PMID- 32018126 OWN - NLM STAT- MEDLINE DCOM- 20200324 LR - 20200324 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 147 DP - 2020 Mar TI - Magnitude of benefit of the addition of poly ADP-ribose polymerase (PARP) inhibitors to therapy for malignant tumor: A meta-analysis. PG - 102888 LID - S1040-8428(20)30026-3 [pii] LID - 10.1016/j.critrevonc.2020.102888 [doi] AB - BACKGROUND: The purpose of this study was to analyze the efficacy of PARP inhibitor on solid tumors. METHODS: For this study, the following databases were searched for articles published from its inception until July 2019: PubMed, Web of Science, EBSCO, and Cochrane library, of which the main conclusion was the overall survival (OS) and progression-free survival (PFS). RESULTS: We conducted a meta-analysis and the results showed that PARP inhibitor increased the patients' PFS (HR: 0.51, p < 0.001), PFS with BRCA1/2 mutations (HR: 0.32, p < 0.001), OS (HR: 0.74, p < 0.001), OS with BRCA1/2 mutations (HR: 0.78, p = 0.03), complete response (CR) (RR: 1.89, p = 0.10), partial response (PR) (RR: 1.34, p = 0.01), overall response rate (ORR) (RR: 1.42, p = 0.001) respectively. The main adverse events (AEs) observed were decreased appetite. CONCLUSIONS: PARP inhibitors may prolong survival. PARP inhibitors were more favorable for BRCA1/2 mutations in ovarian cancer patients. Additionally, the overall safety factor was controllable. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Gu, Lihu AU - Gu L AD - Department of General Surgery, HwaMei Hospital, University of Chinese Academy of Sciences, Ningbo, Zhejiang, China. Electronic address: gulihuuyanzhi@126.com. FAU - Du, Nannan AU - Du N AD - The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: 2097815997@qq.com. FAU - Jin, Qiong AU - Jin Q AD - Emergency Medical Center, the Second Hospital of Yinzhou, 998 North Qianhe Road, Yinzhou District, Ningbo, Zhejiang, China. Electronic address: yinzhouh219@163.com. FAU - Li, Shengnan AU - Li S AD - The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: 1609132951@qq.com. FAU - Xie, Laidi AU - Xie L AD - College of Obstetrics and Gynecology, Zhejiang University School of Medicine, Hangzhou, China. Electronic address: 13588820516@163.com. FAU - Mo, Jiahang AU - Mo J AD - The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: 18267167743@163.com. FAU - Shen, Zefeng AU - Shen Z AD - The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: 291821586@qq.com. FAU - Mao, Danyi AU - Mao D AD - Basic Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: danyimao@163.com. FAU - Ji, Jia AU - Ji J AD - The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China. Electronic address: 825292263@qq.com. FAU - Khadaroo, Parikshit Asutosh AU - Khadaroo PA AD - Monash University School of Medicine, Nursing and Health Sciences, Melbourne, Australia. Electronic address: asutoshkhadaro@hotmail.com. FAU - Chen, Bangsheng AU - Chen B AD - Emergency Medical Center, the Second Hospital of Yinzhou, 998 North Qianhe Road, Yinzhou District, Ningbo, Zhejiang, China. Electronic address: Yinzhouno2012@163.com. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20200130 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Antineoplastic Agents) RN - 0 (BRCA1 Protein) RN - 0 (BRCA2 Protein) RN - 0 (Enzyme Inhibitors) RN - 0 (Poly(ADP-ribose) Polymerase Inhibitors) RN - 20762-30-5 (Adenosine Diphosphate Ribose) RN - EC 2.4.2.30 (Poly(ADP-ribose) Polymerases) SB - IM MH - Adenosine Diphosphate Ribose MH - Antineoplastic Agents/*therapeutic use MH - BRCA1 Protein/*genetics MH - BRCA2 Protein/*genetics MH - Enzyme Inhibitors/pharmacology/therapeutic use MH - Female MH - Humans MH - Ovarian Neoplasms/*drug therapy/*genetics/mortality/pathology MH - Poly(ADP-ribose) Polymerase Inhibitors/*therapeutic use MH - Poly(ADP-ribose) Polymerases MH - Prognosis MH - Survival MH - Treatment Outcome OTO - NOTNLM OT - Adverse events OT - BRCA1/2 OT - Evaluation of solid tumors OT - PARP inhibitor OT - Survival COIS- Declaration of Competing Interest The authors declare that they have no conflict of interest. EDAT- 2020/02/06 06:00 MHDA- 2020/03/25 06:00 CRDT- 2020/02/05 06:00 PHST- 2019/09/24 00:00 [received] PHST- 2020/01/22 00:00 [revised] PHST- 2020/01/28 00:00 [accepted] PHST- 2020/02/06 06:00 [pubmed] PHST- 2020/03/25 06:00 [medline] PHST- 2020/02/05 06:00 [entrez] AID - S1040-8428(20)30026-3 [pii] AID - 10.1016/j.critrevonc.2020.102888 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2020 Mar;147:102888. doi: 10.1016/j.critrevonc.2020.102888. Epub 2020 Jan 30.