Evidence map›Paper›PMID 25872936›Full record

SynthesisBMJ open2015

Evaluation of tumour vaccine immunotherapy for the treatment of advanced non-small cell lung cancer: a systematic meta-analysis.

Min Wang, Jun-Xia Cao, Yi-Shan Liu, Bei-Lei Xu, Duo Li, Xiao-Yan Zhang, Jun-Li Li, Jin-Long Liu, Hai-Bo Wang, Zheng-Xu Wang

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in BMJ open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 3 pooled it
0.7field-weighted citation impact, top 30% of its field
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

5 citing papers in PubMed, 3 syntheses or guidelines pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Therapeutic vaccines for advanced non-small cell lung cancer.The Cochrane database of systematic reviews · 2024
    Pooled it
  3. Pooled it
  4. Article
  5. Nanoimmunotherapy: the smart trooper for cancer therapy.Exploration of targeted anti-tumor therapy · 2025
    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

10 authors at 1 institution in 1 country.

Min WangBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Jun-Xia CaoBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Yi-Shan LiuBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Bei-Lei XuBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Duo LiBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Xiao-Yan ZhangBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Jun-Li LiBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Jin-Long LiuBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Hai-Bo WangBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
Zheng-Xu WangBiotherapy Center, General Hospital of Beijing Military Command, Beijing, People's Republic of China.
The Military General Hospital of Beijing PLA · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur meta-analysis performed a systematic evaluation on the therapeutic efficacy and safety of tumour vaccines for the treatment of advanced non-small cell lung cancer (NSCLC).

designSystematic review and meta-analysis of randomised controlled trials (RCT). DATA SOURCES: PubMed, the Cochrane Center Register of Controlled Trials, Science Direct and EMBASE were searched from January 1980 until January 2015. ELIGIBILITY CRITERIA FOR SELECTING STUDIES: RCT were included; the control arm had to receive either placebo or chemotherapy or no treatment.

main outcome measuresThe quality of the data from individual papers was assessed for overall survival (OS), clinical response rate and side effects.

resultsOverall, 11 RCT of advanced NSCLC with a total of 3986 patients were conducted for meta-analysis. The results showed that the vaccine arm significantly extended primary endpoint median overall survival compared with control group (p<0.00001) (HR 0.760; 95% CI 0.644 to 0.896; p=0.001). Three subgroup patients with tumour vaccine at 1-year, 2-year and 3-year survival rates also gained significant benefits compared with their corresponding control group (p=0.0004, 0.03 and 0.19, respectively). Besides, a significant improvement in median time to progression (TTP), median progression-free survival (PFS) and a trend of improvement in objective response rate were observed after tumour vaccine treatment (p=0.001, 0.005 and 0.05, respectively; median PFS HR 0.842; 95% CI 0.744 to 0.954; p=0.007). A few severe adverse effects occurred in the tumour vaccine group, but fewer side effects were observed in the vaccine group compared with the control group (p<0.00001).

conclusionsTaken together, NSCLC tumour vaccines markedly prolong median OS (p<0.00001), median TTP (p=0.001) and median PFS (p=0.005), improve clinical response rate (p=0.05) and lessen adverse side effects (p<0.00001). Our meta-analysis suggests tumour vaccines improve the efficacy of the treatment, and also provide superiority in treatment of patients with advanced NSCLC among a variety of immunotherapy strategies.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCancer VaccinesCarcinoma, Non-Small-Cell LungDisease-Free SurvivalHumansImmunotherapyLung NeoplasmsRandomized Controlled Trials as TopicSurvival AnalysisCancer VaccinesImmunotherapyNon-small cell lung cancerTumor vaccine

Identifiers

PMID25872936
PMCPMC4401843
OpenAlexW2123667751

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 OpenQuestion graph.