Acetaminophen use and prognosis in cancer patients treated with immune checkpoint inhibitors: evidence from a meta-analysis
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Le résumé fourni par la source
Background: Emerging studies have investigated the association between acetaminophen (APAP) use and clinical outcomes in cancer patients receiving immune checkpoint inhibitors (ICIs), but their findings remain inconsistent. This meta-analysis aims to systematically synthesize available evidence to clarify this relationship and provide evidence-based guidance for clinical practice. Methods: A systematic literature search was performed to identify studies comparing prognostic outcomes between APAP users and non-users among cancer patients treated with ICIs. Eligible studies were required to report hazard ratios (HRs) for overall survival (OS) and/or progression-free survival (PFS) with 95% confidence intervals (CIs). Meta-analyses were conducted to derive pooled effect estimates. Funnel plots and Egger's test were used to assess publication bias, and sensitivity analyses via a leave-one-out approach were performed to evaluate the robustness of results. Results: Five studies encompassing 7 cohorts and 2,349 patients (1,306 APAP users and 1,043 non-users) were included. Pooled analyses revealed that concomitant APAP use was significantly associated with shorter OS (HR: 1.29; 95% CI: 1.16-1.44) and PFS (HR: 1.27; 95% CI: 1.12-1.43), as well as a trend toward a lower objective response rate (RR: 0.78; 95% CI: 0.60-1.00). No significant publication bias was detected, and sensitivity analyses confirmed the robustness of these findings. Conclusion: Current evidence indicates that APAP use is associated with poorer prognosis in cancer patients treated with ICIs. These results may inform clinical guidelines regarding concomitant APAP and ICI use. Further randomized controlled trials are warranted to validate these observations and establish causal relationships. Systematic Review Registration: https://www.crd.york.ac.uk/prospero/, identifier CRD420251118489.
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Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Acetaminophen use and prognosis in cancer patients treated with immune checkpoint inhibitors: evidence from a meta-analysis
- Date Crossref
- 21/11/2025
- Éditeur
- Frontiers Media SA
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Sun Yat-sen University Department of Pharmacy pays non établi dans la noticeUniversité ou école supérieure
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First Affiliated Hospital of GuangXi Medical University pays non établi dans la noticeÉtablissement de santé
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Guangxi Medical University Department of Pharmacy pays non établi dans la noticeUniversité ou école supérieure
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The Second Nanning People's Hospital pays non établi dans la noticeÉtablissement de santé
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China Pharmaceutical University Center for New Drug Safety Evaluation and Research pays non établi dans la noticeUniversité ou école supérieure
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School of Pharmaceutical Science pays non établi dans la noticeUniversité ou école supérieure
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School of Basic Medicine and Clinical Pharmacy pays non établi dans la noticeUniversité ou école supérieure
Department of Pharmacy — Sun Yat-sen University, First Affiliated Hospital of GuangXi Medical University et Department of Pharmacy — Guangxi Medical University, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.