Efficacy and safety of nab-paclitaxel in metastatic gastric cancer: a meta-analysis

Author:

Ahmad Suhana1ORCID,Lambuk Lidawani1ORCID,Ahmed Naveed2ORCID,Mussa Ali34ORCID,Tee Vincent5ORCID,Mohd Idris Ros Akmal1ORCID,Sahran Nur Fazimah5ORCID,Chan Yean Yean2ORCID,Hassan Rosline3ORCID,Lee Yeong Yeh56ORCID,Mohamud Rohimah1ORCID

Affiliation:

1. Department of Immunology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

2. Department of Medical Microbiology & Parasitology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

3. Department of Haematology, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

4. Department of Biology, Omdurman Islamic University, 14415, Omdurman, Sudan

5. Department of Internal Medicine, School of Medical Sciences, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

6. GI Function & Motility Unit, Hospital Universiti Sains Malaysia, Universiti Sains Malaysia, 16150, Kubang Kerian, Kelantan, Malaysia

Abstract

Background: Nab-paclitaxel is formulated to address several limitations of paclitaxel. Methods: A systematic review was done of several databases and a meta-analysis with a random-effects model was conducted to assess the efficacy and safety of nab-paclitaxel in metastatic gastric cancer (MGC). Results: Included studies revealed that nab-paclitaxel provides a 30.4% overall response rate and 65.7% disease control rate in MGC patients. The overall survival was 9.65 months and progression-free survival was 4.48 months, associated with the treatment line and regimen. The highest incidence of grade 3 and higher treatment-related adverse events was for neutropenia (29.9%). Conclusion: Nab-paclitaxel provides better disease response and longer survival with manageable side effects in MGC compared with paclitaxel.

Funder

Fundamental Research Grant Scheme by Ministry of Higher Education of Malaysia

Publisher

Future Medicine Ltd

Subject

Development,General Materials Science,Biomedical Engineering,Medicine (miscellaneous),Bioengineering

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