PMID- 24033707 OWN - NLM STAT- MEDLINE DCOM- 20150302 LR - 20240321 IS - 1365-2125 (Electronic) IS - 0306-5251 (Print) IS - 0306-5251 (Linking) VI - 77 IP - 6 DP - 2014 Jun TI - The adverse events profile of anti-IGF-1R monoclonal antibodies in cancer therapy. PG - 917-28 LID - 10.1111/bcp.12228 [doi] AB - AIM(S): Insulin-like growth factor-1 receptor (IGF-1R) targeted therapies have become one of the intriguing areas in anticancer drug development during the last decade. As one of these therapies, anti-IGF-1R monoclonal antibodies (mAbs) are also advancing further in development. Our purpose was to conduct a systematic review of the adverse events (AEs) caused by anti-IGF-1R monoclonal antibodies in cancer therapy. METHODS: We searched the term'IGF-1R monoclonal antibody' in the Pubmed database and found 389 related articles. After elaborate selection, 15 clinical studies that satisfied our criteria were then adopted for further analysis. We extracted all the useful information about the AEs of mAbs from the enrolled studies. Every kind of reported AE as well as corresponding incidences were summed up and calculated. We compared AE incidence differences in two age groups, and analyzed toxicities of mAbs used as a single agent or combined with chemotherapies. Finally, the differences of AE profiles between individual mAbs were also valued. RESULTS: AEs were more severe in the lower age group and 13 of 19 AE incidences in the single-agent group were significantly lower than in the combination group (P < 0.05). R1507 seemed to show a worse AE profile than cixutumumab and figitumumab. CONCLUSIONS: When anti-IGF-1R mAbs are used for cancer therapy, it is essential to choose the proper drug and combined chemotherapies to reduce AE occurrences. Also, administration of these mAbs to younger patients should be more carefully supervised. Furthermore, some more frequently observed AEs for specific mAb should be paid adequate attention. CI - (c) 2013 The British Pharmacological Society. FAU - Ma, Honghai AU - Ma H AD - Department of Thoracic Surgery, Provincial Hospital Affiliated to Shandong University, Shandong University, Jinan, China. FAU - Zhang, Tiehong AU - Zhang T FAU - Shen, Hongchang AU - Shen H FAU - Cao, Hongxin AU - Cao H FAU - Du, Jiajun AU - Du J LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PT - Systematic Review PL - England TA - Br J Clin Pharmacol JT - British journal of clinical pharmacology JID - 7503323 RN - 0 (Antibodies, Monoclonal) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 2285XW22DR (cixutumumab) RN - EC 2.7.10.1 (Receptor, IGF Type 1) RN - VE267FC2UB (figitumumab) RN - Y64GQ0KC0A (teprotumumab) SB - IM MH - Animals MH - Antibodies, Monoclonal/*adverse effects MH - Antibodies, Monoclonal, Humanized MH - Cardiotoxicity/etiology MH - Humans MH - Hyperglycemia/chemically induced MH - Neoplasms/*drug therapy MH - Neutropenia/chemically induced MH - Receptor, IGF Type 1/*immunology MH - Thrombocytopenia/chemically induced PMC - PMC4093917 OTO - NOTNLM OT - R1507 OT - adverse events OT - anti-IGF-1R monoclonal antibody OT - cixutumumab OT - dalotuzumab OT - figitumumab EDAT- 2013/09/17 06:00 MHDA- 2015/03/03 06:00 PMCR- 2015/06/01 CRDT- 2013/09/17 06:00 PHST- 2012/10/19 00:00 [received] PHST- 2013/08/11 00:00 [accepted] PHST- 2013/09/17 06:00 [entrez] PHST- 2013/09/17 06:00 [pubmed] PHST- 2015/03/03 06:00 [medline] PHST- 2015/06/01 00:00 [pmc-release] AID - 10.1111/bcp.12228 [doi] PST - ppublish SO - Br J Clin Pharmacol. 2014 Jun;77(6):917-28. doi: 10.1111/bcp.12228.