Evidence map›Paper›PMID 28412743›Full record

SynthesisOncotarget2017

Autologous transplantation of cytokine-induced killer cells as an adjuvant therapy for hepatocellular carcinoma in Asia: an update meta-analysis and systematic review.

Xiu-Rong Cai, Xing Li, Jin-Xiang Lin, Tian-Tian Wang, Min Dong, Zhan-Hong Chen, Chang-Chang Jia, Ying-Fen Hong, Qu Lin, Xiang-Yuan Wu

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Oncotarget, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
–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

15 citing papers in PubMed.

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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.

Xiu-Rong CaiDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Xing LiDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Jin-Xiang LinDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Tian-Tian WangDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Min DongDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Zhan-Hong ChenDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Chang-Chang JiaGuangdong Provincial Key Laboratory of Liver Disease Research, Guangzhou 510630, People's Republic of China.
Ying-Fen HongDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Qu LinDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.
Xiang-Yuan WuDepartment of Medical Oncology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, People's Republic of China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh recurrence rate after curative treatment is the major problem for hepatocellular carcinoma (HCC). Cytokine-induced killer cells (CIKs) therapy was extensively studied among HCC patients. However, the value of CIKs therapy was controversial. A meta-analysis was performed to investigate the efficacy of adjuvant CIKs after invasive treatments among HCC patients.

methodsWe searched online for literatures studying sequential CIKs therapy for HCC patients. Recurrence-free survival (RFS), progress-free survival (PFS) and overall survival (OS) were set as the main endpoints. Both overall and subgroup analysis were accomplished.

resultsA total of 12 clinical trials with 1,387 patients were included. The pooled analysis showed a significant improvement of RFS, PFS and OS in CIK group (HR 0.56, 95% CI 0.47-0.67, p<0.00001 for RFS; HR 0.53, 95% CI 0.40-0.69, p<0.00001 for PFS; HR 0.59, 95% CI 0.46-0.77, p<0.0001 for OS). The proportion of CD4+ T cells increased significantly, while CD8+ T cells decreased significantly after CIKs therapy (WMD 4.07, 95% CI 2.58-5.56, p<0.00001; WMD -2.84, 95% CI -4.67 to -1.01, p=0.002, respectively). No significant differences of adverse events between CIK and non-CIK group existed.

conclusionsConventionally invasive therapies combined with CIKs therapy could improve the prognosis of HCC patients, especially for RFS and PFS, with mild side effects. Optimizing patient selection shall be the direction in future studies.

Indexed as

Immunotherapy, AdoptiveAsiaCarcinoma, HepatocellularClinical Trials as TopicCytokine-Induced Killer CellsHumansLiver NeoplasmsLymphocyte SubsetsPublication BiasSafety ManagementTransplantation, AutologousTreatment Outcomeadoptive cells therapycytokine induced killer cellimmunotherapyliver cancermeta-analysis

Identifiers

PMID28412743
PMCPMC5458210

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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.