Cochrane · systematic review · CD009256

Cisplatin versus carboplatin in combination with third‐generation drugs for advanced non‐small cell lung cancer

Vasconcellos, VF, Marta, GN, da Silva, EMK, et al. · Cochrane Database of Systematic Reviews · 2020 · Cochrane Library

Lung CancerAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 3 · 50%High 3 · 50%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Carboplatin compared with cisplatin chemotherapy in combination with third‐generation drugs for advanced non‐small cell lung cancer

Population: combination with third‐generation drugs for advanced non‐small cell lung cancer
6 questions
OutcomeEffectEvidenceStatus / GRADE
Overall survival (baseline risks for low‐ and high‐risk groups in the control arm were estimated at 1 year)
Carboplatin vs cisplatin chemotherapy
HR 0.99 [0.82, 1.2]10 studies · 2515 participantsHigh
1‐year survival rate
Carboplatin vs cisplatin chemotherapy
RR 0.98 [0.89, 1.08]11 studies · 4004 participantsHigh
Response rate
Carboplatin vs cisplatin chemotherapy
RR 0.89 [0.79, 1]11 studies · 4020 participantsHigh
Grade III or IV neurotoxicity
Carboplatin vs cisplatin chemotherapy
RR 1.4210 studies · 3857 participantsModerate
Grade III or IV thrombocytopenia
Carboplatin vs cisplatin chemotherapy
RR 2.46 [1.49, 4.04]10 studies · 3857 participantsModerate
Downgraded: inconsistency
Grade III or IV renal toxicity
Carboplatin vs cisplatin chemotherapy
RR 0.52 [0.19, 1.45]3 studies · 1272 participantsModerate