PMID- 36856069 OWN - NLM STAT- MEDLINE DCOM- 20230308 LR - 20230327 IS - 1744-8328 (Electronic) IS - 1473-7140 (Linking) VI - 23 IP - 3 DP - 2023 Mar TI - Clinical efficacy and safety of bispecific antibodies for the treatment of solid tumors: a systematic review and meta-analysis. PG - 307-318 LID - 10.1080/14737140.2023.2183847 [doi] AB - INTRODUCTION: Immunotherapy is a promising and progressing treatment approach for cancer. Bispecific antibodies (BsAbs) are antibody constructs that can bind to two different epitopes. The dual-specificity of BsAbs improves their efficacy compared to monoclonal antibodies. AREAS COVERED: Although BsAbs have achieved excellent therapeutic effects in hematologic cancers, no systematic review with meta-analysis evaluated their efficacy in solid tumors. In the present systematic review and meta-analysis, we aimed to establish the clinical efficacy and safety of BsAbs in solid tumors. EXPERT OPINION: BsAbs are not associated with significantly better safety or efficacy outcomes than conventional therapies. BsAb was not associated with improvement in overall survival (OS), progression-free survival (PFS), objective response rate (ORR), and disease control rate (DCR). However, BsAb increased the rate of stable disease (SD) significantly. Also, BsAb substantially increased the OS and PFS and resulted in a higher frequency of DCR for uveal melanoma. Furthermore, the safety analysis showed no obvious difference in the rate of any adverse events (AEs), grade >/=3 AEs, serious AEs, and AEs leading to treatment discontinuation in the intervention group compared to controls. Further high-quality randomized controlled trials on BsAbs in solid tumors are highly recommended. FAU - Nejadghaderi, Seyed Aria AU - Nejadghaderi SA AD - Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran. FAU - Balibegloo, Maryam AU - Balibegloo M AD - Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran. FAU - Noori, Maryam AU - Noori M AD - Student Research Committee, School of Medicine, Iran University of Medical Sciences, Tehran, Iran. AD - Urology Research Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Fayyaz, Farimah AU - Fayyaz F AD - Cancer Immunology Project (CIP), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Colorectal Research Center, Iran University of Medical Sciences, Tehran, Iran. FAU - Saghazadeh, Amene AU - Saghazadeh A AD - Systematic Review and Meta-analysis Expert Group (SRMEG), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. FAU - Rezaei, Nima AU - Rezaei N AD - Network of Immunity in Infection, Malignancy and Autoimmunity (NIIMA), Universal Scientific Education and Research Network (USERN), Tehran, Iran. AD - Research Center for Immunodeficiencies, Children's Medical Center, Tehran University of Medical Sciences, Tehran, Iran. AD - Department of Immunology, School of Medicine, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Meta-Analysis PT - Systematic Review DEP - 20230301 PL - England TA - Expert Rev Anticancer Ther JT - Expert review of anticancer therapy JID - 101123358 RN - 0 (Antibodies, Bispecific) SB - IM MH - Humans MH - *Antibodies, Bispecific/adverse effects MH - Treatment Outcome MH - *Melanoma MH - Immunotherapy MH - Progression-Free Survival OTO - NOTNLM OT - Bispecific antibody OT - Meta-analysis OT - efficacy OT - immunotherapy OT - safety OT - solid tumors OT - systematic review EDAT- 2023/03/02 06:00 MHDA- 2023/03/09 06:00 CRDT- 2023/03/01 05:33 PHST- 2023/03/02 06:00 [pubmed] PHST- 2023/03/09 06:00 [medline] PHST- 2023/03/01 05:33 [entrez] AID - 10.1080/14737140.2023.2183847 [doi] PST - ppublish SO - Expert Rev Anticancer Ther. 2023 Mar;23(3):307-318. doi: 10.1080/14737140.2023.2183847. Epub 2023 Mar 1.