PMID- 35868498 OWN - NLM STAT- MEDLINE DCOM- 20220823 LR - 20220823 IS - 1879-0461 (Electronic) IS - 1040-8428 (Linking) VI - 177 DP - 2022 Sep TI - Is antibody-drug conjugate a rising star for clinical treatment of solid tumors? A systematic review and meta-analysis. PG - 103758 LID - S1040-8428(22)00182-2 [pii] LID - 10.1016/j.critrevonc.2022.103758 [doi] AB - Antibody-drug conjugates (ADCs) show significant advantages in cancer treatment due to their high selectivity and anti-tumor activity, but the efficacy and safety of the treatment of solid tumors are unknown. We searched research databases, major conference proceedings and trial registries for randomized controlled trials (RCTs). Then, we selected qualified studies and extracted dates. Studies were assessed for quality, and a meta-analysis was conducted to quantify effects of ADCs on overall survival (OS), progression-free survival (PFS), overall response rate (ORR) and adverse events (AEs). The within-study heterogeneity was evaluated by subgroup and sensitivity analysis. Eleven RCTs with 4353 participants were included. ADCs had better PFS (HR: 0.69, 95 % CI: 0.56-0.82) and OS (HR: 0.76, 95 % CI: 0.61-0.92). ADCs resulted in lower risk of febrile neutropenia in blood system. Conversely, ADC therapy had not a prepotent on ORR (RR: 1.36, 95 % CI: 0.71-2.60). CI - Copyright (c) 2022. Published by Elsevier B.V. FAU - Zhang, Leyin AU - Zhang L AD - Department of Medical Oncology, Hangzhou TCM Hospital of Zhejiang Chinese Medical University, Hangzhou Hospital of Traditional Chinese Medicine, Hangzhou 310005, China. FAU - Shen, Deyi AU - Shen D AD - The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Yu, Lulin AU - Yu L AD - The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Yan, Yici AU - Yan Y AD - The First School of Clinical Medicine, Zhejiang Chinese Medical University, Hangzhou 310053, China. FAU - Wasan, Harpreet S AU - Wasan HS AD - Department of Cancer Medicine, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London W2 1NY, UK. FAU - Yu, Jieru AU - Yu J AD - School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou 310053, China. Electronic address: jieruyu@zcmu.edu.cn. FAU - Zhang, Shuo AU - Zhang S AD - The Second Affiliated Hospital of Zhejiang Chinese Medical University, Xinhua Hospital of Zhejiang Province, Hangzhou 310005, China. Electronic address: zhangshuotcm@163.com. FAU - Sun, Leitao AU - Sun L AD - Department of Medical Oncology, The First Affiliated Hospital of Zhejiang Chinese Medical University, Zhejiang Provincial Hospital of Traditional Chinese Medicine, Hangzhou 310000, China. Electronic address: sunnylt@zcmu.edu.cn. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review PT - Systematic Review DEP - 20220720 PL - Netherlands TA - Crit Rev Oncol Hematol JT - Critical reviews in oncology/hematology JID - 8916049 RN - 0 (Antineoplastic Agents) RN - 0 (Immunoconjugates) SB - IM MH - *Antineoplastic Agents/adverse effects MH - Humans MH - *Immunoconjugates/adverse effects MH - *Neoplasms/chemically induced/drug therapy OTO - NOTNLM OT - Antibody-Drug Conjugate OT - Efficacy OT - Meta-Analysis OT - Safety OT - Solid Tumor EDAT- 2022/07/23 06:00 MHDA- 2022/08/24 06:00 CRDT- 2022/07/22 19:25 PHST- 2022/05/14 00:00 [received] PHST- 2022/07/07 00:00 [revised] PHST- 2022/07/14 00:00 [accepted] PHST- 2022/07/23 06:00 [pubmed] PHST- 2022/08/24 06:00 [medline] PHST- 2022/07/22 19:25 [entrez] AID - S1040-8428(22)00182-2 [pii] AID - 10.1016/j.critrevonc.2022.103758 [doi] PST - ppublish SO - Crit Rev Oncol Hematol. 2022 Sep;177:103758. doi: 10.1016/j.critrevonc.2022.103758. Epub 2022 Jul 20.