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ISSN (Online): 2212-3970

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Meta-Analysis

The Non-hodgkin Lymphoma Treatment and Side Effects: A Systematic Review and Meta-analysis

Author(s): Alice Barros Câmara* and Igor Augusto Brandão

Volume 19, Issue 1, 2024

Published on: 08 February, 2023

Page: [93 - 120] Pages: 28

DOI: 10.2174/1574892818666230117151757

Price: $65

Abstract

Objectives: This paper aims to review studies regarding side effects found during Non- Hodgkin Lymphoma treatment, to suggest the drug class most associated with these effects, as well as the most prevalent side effect grade.

Methods: This review is registered in PROSPERO (IDCRD42022295774) and followed the PICOS strategy and PRISMA guidelines. The search was carried out in the databases PubMed/ MEDLINE, Scientific Electronic Library Online, and DOAJ. Medical Subject Headings Terms were used and quantitative studies with conclusive results regarding side effects during the non-Hodgkin lymphoma treatment were selected. Patent information was obtained from google patents.

Results: Monoclonal antibodies were the main drug class associated with side effects during NHL therapy. The combination of Rituximab (Rituxan®; patent EP1616572B) and iInotuzumab (Besponsa ®; patent EP1504035B3) was associated with a higher incidence of thrombocytopenia (p < 0.05), while the combination of Rituximab and Venetoclax (Venclexta®; patent CN107089981A) was associated with a higher incidence of neutropenia (p < 0.05) when compared to Bendamustine combinations (Treanda™; patent US20130253025A1). Meta-analysis revealed a high prevalence of grade 3-4 neutropenia and thrombocytopenia in men. Finally, Americans and Canadians experienced a higher prevalence of these side effects, when compared to others nationalities (p < 0.05).

Conclusion: Patents regarding the use of monoclonal antibodies in NHL treatment were published in the last year. Monoclonal antibodies associated with neutropenia (grade 3-4) and thrombocytopenia, especially in North American men treated for NHL, and with an average age of 62 years demonstrated importance in this study.

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