Evidence map›Paper›PMID 41268683›Full record

SynthesisThoracic cancer2025

Treatment-Related Adverse Events of Antibody-Drug Conjugate Monotherapy in Non-Small Cell Lung Cancer: A Systematic Review and Meta-Analysis.

Yuwei Li, Linjing Zhou, Sini Li, Shichao Zhou, Yunfei Chen, Yunfeng Tong, Jing Sun, Le Wang, Yun Fan

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Thoracic cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Yuwei LiPostgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0009-0002-3471-5410
Linjing ZhouDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Sini LiDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Shichao ZhouDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0009-0000-5436-1256
Yunfei ChenPostgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, China.
Yunfeng TongPostgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, China.
Jing SunPostgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, China.
Le WangDepartment of Cancer Prevention, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.ORCID https://orcid.org/0000-0002-6142-7134
Yun FanPostgraduate Training Base Alliance of Wenzhou Medical University, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAntibody-drug conjugates (ADCs) have demonstrated promising efficacy in several prospective clinical studies, offering new possibilities for the treatment of non-small cell lung cancer (NSCLC). Consequently, understanding the toxicity profile associated with ADCs is of critical importance.

methodsA comprehensive search was performed across PubMed, Embase, Cochrane Library, and ClinicalTrials.gov for studies on ADC monotherapy in NSCLC. Data extraction prioritized treatment-related adverse events (TRAEs), drug-related adverse events (AEs), or treatment-emergent adverse events (TEAEs). Incidences were pooled using a random-effects model.

resultsThirteen studies including 1566 NSCLC patients were analyzed. The pooled incidence of all-grade TRAEs was 93.67%. Grade ≥ 3 TRAEs occurred in 38.74%, and serious TRAEs in 15.89%. Discontinuation and mortality rates were 9.52% and 0.63%. Hematologic toxicity was common among grade ≥ 3 TRAEs. Additionally, 20 fatal TRAEs were mainly associated with respiratory toxicity. Subgroup analysis for adverse events of special interest (AESIs) showed that Trastuzumab deruxtecan was more likely to cause grade ≥ 3 pneumonitis or interstitial lung disease (ILD), while TROP2-targeted ADCs were prone to high-grade stomatitis and ocular toxicity.

conclusionThe overall incidence of TRAEs with ADC monotherapy in NSCLC is high, but most are Grade 1 or 2 and overall safety is manageable. Importantly, fatal TRAEs were mainly respiratory in this study, requiring clinical vigilance. Grade ≥ 3 AESIs should also be closely monitored. REGISTRATION: This study was registered at INPLASY (ID: INPLASY2023120046).

Indexed as

Carcinoma, Non-Small-Cell LungDrug-Related Side Effects and Adverse ReactionsImmunoconjugatesLung NeoplasmsHumansImmunoconjugatesantibody‐drug conjugatemeta‐analysisnon‐small cell lung cancertreatment‐related adverse events

Identifiers

PMID41268683
PMCPMC12635590

What Socratic holds

Textmetadata
LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.