Evidence map›Paper›PMID 31950058›Full record

SynthesisBioMed research international2019

Safety and Efficacy in Relapsed or Refractory Classic Hodgkin's Lymphoma Treated with PD-1 Inhibitors: A Meta-Analysis of 9 Prospective Clinical Trials.

Xueyan Zhang, Li Chen, Yawei Zhao, Huiru Yin, He Ma, Miao He

Open access · hybridAbstract readMeta-AnalysisReview
In one paragraph

Synthesis in BioMed research international, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 27% 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, 1 synthesis or guideline pooled it, 6 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. T cell-engaging therapies - BiTEs and beyond.Nature reviews. Clinical oncology · 2020
    Review
  5. 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

6 authors at 2 institutions in 1 country.

Xueyan ZhangSchool of Nursing, Jilin University, Changchun, China.ORCID https://orcid.org/0000-0003-4093-0045
Li ChenSchool of Nursing, Jilin University, Changchun, China.
Yawei ZhaoDepartment of Pharmacology, College of Basic Medical Sciences, Jilin University, Changchun, China.
Huiru YinSchool of Nursing, Jilin University, Changchun, China.
He MaDepartment of Anesthesiology, Second Hospital of Jilin University, Changchun, Jilin, China.
Miao HeDepartment of Anesthesiology, Second Hospital of Jilin University, Changchun, Jilin, China.ORCID https://orcid.org/0000-0003-0128-348X
Jilin University · CNSecond Affiliated Hospital of Jilin University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClassic Hodgkin's lymphoma (cHL) is characterized by the unique biology in which rare Hodgkin-Reed-Sternberg cells propagate an immunosuppressive microenvironment. Checkpoint inhibitors that target the interaction of PD-1 immune checkpoint receptors have demonstrated remarkable activities in various cancers, such as cHL. This study aims to evaluate the safety and efficacy of PD-1 inhibitors in treating relapsed or refractory cHL (rrHL).

methodsWe searched PubMed, MEDLINE, Embase, Cochrane Central Register of Controlled Trials, China National Knowledge Infrastructure, Wanfang, Chinese Biological Medical Literature, and Abstracts of Conference proceedings of annual meetings without any language restrictions to limit language bias (up to January 2019) for prospective clinical trials that evaluate PD-1 inhibitors in treating relapsed or refractory cHL.

resultsA total of 9 prospective clinical trials with 731 patients were included in the meta-analysis. The pooled risks of all-grade and grade ≥3 adverse events (AEs) were 0.86 (95% CI: 0.66-0.98) and 0.21 (95% CI: 0.17-0.24), respectively. The pooled response, complete response, partial response, and stable disease rates were 0.74 (95% CI: 0.70-0.79), 0.24 (95% CI: 0.18-0.34), 0.48 (95% CI: 0.41-0.55), and 0.15 (95% CI: 0.12-0.17), respectively. The pooled 6-month progression-free survival and 1-year overall survival rates were 0.76 (95% CI: 0.72-0.79) and 0.93 (95% CI: 0.90-0.96), correspondingly.

conclusionsOur meta-analysis suggested that anti-PD1 monoclonal antibodies improve the outcomes of response and survival rates with tolerable AEs in cHL. However, evidence of immune checkpoint inhibitors for patients with cHL remained insufficient. Well-designed randomized controlled trials or at least nonrandomized trials with a control group should be conducted to confirm the findings of this meta-analysis.

Indexed as

Antibodies, MonoclonalChinaClinical Trials as TopicDrug-Related Side Effects and Adverse ReactionsHodgkin DiseaseHumansImmunosuppressive AgentsProgrammed Cell Death 1 ReceptorTumor MicroenvironmentAntibodies, MonoclonalImmunosuppressive AgentsPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID31950058
PMCPMC6948280
OpenAlexW2995132330

What OpenQuestion holds

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LicenceCC BY
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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.