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    Immunotherapy. 2021 Jun 3. doi: 10.2217/imt-2020-0305
    Adverse events of the second-line treatment for patients with locally advanced or metastatic urothelial carcinoma of the bladder: network meta-analysis.
    Laukhtina E1,  Mori K2,  Mostafaei H3,  Merseburger AS4,  Nyirady P5,  Moschini M6,  Quhal F7,  Schuettfort VM8,  Pradere B9,  Motlagh RS10,  Enikeev D11,  Shariat SF12,  Of Urology-Young Academic Urologists Eau-Yau Urothelial Carcinoma Working Group EA
    Author information
    1Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    2Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    3Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    4Department of Urology, Campus Lübeck, University Hospital Schleswig-Holstein, Lübeck 23562, Germany.
    5Department of Urology, Semmelweis University, Budapest 1082, Hungary.
    6Department of Urology, Luzerner Kantonsspital, Lucerne 6000, Switzerland.
    7Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    8Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    9Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    10Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    11Institute for Urology & Reproductive Health, Sechenov University, Moscow 119991, Russia.
    12Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna 1090, Austria.
    Abstract

    We aimed to compare the mortality rates related to adverse events (AEs) and discontinuation of treatment due to toxicity as well as all AEs of currently used regimens of second-line treatment strategies for advanced or metastatic urothelial carcinoma of the bladder. The MEDLINE and EMBASE databases were searched for articles according to the PRISMA extension statement for network meta-analysis. Five trials comprising 2205 patients met our eligibility criteria. It is highly likely that immunotherapy, as single regimen, has the lowest rates of motor and sensory neuropathies, constipation, abdominal pain, alopecia, decreased appetite, vomiting and febrile neutropenia. Immunotherapy, in combination regimen, has the lowest rates of anemia and fatigue. Immunotherapy, especially as single regimen, demonstrated the highest favorable tolerability to most AEs.


    KEYWORDS: RCT, UC, UCB, adverse events, chemotherapy, immunotherapy, network meta-analyses, second-line

    Publikations ID: 34078134
    Quelle: öffnen
     
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