Scholarlink

Background <p>Poly (ADP-ribose) polymerase inhibitors (PARPi) serve as crucial therapeutic agents in solid tumor treatment. Preclinical investigations suggest a potential protective function of PARPi against endocrine and metabolic impairments. Nevertheless, the existing body of evidence remains inconclusive on this aspect.</p> Purpose <p>Our aim was to evaluate the potential impact of PARPi on endocrine and metabolic disruptions in clinical trials.</p> Data sources <p>We conducted a comprehensive search across the Medline, EMBASE, PubMed, and Web of Science databases, along with the ClinicalTrials.gov registry.</p> Study selection <p>Phase II/III randomized controlled trials (RCTs) investigating the effects of PARPi in metabolic and endocrine processes were selected for inclusion in patients with solid tumors.</p> Data extraction <p>The primary outcomes of interest encompassed metabolic and endocrine dysfunctions.</p> Data synthesis <p>A total of 26 trials (<i>n</i> = 9,590 patients) were included in our meta-analysis. Niraparib demonstrated an increased risk of any-grade hyperglycemia (OR = 2.15, 95% CI 1.28–3.62), with patients receiving PARPi for metastatic pancreatic cancer showing a higher susceptibility to any-grade hyperglycemia (OR = 1.78, 95% CI 1.04–3.04). Conversely, rucaparib exhibited a potential ameliorative effect on hyperglycemia (OR = 0.54, 95% CI 0.30–0.97). No statistically significant disparities were observed for other outcomes associated with PARPi utilization.</p> Limitations <p>Among these RCTs included, 50% were assessed as low qualities due to high risk of bias.</p> Conclusions <p>Our meta-analysis demonstrated that PARPi may exert adverse effects on endocrine and metabolic pathways. Close monitoring of hyperglycemia is recommended for patients undergoing niraparib therapy, especially those with pancreatic cancer.</p> Trial registration <p>This meta-Analysis was prospectively registered in the PROSPERO database with ID CRD42023457959.</p> Graphical Abstract <p></p>

错误：搜索内容不能为空，请输入英文关键词
错误：关键词超出字数限制，请精简
高级检索

Incidence and risk of endocrine and metabolic abnormalities linked to PARP inhibitors in solid tumors: a meta-analysis

  • 期刊论文

  • 出版模式：

    开放获取

  • 发表日期：

    2025年1月31日

查看全文
  • Shunlian Fu,
  • Pingjin Zou,
  • Zengyi Fang,
  • Xinxiang Zhou,
  • Junyang Chen,
  • Cuicui Gong,
  • Li Quan,
  • Bing Lin,
  • Qiu Chen,
  • Jinyi Lang,
  • Meihua Chen

摘要

Background

Poly (ADP-ribose) polymerase inhibitors (PARPi) serve as crucial therapeutic agents in solid tumor treatment. Preclinical investigations suggest a potential protective function of PARPi against endocrine and metabolic impairments. Nevertheless, the existing body of evidence remains inconclusive on this aspect.

Purpose

Our aim was to evaluate the potential impact of PARPi on endocrine and metabolic disruptions in clinical trials.

Data sources

We conducted a comprehensive search across the Medline, EMBASE, PubMed, and Web of Science databases, along with the ClinicalTrials.gov registry.

Study selection

Phase II/III randomized controlled trials (RCTs) investigating the effects of PARPi in metabolic and endocrine processes were selected for inclusion in patients with solid tumors.

Data extraction

The primary outcomes of interest encompassed metabolic and endocrine dysfunctions.

Data synthesis

A total of 26 trials (n = 9,590 patients) were included in our meta-analysis. Niraparib demonstrated an increased risk of any-grade hyperglycemia (OR = 2.15, 95% CI 1.28–3.62), with patients receiving PARPi for metastatic pancreatic cancer showing a higher susceptibility to any-grade hyperglycemia (OR = 1.78, 95% CI 1.04–3.04). Conversely, rucaparib exhibited a potential ameliorative effect on hyperglycemia (OR = 0.54, 95% CI 0.30–0.97). No statistically significant disparities were observed for other outcomes associated with PARPi utilization.

Limitations

Among these RCTs included, 50% were assessed as low qualities due to high risk of bias.

Conclusions

Our meta-analysis demonstrated that PARPi may exert adverse effects on endocrine and metabolic pathways. Close monitoring of hyperglycemia is recommended for patients undergoing niraparib therapy, especially those with pancreatic cancer.

Trial registration

This meta-Analysis was prospectively registered in the PROSPERO database with ID CRD42023457959.

Graphical Abstract