Evidence map›Paper›PMID 33937012›Full record

SynthesisFrontiers in oncology2021

Response Efficacy of PD-1 and PD-L1 Inhibitors in Clinical Trials: A Systematic Review and Meta-Analysis.

Shixue Chen, Zhibo Zhang, Xuan Zheng, Haitao Tao, Sujie Zhang, Junxun Ma, Zhefeng Liu, Jinliang Wang, Yuanyu Qian, Pengfei Cui and 4 more

3 registry-linked trialsOpen access · goldAbstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 79 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
79citing papers in PubMed, 6 pooled it
8.0field-weighted citation impact, top 2% 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.

NCT05478538 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Observational Lung Trial to Collect Tissue to Train and Validate a Live Tumor Diagnostic Platform (CYBRID-01)

TypeobservationalSponsorElephasRan2023 to 2026Enrolled200ConditionsNSCLC (Non-small Cell Lung Cancer), Metastatic NSCLC - Non-Small Cell Lung CancerArmsCore Needle, Forceps, or Punch Biopsy
NCT05520099 active not recruitingnot on this mapstarted 2023, after this paper: background citation

Observational Basket Trial to Collect Tissue to Develop and Train a Live Tumor Diagnostic Platform (ELEPHAS-02)

TypeobservationalSponsorElephasRan2023 to 2027Enrolled416ConditionsImmunotherapy, Cancer, Bladder Cancer, Urothelial Carcinoma BladderArmsCore Needle Biopsy, Forceps Biopsy, Punch Biopsy
NCT07327489 recruitingnot on this mapstarted 2025, after this paper: background citation

Predicting Response to Immunotherapy From Analysis of Live Tumor Biopsies

TypeobservationalSponsorElephasRan2025 to 2038Enrolled2,000ConditionsCancer, Immunotherapy, Advanced Solid Tumors Cancer, Bladder CancerArmsBiopsy
3 · Its place in the literature

Who cites it

79 citing papers in PubMed, 6 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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  19. Molecular imaging and biology · 2026
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19 more citing papers are in PubMed but not listed here.

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

14 authors at 2 institutions in 1 country.

Shixue ChenDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhibo ZhangDepartment of Cardiothoracic Surgery, The 78th Group Army Hospital of Chinese PLA, Mudanjiang, China.
Xuan ZhengDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Haitao TaoDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Sujie ZhangDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Junxun MaDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhefeng LiuDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Jinliang WangDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yuanyu QianDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Pengfei CuiDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Di HuangDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Ziwei HuangDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Zhaozhen WuDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Yi HuDepartment of Medical Oncology, Chinese People's Liberation Army (PLA) General Hospital, Beijing, China.
Chinese People's Liberation Army · CNChinese PLA General Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors targeting the PD-1/PD-L1 pathway have demonstrated promise in treating a variety of advanced cancers; however, little is known regarding their efficacy under various clinical situations, including different cancer types, treatment lines, drug combinations, and therapeutic regimens.

methodsPublished articles and conference abstracts (in English) in PubMed, Embase, the Cochrane Central Register, and Web of Science were searched up to February 10, 2020. The data were analyzed by the meta-analysis program in Stata.

resultsA total of 16,400 patients from 91 clinical trials were included in this meta-analysis. PD-1/PD-L1 inhibitors had a mean ORR of 19.56% (95% CI: 15.09-24.03), a median TTR of 2.05 months (m) (95%CI: 1.85-2.26), and a median DOR of 10.65 m (95%CI: 7.78-13.52). First-line treatment had a higher ORR (36.57% vs. 13.18%) but a shorter DOR (9.00 m vs. 13.42 m) compared to the second-line or subsequent treatment. Immunotherapy combined with chemotherapy (I+C) (46.81% [95%CI: 36.02-57.60]) had a statistically significant higher ORR compared to immunotherapy (I) (17.75% [95%CI: 14.47-21.03]) or immunotherapy combined with immunotherapy (I+O) (12.25% [95%CI: 1.56-22.94]), while I+C (8.09 m [95%CI: 6.86-9.32]) appeared to reduce the DOR compared to I (12.39 m [95%CI: 7.60-17.18]). PD-1 inhibitors were associated with better ORR (21.65% vs. 17.60%) and DOR (11.26 m vs. 10.03 m) compared to PD-L1 inhibitors. There were no significant differences in TTR under different situations.

conclusionsPD-1/PD-L1 inhibitors were promising immunotherapeutic agents to achieve satisfactory response efficacies with different cancer types, treatment lines, drug combinations, and therapeutic regimens. This comprehensive summary of the response efficacy of PD-1/PD-L1 inhibitors serves as a reference for clinicians to make evidence-based decisions.

Indexed as

duration of responsemeta-analysisobjective response ratePD-1/PD-L1 inhibitorsresponse efficacytime to response

Identifiers

PMID33937012
PMCPMC8085334
OpenAlexW3153302452

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.