 3.27]
1.16.21 Platelets (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.45 [0.93, 2.27]
1.16.22 Absolute neutrophil count grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 1.10 [1.00, 1.20]
1.16.23 Absolute neutrophil count grade (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.27 [1.03, 1.58]
1.16.24 Absolute neutrophil count grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.10 [1.00, 1.20]
1.16.25 Absolute neutrophil count (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.24 [0.98, 1.56]
1.16.26 Absolute neutrophil count grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.09 [1.00, 1.20]
1.16.27 Absolute neutrophil count (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.23 [1.03, 1.47]
1.16.28 Hematological effects grade 3 or 4 (NCI CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 537 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.94, 1.05]
1.17 Adverse effects: Immune system/infectious effects (Adults) 4   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.17.1 Fever grade 3 or 4 ( ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.43 [0.81, 2.54]
1.17.2 Febrile bone marrow aplasia grade 3 or 4 (CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 164 Risk Ratio (M‐H, Random, 95% CI) 3.72 [0.42, 32.55]
1.17.3 Febrile neutropenia grade 3 or 4 (CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 164 Risk Ratio (M‐H, Random, 95% CI) 1.27 [0.62, 2.59]
1.17.4 Fever with positive blood cultures (no reference provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 0.65 [0.11, 3.77]
1.17.5 Fever with other positive cultures (no reference provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 1.95 [0.37, 10.31]
1.18 Adverse effects: Immune system/infectious effects (Children) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.18.1 Sepsis grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 2.04 [0.96, 4.33]
1.18.2 Sepsis (bacteria; further definition not provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.07, 16.37]
1.18.3 Sepsis grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.04 [0.96, 4.33]
1.18.4 Sepsis (bacteria; further definition not provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.06, 15.94]
1.18.5 Sepsis grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.94 [0.94, 3.97]
1.18.6 Sepsis (bacteria; further definition not provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.20 [0.65, 2.22]
1.18.7 Infection grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated not otherwise specified/unknown) available‐case 2 751 Risk Ratio (M‐H, Random, 95% CI) 1.24 [0.78, 1.97]
1.18.8 Infection (definition not provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 0.35 [0.04, 3.27]
1.18.9 Infection grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated not otherwise specified/unknown) best‐case 2 753 Risk Ratio (M‐H, Random, 95% CI) 1.24 [0.78, 1.97]
1.18.10 Infection (definition not provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.34 [0.04, 3.19]
1.18.11 Infection grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated not otherwise specified/unknown) worst‐case 2 753 Risk Ratio (M‐H, Random, 95% CI) 1.24 [0.79, 1.95]
1.18.12 Infection (definition not provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.59, 1.93]
1.18.13 Allergic reaction grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 3.57 [0.76, 16.78]
1.18.14 Allergic reaction (definition not provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 0.26 [0.03, 2.28]
1.18.15 Allergic reaction grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 3.57 [0.76, 16.78]
1.18.16 Allergic reaction (definition not provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.25 [0.03, 2.22]
1.18.17 Allergic reaction grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.72 [0.74, 9.97]
1.18.18 Allergic reaction (definition not provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.56, 1.81]
1.19 Adverse effects: Gastrointestinal effects (Adults) 6   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.19.1 Nausea grade 3 or 4 (CTCAEv2 criteria) available‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.19 [0.02, 1.56]
1.19.2 Nausea grade 3 or 4 (CTCAEv2/ECOG criteria) best‐case 3 698 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.50, 0.97]
1.19.3 Nausea grade 3 or 4 (CTCAEv2 criteria) worst‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.19 [0.02, 1.56]
1.19.4 Vomiting grade 3 or 4 (CTCAEv2 criteria) available‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.02, 1.26]
1.19.5 Vomiting grade 3 or 4 (CTCAEv2/ECOG criteria) best‐case 3 698 Risk Ratio (M‐H, Random, 95% CI) 0.71 [0.37, 1.39]
1.19.6 Vomiting grade 3 or 4 (CTCAEv2 criteria) worst‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.15 [0.02, 1.26]
1.19.7 Nausea and vomiting ‐ controllable (reference not provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 1.07 [0.81, 1.40]
1.19.8 Nausea and vomiting ‐ vomiting intractable (reference not provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 0.39 [0.08, 1.95]
1.19.9 Nausea and vomiting grade 3 or 4 (WHO criteria) available‐case 1 128 Risk Ratio (M‐H, Random, 95% CI) 0.32 [0.09, 1.11]
1.19.10 Nausea and vomiting grade 3 or 4 (WHO criteria) best‐case 1 129 Risk Ratio (M‐H, Random, 95% CI) 0.31 [0.09, 1.09]
1.19.11 Nausea and vomiting grade 3 or 4 (WHO criteria) worst‐case 1 129 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.14, 1.27]
1.19.12 Stomatitis grade 3 or 4 (WHO criteria) available‐case 2 288 Risk Ratio (M‐H, Random, 95% CI) 0.96 [0.38, 2.44]
1.19.13 Stomatitis grade 3 or 4 (WHO criteria) best‐case 2 291 Risk Ratio (M‐H, Random, 95% CI) 0.94 [0.38, 2.37]
1.19.14 Stomatitis grade 3 or 4 (WHO criteria) worst‐case 2 291 Risk Ratio (M‐H, Random, 95% CI) 1.17 [0.42, 3.24]
1.19.15 Stomatitis grade 3 or 4 (CTCAEv2 criteria) available‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.19 [0.01, 3.82]
1.19.16 Stomatitis grade 3 or 4 (CTCAEv2/ECOG criteria) best‐case 3 698 Risk Ratio (M‐H, Random, 95% CI) 0.70 [0.38, 1.30]
1.19.17 Stomatitis grade 3 or 4 (CTCAEv2 criteria) worst‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.19 [0.01, 3.82]
1.19.18 Stomatitis (ulcers can eat) (no reference provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 0.89 [0.40, 1.96]
1.19.19 Stomatitis (ulcers cannot eat) (no reference provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 0.42 [0.11, 1.55]
1.19.20 Diarrhoea grade 3 or 4 (CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.06, 14.61]
1.19.21 Diarrhoea grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.15 [0.40, 3.30]
1.19.22 Nausea grade 3 or 4 (WHO criteria) available‐case 1 160 Risk Ratio (M‐H, Random, 95% CI) 0.95 [0.25, 3.67]
1.19.23 Nausea grade 3 or 4 (WHO criteria) best‐case 1 162 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.24, 3.59]
1.19.24 Nausea grade 3 or 4 (WHO criteria) worst‐case 1 162 Risk Ratio (M‐H, Random, 95% CI) 1.39 [0.41, 4.75]
1.19.25 Vomiting grade 3 or 4 (WHO criteria) available‐case 1 160 Risk Ratio (M‐H, Random, 95% CI) 1.11 [0.39, 3.16]
1.19.26 Vomiting grade 3 or 4 (WHO criteria) best‐case 1 162 Risk Ratio (M‐H, Random, 95% CI) 1.08 [0.38, 3.08]
1.19.27 Vomiting grade 3 or 4 (WHO criteria) worst‐case 1 162 Risk Ratio (M‐H, Random, 95% CI) 1.39 [0.52, 3.73]
1.20 Adverse effects: Gastrointestinal effects (Children) 3   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.20.1 Nausea (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 1.04 [0.15, 7.23]
1.20.2 Nausea (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.14, 7.05]
1.20.3 Nausea (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.19 [0.65, 2.16]
1.20.4 Vomiting (no definition provided) available‐case 1 222 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.15, 2.54]
1.20.5 Vomiting (no definition provided) best‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 0.60 [0.15, 2.48]
1.20.6 Vomiting (no definition provided) worst‐case 1 255 Risk Ratio (M‐H, Random, 95% CI) 1.06 [0.60, 1.85]
1.20.7 Nausea or vomiting grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.44, 2.35]
1.20.8 Nausea or vomiting grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.44, 2.35]
1.20.9 Nausea or vomiting grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.46, 2.25]
1.20.10 Stomatitis grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.64, 1.51]
1.20.11 Stomatitis grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.64, 1.51]
1.20.12 Stomatitis grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.99 [0.65, 1.50]
1.20.13 Mucositis grade 3 or 4 (NCI CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 537 Risk Ratio (M‐H, Random, 95% CI) 0.61 [0.41, 0.92]
1.20.14 Typhlitis grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 3.06 [0.85, 10.98]
1.20.15 Typhlitis grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 3.06 [0.85, 10.98]
1.20.16 Typhlitis grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 2.55 [0.82, 7.87]
1.21 Adverse effects: Neurological effects (Adults) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.21.1 Neurotoxicity (ECOG criteria) grade 3 or 4 best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.62 [0.03, 13.45]
1.22 Adverse effects: Neurological (Children) 2   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.22.1 Central nervous system grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated that it includes mood, cortical and cerebellar) available‐case 2 751 Risk Ratio (M‐H, Random, 95% CI) 1.21 [0.72, 2.03]
1.22.2 Central nervous system grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated that it includes mood, cortical and cerebellar) best‐case 2 753 Risk Ratio (M‐H, Random, 95% CI) 1.21 [0.72, 2.03]
1.22.3 Central nervous system grade 3 or 4 (NCI CTCAEv2 criteria; for Schwartz 2009 explicitly stated that it includes mood, cortical and cerebellar) worst‐case 2 753 Risk Ratio (M‐H, Random, 95% CI) 1.21 [0.72, 2.02]
1.22.4 Peripheral nervous system grade 3 or 4 (NCI CTCAEv2 criteria) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 0.68 [0.12, 3.98]
1.22.5 Peripheral nervous system grade 3 or 4 (NCI CTCAEv2 criteria) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.68 [0.12, 3.98]
1.22.6 Peripheral nervous system grade 3 or 4 (NCI CTCAEv2 criteria) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 0.76 [0.18, 3.33]
1.23 Adverse effects: Other (Adults) 5   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.23.1 Severe liver damage (no definition provided) available‐case 1 108 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.06, 15.58]
1.23.2 Severe liver damage (no definition provided) best‐case 1 110 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.06, 15.59]
1.23.3 Severe liver damage (no definition provided) worst‐case 1 110 Risk Ratio (M‐H, Random, 95% CI) 1.00 [0.15, 6.85]
1.23.4 Pain on injection grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.51 [0.34, 6.73]
1.23.5 Phlebitis grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 1.53 [0.34, 6.90]
1.23.6 Anorexia grade 3 or 4 (ECOG criteria) best‐case 2 534 Risk Ratio (M‐H, Random, 95% CI) 0.97 [0.57, 1.65]
1.23.7 Alopecia grade 3 or 4 (CTCAEv2 criteria) available‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 1.19 [0.64, 2.24]
1.23.8 Alopecia grade 3 or 4 (CTCAEv2/ECOG criteria) best‐case 3 698 Risk Ratio (M‐H, Random, 95% CI) 1.01 [0.94, 1.09]
1.23.9 Alopecia grade 3 or 4 (CTCAEv2 criteria) worst‐case 1 164 Risk Ratio (M‐H, Random, 95% CI) 1.19 [0.64, 2.24]
1.23.10 Alopecia severe (reference not provided) available‐case (best‐case and worst‐case identical results) 1 150 Risk Ratio (M‐H, Random, 95% CI) 1.02 [0.91, 1.13]
1.23.11 Asthenia grade 3 or 4 (CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 164 Risk Ratio (M‐H, Random, 95% CI) 0.93 [0.13, 6.44]
1.23.12 Fatigue grade 3 or 4 (CTCAEv2 criteria) available‐case (best‐case and worst‐case identical results) 1 164 Risk Ratio (M‐H, Random, 95% CI) 2.79 [0.30, 26.25]
1.24 Adverse effects: Other (Children) 1   Risk Ratio (M‐H, Random, 95% CI) Subtotals only
1.24.1 Pulmonary grade 3 or 4 (NCI CTCAEv2 criteria; explicitly stated that it includes diffusion capacity for carbon momoxide, vital capacity, pulmonary/functional and oxygen saturation) available‐case 1 214 Risk Ratio (M‐H, Random, 95% CI) 4.42 [1.30, 15.05]
1.24.2 Pulmonary grade 3 or 4 (NCI CTCAEv2 criteria; explicitly stated that it includes diffusion capacity for carbon momoxide, vital capacity, pulmonary/functional and oxygen saturation) best‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 4.41 [1.29, 15.05]
1.24.3 Pulmonary grade 3 or 4 (NCI CTCAEv2 criteria; explicitly stated that it includes diffusion capacity for carbon momoxide, vital capacity, pulmonary/functional and oxygen saturation) worst‐case 1 216 Risk Ratio (M‐H, Random, 95% CI) 3.57 [1.21, 10.49]