Review Article

Efficacy and Safety of Immune Checkpoint Inhibitors in Patients with Cancer and Hepatitis B or C: A Systematic Review and Meta-Analysis

Table 1

The pooled incidence rate of AST and ALT abnormalities.

CharacteristicsIncidence (%)95% CII2 (%)

AST increase
All gradesUninfected14.175.18%–25.86%0.08651.01
HCV24.204.79%–50.46%<0.00183.11
HBV12.265.61%–20.71%0.02660.63
Hepatitis16.938.32%–27.45%<0.00176.97
Grades 3-4Uninfected3.160.01%–9.43%0.21131.57
HCV17.375.51%–32.96%0.04359.43
HBV3.090.34%–7.56%0.12142.57
Hepatitis7.692.30%–15.13%<0.00171.08

ALT increase
All gradesUninfected8.561.49%–19.19%0.09652.79
HCV36.0711.45%–64.51%<0.00179.99
HBV13.075.62%–22.48%0.04156.84
Hepatitis21.2710.91%–33.49%0.21033.65
Grades 3-4Uninfected2.250.00%–8.19%0.29319.17
HCV9.392.19%–19.43%0.4091.10
HBV0.950.00%–3.66%0.04446.65
Hepatitis3.480.37%–8.46%0.21033.65