Evidence map›Paper›PMID 26550444›Full record

ArticleInternational journal of clinical and experimental medicine2015

Meta-analysis of chemotherapy and dendritic cells with cytokine-induced killer cells in the treatment of non-small-cell lung cancer.

Chenhong Zheng, Ganjun Yu, Hui Wang, Airong Tang, Peiliang Geng, Huiming Zhang, Zhiquan Zhu, Fang Li, Xiaohua Xie

Abstract read
In one paragraph

Article in International journal of clinical and experimental medicine, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 3 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Review
  5. Review
  6. Culture and Identification of Mouse Bone Marrow-Derived Dendritic Cells and Their Capability to Induce T Lymphocyte Proliferation.Medical science monitor : international medical journal of experimental and clinical research · 2016
    Article
  7. Review
  8. Article
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 at 3 institutions in 1 country.

Chenhong ZhengDepartment of Comprehensive Surgery, South Building, Chinese PLA General Hospital Beijing 100853, China ; Department of Chinese PLA General Logistics, No. 2 Clinic, Management Support Bureau Beijing 100071, China.
Ganjun YuInstitute of Immunology, National Key Laboratory of MedicalImmunology & Second Military Medical University 800 Xiangyin Road, Shanghai 200433, China.
Hui WangDepartment of Plastic Surgery, Shanghai Changzheng Hospital, Second Military Medical University Shanghai, China.
Airong TangDepartment of General Medicine, Beijing Tieying Hospital Beijing 100079, China.
Peiliang GengDepartment of Chinese PLA General Logistics, No. 2 Clinic, Management Support Bureau Beijing 100071, China.
Huiming ZhangDepartment of Chinese PLA General Logistics, No. 2 Clinic, Management Support Bureau Beijing 100071, China.
Zhiquan ZhuDepartment of Chinese PLA General Logistics, No. 2 Clinic, Management Support Bureau Beijing 100071, China.
Fang LiDepartment of Chinese PLA General Logistics, No. 2 Clinic, Management Support Bureau Beijing 100071, China.
Xiaohua XieDepartment of Comprehensive Surgery, South Building, Chinese PLA General Hospital Beijing 100853, China.
Chinese PLA General Hospital · CNSecond Military Medical University · CNBeijing Aerospace General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNon-small-cell lung cancer (NSCLC) is one of the most fatal cancers, which leads to large number of people dead. Followed by surgery, chemotherapy and radiotherapy, chemotherapy combined dendritic cells with cytokine-induced killer cells (DC-CIK) immunotherapy has been applied in NSCLC for some time, but little consistent beneficial results are provided. So, it is essential to weigh the pros and cons of the new therapeutic method.

methodsWe searched the randomized controlled trials of NSCLC mainly by PubMed database. Terms combination of "cytokine-induced killer cells", "tumor" and "cancer" were used. After evaluating the heterogeneity of selected studies, then we performed the meta-analysis. Pooled risk ratios (RRs) were estimated and 95% confidence intervals (CIs) were calculated using a fixed-effect model. Sensitivity analysis was also performed.

resultsSix eligible trials were enrolled. Efficiency and safety of chemotherapy followed by DC-CIK immunotherapy (experimental group) and chemotherapy alone (control group) were compared. 1-year overall survival (OS) (P=0.02) and progression free survival (PFS) (P=0.005) in the experimental group were significantly increased compared with the control. Disease control rate (DCR) (P=0.006) rose significantly in experimental group. However, no significant differences between the two groups were observed in 2-year OS (P=0.21), 2-year PFS (P=0.10), overall response rate (ORR) (P=0.76) and partial response (PR) (P=0.22). Temporary fever, anemia, leukopenia and nausea were the four major adverse events (AEs) treated by chemotherapy. The incidence of anemia, leukopenia and nausea in the experimental group was obviously lower than the control group. Temporary fever rate was higher in experimental group than that in the control, but could be alleviated by taking sufficient rest.

conclusionsChemotherapy combined with DC-CIK immunotherapy showed superiority in DCR, 1-year OS and PFS, and no more AEs appeared, however, there was no significant improvement in ORR, PR, 2-year OS and PFS. As a whole, the combination therapy is safer but modest in efficacy for advanced NSCLC patients.

Indexed as

chemotherapycytokine-induced killer cellsDC-CIKDendritic cellsimmunotherapyNSCLC

Identifiers

PMID26550444
PMCPMC4613129
OpenAlexW2420823745

What OpenQuestion holds

Textmetadata
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.