Renal toxicity with mammalian target of rapamycin inhibitors: A meta-analysis of randomized clinical trials.

IF 3.1 Q2 ONCOLOGY Oncology Reviews Pub Date : 2019-11-25 eCollection Date: 2019-07-22 DOI:10.4081/oncol.2019.455
Ravi K Paluri, Guru Sonpavde, Charity Morgan, Jacob Rojymon, Anastasia Hartzes Mar, Radhika Gangaraju
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引用次数: 8

Abstract

A meta-analysis of randomized clinical trials (RCT) was done to determine the relative risk (RR) of acute kidney injury (AKI) with the use of mammalian target of rapamycin (mTOR) inhibitors. Citations from PubMed/Medline, clinical trials.gov, package inserts and abstracts from major conferences were reviewed to include RCTs comparing arms with or without mTOR inhibitors. The RR of all grade AKI in patients taking mTOR inhibitors compared to patients not on mTOR inhibitors was 1.55 (95% CI: 1.11 to 2.16, P=0.010). There was no significant difference in the risk of high-grade AKI for the two groups (RR=1.29, P=0.118, 95% CI: 0.94 to 1.77). There was no significant difference in the incidence rates for either all grade or high-grade AKI between the two groups. There was no publication bias and the trials were of high quality per Jadad scoring.

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雷帕霉素抑制剂对哺乳动物的肾毒性:随机临床试验的荟萃分析。
一项随机临床试验(RCT)的荟萃分析,以确定使用哺乳动物雷帕霉素靶点(mTOR)抑制剂的急性肾损伤(AKI)的相对风险(RR)。我们对PubMed/Medline、临床试验网站、说明书和主要会议摘要的引用进行了回顾,包括比较有或没有mTOR抑制剂组的随机对照试验。服用mTOR抑制剂的患者与未服用mTOR抑制剂的患者相比,所有级别AKI的RR为1.55 (95% CI: 1.11至2.16,P=0.010)。两组发生高级别AKI的风险无显著差异(RR=1.29, P=0.118, 95% CI: 0.94 ~ 1.77)。两组间所有级别或高度AKI的发生率均无显著差异。没有发表偏倚,按照Jadad评分,试验质量高。
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来源期刊
Oncology Reviews
Oncology Reviews ONCOLOGY-
CiteScore
6.30
自引率
0.00%
发文量
9
审稿时长
9 weeks
期刊介绍: Oncology Reviews is a quarterly peer-reviewed, international journal that publishes authoritative state-of-the-art reviews on preclinical and clinical aspects of oncology. The journal will provide up-to-date information on the latest achievements in different fields of oncology for both practising clinicians and basic researchers. Oncology Reviews aims at being international in scope and readership, as reflected also by its Editorial Board, gathering the world leading experts in both pre-clinical research and everyday clinical practice. The journal is open for publication of supplements, monothematic issues and for publishing abstracts of scientific meetings; conditions can be obtained from the Editor-in-Chief or the publisher.
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