Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.

<h4>Background</h4>As a poly-ADP ribose polymerase (PARP) inhibitor, veliparib has been identified as a potential therapeutic agent for lung cancer. The present study aimed to conduct a systematic review of clinical trials investigating the efficacy and safety of veliparib for treating l...

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Main Authors: Amin Daei Sorkhabi, Asra Fazlollahi, Aila Sarkesh, Reza Aletaha, Hamidreza Feizi, Seyed Ehsan Mousavi, Seyed Aria Nejadghaderi, Mark J M Sullman, Ali-Asghar Kolahi, Saeid Safiri
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2023-01-01
Series:PLoS ONE
Online Access:https://doi.org/10.1371/journal.pone.0291044
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author Amin Daei Sorkhabi
Asra Fazlollahi
Aila Sarkesh
Reza Aletaha
Hamidreza Feizi
Seyed Ehsan Mousavi
Seyed Aria Nejadghaderi
Mark J M Sullman
Ali-Asghar Kolahi
Saeid Safiri
author_facet Amin Daei Sorkhabi
Asra Fazlollahi
Aila Sarkesh
Reza Aletaha
Hamidreza Feizi
Seyed Ehsan Mousavi
Seyed Aria Nejadghaderi
Mark J M Sullman
Ali-Asghar Kolahi
Saeid Safiri
author_sort Amin Daei Sorkhabi
collection DOAJ
description <h4>Background</h4>As a poly-ADP ribose polymerase (PARP) inhibitor, veliparib has been identified as a potential therapeutic agent for lung cancer. The present study aimed to conduct a systematic review of clinical trials investigating the efficacy and safety of veliparib for treating lung cancer.<h4>Methods</h4>PubMed, Scopus, the Web of Science, and Google Scholar were systematically searched up to October 30, 2022. Only randomized controlled trials (RCTs) evaluating the efficacy or safety of veliparib in the treatment of lung cancer patients were included. Studies were excluded if they were not RCTs, enrolled healthy participants or patients with conditions other than lung cancer, or investigated therapeutic approaches other than veliparib. The Cochrane risk-of-bias tool was used for quality assessment.<h4>Results</h4>The seven RCTs (n = 2188) showed that patients treated with a combination of veliparib and chemotherapy had a significantly higher risk of adverse events, when compared to the control arm. There was no statistically significant difference in overall survival (OS) between those treated with veliparib plus chemotherapy and those receiving the standard therapies. Only two trials demonstrated an improvement in progression-free survival (PFS), and only one study found an increase in objective response rate (ORR). Furthermore, adding veliparib to standard chemotherapy showed no benefit in extending the duration of response (DoR) in any of the studies.<h4>Conclusions</h4>Only a small number of studies have found veliparib to be effective, in terms of improved OS, PFS, and ORR, while the majority of studies found no benefit for veliparib over standard treatment.
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spelling doaj.art-bdc9752f29944fff9e073229c1c66fe82023-09-21T05:32:43ZengPublic Library of Science (PLoS)PLoS ONE1932-62032023-01-01189e029104410.1371/journal.pone.0291044Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.Amin Daei SorkhabiAsra FazlollahiAila SarkeshReza AletahaHamidreza FeiziSeyed Ehsan MousaviSeyed Aria NejadghaderiMark J M SullmanAli-Asghar KolahiSaeid Safiri<h4>Background</h4>As a poly-ADP ribose polymerase (PARP) inhibitor, veliparib has been identified as a potential therapeutic agent for lung cancer. The present study aimed to conduct a systematic review of clinical trials investigating the efficacy and safety of veliparib for treating lung cancer.<h4>Methods</h4>PubMed, Scopus, the Web of Science, and Google Scholar were systematically searched up to October 30, 2022. Only randomized controlled trials (RCTs) evaluating the efficacy or safety of veliparib in the treatment of lung cancer patients were included. Studies were excluded if they were not RCTs, enrolled healthy participants or patients with conditions other than lung cancer, or investigated therapeutic approaches other than veliparib. The Cochrane risk-of-bias tool was used for quality assessment.<h4>Results</h4>The seven RCTs (n = 2188) showed that patients treated with a combination of veliparib and chemotherapy had a significantly higher risk of adverse events, when compared to the control arm. There was no statistically significant difference in overall survival (OS) between those treated with veliparib plus chemotherapy and those receiving the standard therapies. Only two trials demonstrated an improvement in progression-free survival (PFS), and only one study found an increase in objective response rate (ORR). Furthermore, adding veliparib to standard chemotherapy showed no benefit in extending the duration of response (DoR) in any of the studies.<h4>Conclusions</h4>Only a small number of studies have found veliparib to be effective, in terms of improved OS, PFS, and ORR, while the majority of studies found no benefit for veliparib over standard treatment.https://doi.org/10.1371/journal.pone.0291044
spellingShingle Amin Daei Sorkhabi
Asra Fazlollahi
Aila Sarkesh
Reza Aletaha
Hamidreza Feizi
Seyed Ehsan Mousavi
Seyed Aria Nejadghaderi
Mark J M Sullman
Ali-Asghar Kolahi
Saeid Safiri
Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
PLoS ONE
title Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
title_full Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
title_fullStr Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
title_full_unstemmed Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
title_short Efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer: A systematic review of clinical trials.
title_sort efficacy and safety of veliparib plus chemotherapy for the treatment of lung cancer a systematic review of clinical trials
url https://doi.org/10.1371/journal.pone.0291044
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