PMID- 32934874 OWN - NLM STAT- MEDLINE DCOM- 20210714 LR - 20240330 IS - 2162-4011 (Print) IS - 2162-402X (Electronic) IS - 2162-4011 (Linking) VI - 9 IP - 1 DP - 2020 May 21 TI - Dose dependence of treatment-related adverse events for immune checkpoint inhibitor therapies: a model-based meta-analysis. PG - 1748982 LID - 10.1080/2162402X.2020.1748982 [doi] LID - 1748982 AB - Programmed cell death-1 (PD-1) and/or cytotoxic T lymphocyte-associated antigen 4 (CTLA-4) immune checkpoint inhibitor (ICI) treatments are associated with adverse events (AEs), which may be dependent on ICI dose. Applying a model-based meta-analysis to evaluate safety data from published clinical trials from 2005 to 2018, we analyzed the dose/exposure dependence of ICI treatment-related AE (trAE) and immune-mediated AE (imAE) rates. Unlike with PD-1 inhibitor monotherapy, CTLA-4 inhibitor monotherapy exhibited a dose/exposure dependence on most AE types evaluated. Furthermore, combination therapy with PD-1 inhibitor significantly strengthened the dependence of trAE and imAE rates on CTLA-4 inhibitor dose/exposure. CI - (c) 2020 The Author(s). Published with license by Taylor & Francis Group, LLC. FAU - Shulgin, Boris AU - Shulgin B AD - M&S Decisions LLC, Moscow, Russia. FAU - Kosinsky, Yuri AU - Kosinsky Y AD - M&S Decisions LLC, Moscow, Russia. FAU - Omelchenko, Andrey AU - Omelchenko A AD - M&S Decisions LLC, Moscow, Russia. FAU - Chu, Lulu AU - Chu L AD - PK Sciences Modeling & Simulation, Novartis Institutes of BioMedical Research, Cambridge, MA, USA. FAU - Mugundu, Ganesh AU - Mugundu G AD - Clinical Pharmacology & Quantitative Pharmacology, R&D BioPharmaceuticals, AstraZeneca, Waltham, MA, USA. FAU - Aksenov, Sergey AU - Aksenov S AD - Clinical Pharmacology & Quantitative Pharmacology, R&D BioPharmaceuticals, AstraZeneca, Waltham, MA, USA. FAU - Pimentel, Rodrigo AU - Pimentel R AD - Medical Affairs, AstraZeneca, Gaithersburg, MD, USA. FAU - DeYulia, Garrett AU - DeYulia G AD - Medical Affairs, AstraZeneca, Gaithersburg, MD, USA. FAU - Kim, Geoffrey AU - Kim G AD - Applied Innovation, BeiGene, Cambridge, MA, USA. FAU - Peskov, Kirill AU - Peskov K AUID- ORCID: 0000-0003-0678-5729 AD - M&S Decisions LLC, Moscow, Russia. AD - I.M.Sechenov first Moscow State Medical University of the Russian Ministry of Health, Moscow, Russia. FAU - Helmlinger, Gabriel AU - Helmlinger G AUID- ORCID: 0000-0003-4925-2463 AD - Clinical Pharmacology & Toxicology, Obsidian Therapeutics, Cambridge, MA, USA. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Review DEP - 20200521 PL - United States TA - Oncoimmunology JT - Oncoimmunology JID - 101570526 RN - 0 (B7-H1 Antigen) RN - 0 (CD274 protein, human) RN - 0 (CTLA-4 Antigen) RN - 0 (CTLA4 protein, human) RN - 0 (Immune Checkpoint Inhibitors) MH - Antineoplastic Combined Chemotherapy Protocols/administration & dosage/adverse effects MH - B7-H1 Antigen/antagonists & inhibitors MH - CTLA-4 Antigen/antagonists & inhibitors MH - Clinical Trials as Topic MH - Combined Modality Therapy MH - Dose-Response Relationship, Immunologic MH - Humans MH - *Immune Checkpoint Inhibitors/administration & dosage/adverse effects MH - *Neoplasms/immunology/therapy PMC - PMC7466858 OTO - NOTNLM OT - Adverse events OT - immune checkpoint inhibitor OT - meta-analysis COIS- BS, YK, AO, and KP are employees of M&S Decisions LLC, Moscow, Russia, which received funding from AstraZeneca to conduct this research and analysis; LC, GM, SA, RP, GD, GK, and GH are all employees of AstraZeneca. EDAT- 2020/09/17 06:00 MHDA- 2020/09/17 06:01 PMCR- 2020/05/21 CRDT- 2020/09/16 05:39 PHST- 2020/09/16 05:39 [entrez] PHST- 2020/09/17 06:00 [pubmed] PHST- 2020/09/17 06:01 [medline] PHST- 2020/05/21 00:00 [pmc-release] AID - 1748982 [pii] AID - 10.1080/2162402X.2020.1748982 [doi] PST - epublish SO - Oncoimmunology. 2020 May 21;9(1):1748982. doi: 10.1080/2162402X.2020.1748982.