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硼替佐米联合化疗治疗套细胞淋巴瘤的有效性和危害:一项系统评价与荟萃分析方案

The effectiveness and harms of bortezomib in combination with chemotherapy for mantle cell lymphoma: A protocol for systematic review and meta-analysis.

作者信息

Wang Xiaoxia, Li Wen, Wang Xin, Liu Xiaoli, Feng Cuijuan, Li Yihan, Li Jing

机构信息

Department of Pharmacy, Gansu Gem Flower Hospital, Xigu District.

Department of Oncology, Gansu Gem Flower Hospital, No. 733, Fuli Road, Xigu District.

出版信息

Medicine (Baltimore). 2020 Jul 10;99(28):e20961. doi: 10.1097/MD.0000000000020961.

Abstract

BACKGROUND

Chemotherapy with or without consolidation followed by autologous hematopoietic stem cell transplantation is the first-line treatment for mantle cell lymphoma. However, the effectiveness and safety of bortezomib-based chemotherapy for patients with mantle cell lymphoma is still uncertain.

METHODS

In this systematic review, the electronic databases of Cochrane Central Register of Controlled Trials, EMBASE, and PUBMED will be searched from inception to May 1, 2020. Randomized controlled trials that assessed the effectiveness and safety of bortezomib in combination with chemotherapy for patients with mantle cell lymphoma will be included. The patient's important outcomes include overall survival, progression-free survival, overall response rate, quality of life, and serious adverse events (eg, grade III-IV peripheral neuropathy, neutropenia, and infection). All process of the study selection, data extraction, and methodology evaluation will be carried out by 2 authors independently. RevMan 5.3 software will be utilized for statistical analysis.

RESULTS

This study will provide a detailed summary of latest evidence related to the effectiveness and safety of bortezomib in combination with chemotherapy in overall survival, progression-free survival, overall response rate, quality of life, and serious adverse events for patients with mantle cell lymphoma CONCLUSION:: The findings of this study may provide possible guidance for bortezomib in combination with chemotherapy for patients with mantle cell lymphoma.

SYSTEMATIC REVIEW REGISTRATION

PROSPERO CRD 42020154938.

摘要

背景

含或不含巩固治疗随后进行自体造血干细胞移植的化疗是套细胞淋巴瘤的一线治疗方法。然而,基于硼替佐米的化疗方案对套细胞淋巴瘤患者的有效性和安全性仍不确定。

方法

在本系统评价中,将检索Cochrane对照试验中央注册库、EMBASE和PUBMED的电子数据库,检索时间从建库至2020年5月1日。纳入评估硼替佐米联合化疗对套细胞淋巴瘤患者有效性和安全性的随机对照试验。患者的重要结局包括总生存期、无进展生存期、总缓解率、生活质量和严重不良事件(如III-IV级周围神经病变、中性粒细胞减少和感染)。研究筛选、数据提取和方法学评估的所有过程将由两位作者独立进行。将使用RevMan 5.3软件进行统计分析。

结果

本研究将详细总结有关硼替佐米联合化疗在套细胞淋巴瘤患者总生存期、无进展生存期、总缓解率、生活质量和严重不良事件方面的有效性和安全性的最新证据。结论:本研究结果可能为硼替佐米联合化疗治疗套细胞淋巴瘤患者提供可能的指导。

系统评价注册

PROSPERO CRD 42020154938。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5ed1/7360284/217436602b3c/medi-99-e20961-g001.jpg

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