Evidence map›Paper›PMID 35688904›Full record

SynthesisAnnals of hematology2022

Adverse events in lymphoma patients treated with phosphoinositide 3 kinase Inhibitor in clinical trials: a meta-analysis.

Weihang Shan, Guixiang Wu, Yueting Huang, Hanyan Zeng, Weilin Xia, Zhijuan Lin, Bing Xu

Abstract readMeta-Analysis
PubMed Publisher
In one paragraph

Synthesis in Annals of hematology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. [How I treat relapsed/transformed follicular lymphoma].Zhonghua xue ye xue za zhi = Zhonghua xueyexue zazhi · 2023
    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

7 authors at 2 institutions in 1 country.

Weihang Shan *Department of Hematology, School of Medicine, The First Affiliated Hospital of Xiamen University and Institute of Hematology, Xiamen University, Xiamen, 361102, People's Republic of China.
Guixiang Wu *Department of Hematology, Jieyang People's Hospital (JieYang Affiliated Hospital, Sun Yat-Sen University), Jieyang, Guangdong, People's Republic of China.
Yueting Huang *Department of Hematology, School of Medicine, The First Affiliated Hospital of Xiamen University and Institute of Hematology, Xiamen University, Xiamen, 361102, People's Republic of China.
Hanyan ZengDepartment of Hematology, School of Medicine, The First Affiliated Hospital of Xiamen University and Institute of Hematology, Xiamen University, Xiamen, 361102, People's Republic of China.
Weilin XiaDepartment of Hematology, Jieyang People's Hospital (JieYang Affiliated Hospital, Sun Yat-Sen University), Jieyang, Guangdong, People's Republic of China. jyxiaweilin@163.com.
Zhijuan LinDepartment of Hematology, School of Medicine, The First Affiliated Hospital of Xiamen University and Institute of Hematology, Xiamen University, Xiamen, 361102, People's Republic of China. zjuan_lin@126.com.
Bing XuDepartment of Hematology, School of Medicine, The First Affiliated Hospital of Xiamen University and Institute of Hematology, Xiamen University, Xiamen, 361102, People's Republic of China. xubing@xmu.edu.cn.
Xiamen University · CNFirst Affiliated Hospital of Xiamen University · CN

Funding

National Natural Science Foundation of China 81770126National Natural Science Foundation of China 82000218National Natural Science Foundation of China 82170180
6 · The paper itself

Abstract

backgroundMalignant lymphomas are one of the most common cancers worldwide and with high biologic heterogeneity, while the phosphoinositide 3 kinase (PI3K)/mTOR pathway is crucial in maintaining cell growth and survival both in physiological and in pathological conditions (i.e., lymphoma). PI3K inhibitors have been proven to be effective in several subtypes of lymphomas. However, the high incidence of treatment-related adverse events as well as the special safety profile in PI3K inhibitors draws great attention. Thus, this meta-analysis was conducted to compare adverse events in PI3K inhibitors to conventional regimens in lymphoma patients.

methodsArticles were retrieved from PubMed, Cochrane, and Embase to identify randomized controlled trials and phase III clinical trials that used PI3K inhibitors comparing with non-PI3K inhibitors in lymphoma patients. To achieve the appropriate results, we calculated the risk ratio and 95% confidence intervals.

resultsFour trials with 1399 patients that met our criteria were included. The PI3K inhibitors group significantly increased the risk of all-grade adverse events (AEs) (RR 0.95, 95% CI: 0.92-0.98) and high-grade AEs (RR 0.63, 95% CI: 0.57-0.70), compared with the non-PI3K inhibitors group. Besides, the incidence of neutropenia (RR 0.81, 95% CI: 0.74-0.90), pneumonia (RR 0.62, 95% CI: 0.46-0.83), and diarrhea (RR 0.40, 95% CI: 0.32-0.49) were significantly high in the PI3Ki group, while the incidence of anemia (RR 0.78, 95% CI: 0.50-1.20) and thrombocytopenia (RR 0.85, 95% CI: 0.51-1.42) had no statistic significant.

conclusionPI3K inhibitors increased the risk of certain AEs in lymphoma patients.

Indexed as

LymphomaNeoplasmsNeutropeniaHumansPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsPhosphatidylinositol 3-KinasesPhosphoinositide-3 Kinase InhibitorsAdverse eventLymphoma patientsMeta-analysisPhosphoinositide 3 kinase inhibitors

Identifiers

PMID35688904
OpenAlexW4282946570

What OpenQuestion holds

Textmetadata
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.