Evidence map›Paper›PMID 33787569›Full record

SynthesisMedicine2021

Cytokine-induced killer cells/dendritic cells and cytokine-induced killer cells immunotherapy for the treatment of esophageal cancer: A meta-analysis.

Xin Yuan, An Zhi Zhang, Yi Lin Ren, Xue Li Wang, Chen Hao Jiang, Lan Yang, Chun Xia Liu, Wei Hua Liang, Li Juan Pang, Wen Yi Gu and 2 more

Registry-linked trialOpen access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05955157 (Phase II Randomized Controlled Trial Of Dendritic Cell + Cytokine-Induced Killer Cell Immunotherapy With S-1 Versus S-1 Alone As Maintenance Therapy For Advanced Pancreatic Ductal Adenocarcinoma Patients), which is not on this map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
0.8field-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.

NCT05955157 phase2 / phase3unknown statusnot on this mapstarted 2023, after this paper: background citation

Phase II Randomized Controlled Trial Of Dendritic Cell + Cytokine-Induced Killer Cell Immunotherapy With S-1 Versus S-1 Alone As Maintenance Therapy For Advanced Pancreatic Ductal Adenocarcinoma Patients

TypeinterventionalSponsorUniversity of MalayaRan2023 to 2025Enrolled52ConditionsPancreatic Ductal Adenocarcinoma, Advanced Solid TumorArmsDendritic cell + Cytokine-induced killer cell (DC+CIK) immunotherapy, Tegafur Only Product
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Article
  6. Review
  7. Review
  8. Article
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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

12 authors at 2 institutions in 4 countries.

Xin YuanDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.ORCID 0000-0002-6375-3259
An Zhi ZhangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Yi Lin RenDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Xue Li WangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Chen Hao JiangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Lan YangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Chun Xia LiuDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Wei Hua LiangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Li Juan PangDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Wen Yi GuDepartment of Pathology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Feng LiDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Jian Ming HuDepartment of Pathology, the First Affiliated Hospital, Shihezi University School of Medicine, Xinjiang, China.
Shihezi University · CNCapital Medical University · CN

Funding

Senior Talent Foundation of Jiangsu University (CN) RCZK2018C19
6 · The paper itself

Abstract

objectivesThis meta-analysis was designed to systematically evaluate whether autologous cytokine-induced killer cells (CIK) or dendritic cells and cytokine-induced killer cells (DC-CIK) immunotherapy combined with chemotherapy can improve the therapeutic effect and safety of chemotherapy in esophageal cancer (EC). MATERIALS AND

methodsRandomized controlled trials (RCTs) were electronically searched databases including CNKI, WanFang, WeiPu, CBMDisc, PubMed, Web of Science, EMbase, the Cochrane Library, and Clinical Trials. The databases were searched for articles published until June 2019. Two researchers independently screened the literature, extracted data, and evaluated the quality of the included literature. Meta-analysis was performed using RevMan5.3.

resultsSeventeen studies (1416 participants) were included. The differences between CIK/DC-CIK combination chemotherapy and chemotherapy alone were significant. The results displayed that the number of CD3+, CD4+, CD4+/CD8+, and NK cells was significantly increased after 1 to 2 weeks of treatment with CIK/DC-CIK cells in the treatment group (all P < .05). In addition, the results shown that 1-year overall survival was significantly prolonged (P < .0001) and quality of life was improved (P = .001) in EC chemotherapy combined with immunotherapy groups compared with conventional treatment. Furthermore, cytokine expression levels of interleukin 2 (IL-2), tumor necrosis factor α (TNF-α), and interleukin 12 (IL-12) were significantly increased (P = .0003) as well as the levels of immunoglobulins were elevated (P < .00001). Serum levels of tumor marker molecules, carcinoembryonic antigen (CEA), carbohydrate antigen (CA)-199, and CA-125 were lower in treatment groups than that of control groups (P < .00001). No fatal adverse reactions were noted (P = .04).

conclusionsIt is safe and effective for patients to use chemotherapy combined with CIK/DC-CIK immunotherapy. Immunotherapy can simultaneously improve the antitumor immune response. Specifically, DC-CIK cells can increase T lymphocyte subsets, CIK cells, NK cells, and immunoglobulins in peripheral blood to enhance antitumor immunity. Therefore, combination therapy enhances the immune function and improves the therapeutic efficacy of patients with EC.

Indexed as

Adaptive ImmunityAgedAntineoplastic AgentsCombined Modality TherapyCytokine-Induced Killer CellsDendritic CellsEsophageal NeoplasmsFemaleHumansMaleMiddle AgedRandomized Controlled Trials as TopicTreatment OutcomeAntineoplastic Agents

Identifiers

PMID33787569
PMCPMC8021386
OpenAlexW3139780426

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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.