Evidence map›Paper›PMID 34439292›Full record

ReviewCancers2021

Pancreatic Cancer and Immunotherapy: A Clinical Overview.

Florentine E F Timmer, Bart Geboers, Sanne Nieuwenhuizen, Madelon Dijkstra, Evelien A C Schouten, Robbert S Puijk, Jan J J de Vries, M Petrousjka van den Tol, Anna M E Bruynzeel, Mirte M Streppel and 5 more

Abstract readReview
In one paragraph

Review in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 74 papers.

0numbers the graph read from it
0cells of the map it votes in
74citing 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

74 citing papers in PubMed.

  1. Trial
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  14. Humanized mouse models ofOncoimmunology · 2025
    Article
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  20. Comparison of Shared Class I HLA-Bound Noncanonical Neoepitopes between Normal and Neoplastic Tissues of Pancreatic Adenocarcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article

14 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

15 authors.

Florentine E F TimmerDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.ORCID 0000-0001-6388-9001
Bart GeboersDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.ORCID 0000-0002-8137-9299
Sanne NieuwenhuizenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Madelon DijkstraDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.ORCID 0000-0002-5740-321X
Evelien A C SchoutenDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Robbert S PuijkDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Jan J J de VriesDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
M Petrousjka van den TolDepartment of Surgery, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Anna M E BruynzeelDepartment of Radiation Oncology, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.ORCID 0000-0002-7542-8920
Mirte M StreppelDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Johanna W WilminkDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Hans J van der VlietDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Martijn R MeijerinkDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.ORCID 0000-0002-1500-7294
Hester J SchefferDepartment of Radiology and Nuclear Medicine, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.
Tanja D de GruijlDepartment of Medical Oncology, Cancer Center Amsterdam, Amsterdam University Medical Centers, De Boelelaan 1117, 1081HV Amsterdam, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive disease with high mortality. The vast majority of patients present with unresectable, advanced stage disease, for whom standard of care chemo(radio)therapy may improve survival by several months. Immunotherapy has led to a fundamental shift in the treatment of several advanced cancers. However, its efficacy in PDAC in terms of clinical benefit is limited, possibly owing to the immunosuppressive, inaccessible tumor microenvironment. Still, various immunotherapies have demonstrated the capacity to initiate local and systemic immune responses, suggesting an immune potentiating effect. In this review, we address PDAC's immunosuppressive tumor microenvironment and immune evasion methods and discuss a wide range of immunotherapies, including immunomodulators (i.e., immune checkpoint inhibitors, immune stimulatory agonists, cytokines and adjuvants), oncolytic viruses, adoptive cell therapies (i.e., T cells and natural killer cells) and cancer vaccines. We provide a general introduction to their working mechanism as well as evidence of their clinical efficacy and immune potentiating abilities in PDAC. The key to successful implementation of immunotherapy in this disease may rely on exploitation of synergistic effects between treatment combinations. Accordingly, future treatment approaches should aim to incorporate diverse and novel immunotherapeutic strategies coupled with cytotoxic drugs and/or local ablative treatment, targeting a wide array of tumor-induced immune escape mechanisms.

Indexed as

ablationadoptive cell therapycancer vaccineimmunomodulatorsimmunotherapyoncolytic viruspancreatic cancer

Identifiers

PMID34439292
PMCPMC8393975

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.