Evidence map›Paper›PMID 34716473›Full record

SynthesisInternational journal of colorectal disease2022

Efficacy and safety of immune checkpoint inhibitors in colorectal cancer: a systematic review and meta-analysis.

Tianni Zeng, Xiaojie Fang, Jinhua Lu, Yazhen Zhong, Xianlei Lin, Zechen Lin, Nan Wang, Jing Jiang, Shengyou Lin

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in International journal of colorectal disease, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 16% 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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 21 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Tianni Zeng *Department of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Xiaojie Fang *Department of Anorectal Surgery, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Jinhua LuDepartment of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Yazhen ZhongDepartment of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Xianlei LinDepartment of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Zechen LinDepartment of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China.
Nan WangThe First People's Hospital of Xiaoshan District, Hangzhou, China.
Jing JiangThe Third Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou, China.
Shengyou LinDepartment of Oncology, Hangzhou TCM hospital Affiliated to Zhejiang Chinese Medical University, Hangzhou, China. linsy0628@126.com.ORCID http://orcid.org/0000-0001-6798-0945
Zhejiang Chinese Medical University · CNThe First People's Hospital of Xiaoshan District, Hangzhou · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveImmune checkpoint inhibitor (ICI) therapies have shown promising prospects in colorectal cancer (CRC) immunotherapy; many clinical trials have been carried out. In this study, we sought to evaluate the efficacy and safety of ICI therapies in CRC by presenting a meta-analysis of relevant studies.

methodsDatabases including PubMed, Embase, Cochrane Library, and Web of Science were systematically searched for studies concerning the efficacy and safety of ICI in colorectal cancer. The reported odds ratio (OR) or weighted mean difference (WMD) with 95% confidence intervals (CIs) of overall survival (OS), progression-free survival (PFS), objective response rate (ORR), disease control rate (DCR), treatment-related adverse events (TRAEs), and TRAEs ≥ 3 in the included studies were analyzed by fixed effects/random effects models.

resultsThree studies involving 667 patients with colorectal cancer were included in our meta-analysis. No significant difference between the immune checkpoint inhibitor therapies and conventional therapies in OS (WMD = 0.73, 95% CI - 3.09, 4.54; p = 0.71), in ORR (OR = 1.54, 95% CI 0.98, 2.40; p = 0.06), and in DCR (OR = 0.97, 95% CI 0.36, 2.61; p = 0.95). The median PFS of the ICI therapy group was shorter than that of the conventional therapy group (WMD =  - 0.10, 95% CI - 0.18, - 0.02; p = 0.02). At the same time, we also could not find a significant difference between the immune checkpoint inhibitor therapies and conventional therapies in TRAEs (OR = 1.56, 95% CI 0.11, 22.09; p = 0.74) and in TRAEs ≥ 3 (OR = 0.94, 95% CI 0.16, 5.65; p = 0.95).

conclusionImmune checkpoint inhibitor therapies could not improve all survival endpoints to advanced or metastatic colorectal cancer patients. Whether immune checkpoint inhibitors should be the first choice of therapies for colorectal cancer patients with undetermined microsatellite status or not able to determine microsatellite status needs more related studies to prove.

Indexed as

Colorectal NeoplasmsImmune Checkpoint InhibitorsHumansImmunotherapyProgression-Free SurvivalImmune Checkpoint InhibitorsColorectal cancerEfficacyImmune checkpoint inhibitorsProgrammed cell death protein 1 inhibitorProgrammed death ligand 1 inhibitorSafety

Identifiers

PMID34716473
PMCPMC8760220
OpenAlexW3209487721

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.