Evidence map›Paper›PMID 31376243›Full record

SynthesisCancer medicine2019

The incidence of infusion reactions associated with monoclonal antibody drugs targeting the epidermal growth factor receptor in metastatic colorectal cancer patients: A systematic literature review and meta-analysis of patient and study characteristics.

Lauren C Bylsma, Rebecca Dean, Kimberly Lowe, Laura Sangaré, Dominik D Alexander, Jon P Fryzek

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Cancer medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.5field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Systemic Therapy for Metastatic Colon Cancer: New Frontiers.Clinics in colon and rectal surgery · 2025
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 1 country.

Lauren C BylsmaEpidStat Institute, Ann Arbor, Michigan, USA.ORCID 0000-0002-3091-6090
Rebecca DeanEpidStat Institute, Ann Arbor, Michigan, USA.
Kimberly LoweAmgen, One Amgen Center Drive, Thousand Oaks, California, USA.ORCID 0000-0001-6827-1796
Laura SangaréSimulStat, Portland, Oregon, USA.
Dominik D AlexanderEpidStat Institute, Ann Arbor, Michigan, USA.
Jon P FryzekEpidStat Institute, Rockville, Maryland, USA.
Michigan United · USAmgen (United States) · USMeso Scale Discovery (United States) · USOregon Clinic · US

Funding

Amgen, Inc
6 · The paper itself

Abstract

backgroundSystemic cancer therapies may induce infusion reactions (IRs) or hypersensitivities. Metastatic colorectal cancer (mCRC) patients treated with anti-EGFR therapies, including cetuximab and panitumumab, may be subject to these reactions. We conducted a meta-analysis to estimate the IR incidence in this population and identify variations in this incidence by patient or study characteristics.

methodsA systematic review was conducted to identify observational studies or clinical trials of mCRC patients treated with anti-EGFR therapies that reported occurrences of IRs, hypersensitivity, or allergy/anaphylaxis. The objective of the study was to estimate the incidence of IRs. Random effects models were used to meta-analyze the incidence of IRs overall and stratified by therapy type, study design, geographic location, RAS or KRAS mutation status, grade of reaction severity, and terminology used to describe the reaction.

resultsThe pooled estimate for IR incidence was 4.9% (95% confidence interval: 3.6%-6.5%). Lower-grade reactions were more common than higher-grade reactions overall and the incidence of reactions among cetuximab patients was nearly four times that of panitumumab patients (6.1% vs 1.6%).

conclusionsIRs occur in approximately 5% of mCRC patients treated with anti-EGFR therapies, and the incidence varies significantly by grade of severity and therapy type. Studies evaluating these outcomes should consider investigating survival outcomes by IR status to determine its prognostic relevance.

Indexed as

Antibodies, MonoclonalCetuximabColorectal NeoplasmsDrug HypersensitivityErbB ReceptorsHumansIncidenceInfusions, IntravenousObservational Studies as TopicPanitumumabUnited StatesAntibodies, MonoclonalCetuximabEGFR protein, humanErbB ReceptorsPanitumumabanti-EGFR monoclonal antibodyinfusion reactionmeta-analysismetastatic colorectal cancersystematic review

Identifiers

PMID31376243
PMCPMC6745824
OpenAlexW2965616790

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.