PMID- 34938661 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220429 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - Efficacy and Safety of Immune Checkpoint Blockades in the Treatment of Ocular Melanoma: A Systematic Review and Meta-Analysis. PG - 781162 LID - 10.3389/fonc.2021.781162 [doi] LID - 781162 AB - AIM: This meta-analysis aimed to compare the efficacy and safety of immune checkpoint blockade for the treatment of ocular melanoma. METHODS: We searched the PubMed, EMBASE, and Cochrane Library databases up to July 2021. Effect sizes (ESs) and corresponding 95% confidence intervals (CIs) were used to compare the outcomes. Efficacy outcomes included complete response (CR), partial response (PR), stable disease (SD), progressive disease (PD), objective response rate (ORR), overall survival (OS), progression free survival (PFS). Safety outcomes included adverse events (AEs) and serious adverse event (SAEs). RESULTS: A total of 16 eligible articles with 848 ocular melanoma patients were included. ICB treatment significantly improved CR (ES=0.02, 95%CI: 0.00-0.03, P=0.023), PR (ES=0.07, 95%CI: 0.05-0.09, P=0.000), SD (ES=0.31, 95%CI: 0.17-0.46, P=0.000), PD (ES=0.69, 95%CI: 0.61-0.77, P=0.000), ORR (ES=0.10, 95%CI: 0.04-0.15, P=0.000), OS (ES=9.68, 95%CI: 7.28-12.07, P=0.000) and PFS (ES=2.88, 95%CI: 2.69-3.07, P=0.000) in patients with ocular melanoma. Moreover, ICB therapies were associated with reduced AEs (ES=0.48, 95%CI: 0.30-0.67, P=0.000) and SAEs (ES=0.31, 95%CI: 0.18-0.45, P=0.000). CONCLUSIONS: ICB therapy showed good efficacy and safety in treating patients with ocular melanoma. CI - Copyright (c) 2021 Zhao, Xia, Zhang, Zou, Zhu and Zhang. FAU - Zhao, Lu AU - Zhao L AD - Department of Biopharmaceutics, School of Life Science and Bio-Pharmaceutics, Shenyang Pharmaceutical University, Shenyang, China. AD - Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Shenyang Medical College, Shenyang, China. FAU - Xia, Wenwen AU - Xia W AD - Department of Biopharmaceutics, School of Life Science and Bio-Pharmaceutics, Shenyang Pharmaceutical University, Shenyang, China. FAU - Zhang, Yan AU - Zhang Y AD - School of Traditional Chinese Medical, Shenyang Medical College, Shenyang, China. FAU - Zou, Peng AU - Zou P AD - Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Shenyang Medical College, Shenyang, China. FAU - Zhu, Qiwen AU - Zhu Q AD - Key Laboratory of Behavioral and Cognitive Neuroscience of Liaoning Province, Shenyang Medical College, Shenyang, China. FAU - Zhang, Rong AU - Zhang R AD - Department of Biopharmaceutics, School of Life Science and Bio-Pharmaceutics, Shenyang Pharmaceutical University, Shenyang, China. LA - eng PT - Systematic Review DEP - 20211206 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8685375 OTO - NOTNLM OT - CTLA-4 OT - PD-1 OT - PD-L1 OT - immune checkpoint blockade OT - meta-analysis OT - ocular melanoma COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2021/12/24 06:00 MHDA- 2021/12/24 06:01 PMCR- 2021/01/01 CRDT- 2021/12/23 05:52 PHST- 2021/09/22 00:00 [received] PHST- 2021/11/10 00:00 [accepted] PHST- 2021/12/23 05:52 [entrez] PHST- 2021/12/24 06:00 [pubmed] PHST- 2021/12/24 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.781162 [doi] PST - epublish SO - Front Oncol. 2021 Dec 6;11:781162. doi: 10.3389/fonc.2021.781162. eCollection 2021.