PMID- 34676669 OWN - NLM STAT- MEDLINE DCOM- 20220131 LR - 20220131 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 12 IP - 23 DP - 2021 Dec TI - Endostar (rh-endostatin) improves efficacy of concurrent chemoradiotherapy for locally advanced non-small cell lung cancer: A systematic review and meta-analysis. PG - 3208-3215 LID - 10.1111/1759-7714.14188 [doi] AB - BACKGROUND: We aimed to clarify the benefits of the addition of rh-endostatin into concurrent chemoradiotherapy (CCRT) versus CCRT alone for locally advanced non-small cell lung cancer (NSCLC) by a meta-analysis. METHODS: PubMed, Embase, Cochrane Central Register of Controlled Trials, Wanfang and Chinese National Knowledge Infrastructure (CNKI) were systematically screened from inception to November 2020 using the prespecified terms. Prospective trials (evaluating or) comparing the efficacy of endostar combined with CCRT and CCRT for locally advanced NSCLC were included. The primary endpoints were risk ratios (RRs) for objective response rate (ORR) and disease control rate (DCR). The secondary endpoints were RRs for overall survival (OS) and adverse events (AEs). RESULTS: Ten studies with 716 patients were included in this meta-analysis. Endostar combined with CCRT significantly improved ORR and DCR compared with CCRT. The RRs of ORR and DCR for endostar combined with CCRT versus CCRT were 1.263 (95% CI: 1.137-1.403, p < 0.001) and 1.274 (95% CI: 1.124-1.444, p < 0.001), respectively. Endostar combined with CCRT significantly improved one-year survival rate compared with CCRT with pooled RR = 1.113 (95% CI: 1.006-1.231, p = 0.038). Endostar combination treatments had similar incidences of main adverse events compared with CCRT (p > 0.05). CONCLUSION: Endostar combined with CCRT is associated with significantly higher ORR, DCR and survival rate than CCRT with similar incidences of main adverse events in NSCLC. CI - (c) 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Yuan, Meng AU - Yuan M AUID- ORCID: 0000-0001-7704-8633 AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhai, Yirui AU - Zhai Y AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Men, Yu AU - Men Y AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. AD - Department of VIP Medical Services, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Wang, Jianyang AU - Wang J AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Deng, Lei AU - Deng L AUID- ORCID: 0000-0001-5919-5074 AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Wang, Wenqing AU - Wang W AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Bao, Yongxing AU - Bao Y AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Yang, Xu AU - Yang X AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Sun, Shuang AU - Sun S AUID- ORCID: 0000-0002-1274-0087 AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Ma, Zeliang AU - Ma Z AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Liu, Yunsong AU - Liu Y AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Wang, Jun AU - Wang J AUID- ORCID: 0000-0002-9733-1433 AD - Department of Radiation Oncology, The Fourth Hospital of Hebei Medical University, Shijiazhuang, China. FAU - Zhu, Hui AU - Zhu H AD - Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China. FAU - Hui, Zhouguang AU - Hui Z AUID- ORCID: 0000-0002-7189-4692 AD - Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. AD - Department of VIP Medical Services, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. LA - eng PT - Journal Article PT - Meta-Analysis PT - Research Support, Non-U.S. Gov't PT - Systematic Review DEP - 20211021 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 RN - 0 (Angiogenesis Inhibitors) RN - 0 (Endostatins) RN - 0 (Recombinant Proteins) RN - GVG18ZDN65 (endostar protein) SB - IM MH - Angiogenesis Inhibitors/therapeutic use MH - Carcinoma, Non-Small-Cell Lung/*therapy MH - Chemoradiotherapy/*methods MH - Combined Modality Therapy MH - Endostatins/*therapeutic use MH - Humans MH - Lung Neoplasms/*therapy MH - Recombinant Proteins MH - Survival Rate PMC - PMC8636201 OTO - NOTNLM OT - NSCLC OT - chemoradiotherapy OT - endostar OT - meta-analysis COIS- The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this manuscript. EDAT- 2021/10/23 06:00 MHDA- 2022/02/01 06:00 PMCR- 2021/12/01 CRDT- 2021/10/22 07:12 PHST- 2021/09/25 00:00 [revised] PHST- 2021/09/20 00:00 [received] PHST- 2021/09/29 00:00 [accepted] PHST- 2021/10/23 06:00 [pubmed] PHST- 2022/02/01 06:00 [medline] PHST- 2021/10/22 07:12 [entrez] PHST- 2021/12/01 00:00 [pmc-release] AID - TCA14188 [pii] AID - 10.1111/1759-7714.14188 [doi] PST - ppublish SO - Thorac Cancer. 2021 Dec;12(23):3208-3215. doi: 10.1111/1759-7714.14188. Epub 2021 Oct 21.