Evidence map›Paper›PMID 34926989›Full record

SynthesisJNCI cancer spectrum2021

Immunotherapy Efficacy in the Initial Lines of Treatment in Advanced Upper Gastrointestinal Malignancies: A Systematic Review of the Literature.

Konstantinos Kamposioras, Panagiotis Ntellas, Michail Nikolaou, Theodora Germetaki, Ioanna Gazouli, Katerina Dadouli, George Zarkavelis, Anna-Lea Amylidi, Maria Tolia, Davide Mauri

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in JNCI cancer spectrum, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.5field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 7 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
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

10 authors at 5 institutions in 2 countries.

Konstantinos KamposiorasDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK.ORCID 0000-0003-3506-1500
Panagiotis NtellasDepartment of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.ORCID 0000-0003-1708-3861
Michail NikolaouDepartment of Medical Oncology, Agios Savvas Anticancer Hospital, Athens, Greece.ORCID 0000-0002-7215-6296
Theodora GermetakiDepartment of Medical Oncology, The Christie NHS Foundation Trust, Manchester, UK.
Ioanna GazouliDepartment of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.ORCID 0000-0001-8774-136X
Katerina DadouliLaboratory of Hygiene and Epidemiology, Faculty of Medicine, University of Thessaly, Larissa, Greece.
George ZarkavelisDepartment of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.
Anna-Lea AmylidiDepartment of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.ORCID 0000-0003-2791-9255
Maria ToliaDepartment of Radiotherapy, School of Medicine, University of Crete, Heraklion, Greece.
Davide MauriDepartment of Medical Oncology, University Hospital of Ioannina, Ioannina, Greece.
University Hospital of Ioannina · GRThe Christie NHS Foundation Trust · GBSt Savas Hospital · GRUniversity of Crete · GRUniversity of Thessaly · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The therapeutic role of immune checkpoint inhibitors (ICIs) has represented the cutting edge of clinical research in upper gastrointestinal (GI) malignancies, with these agents now included in the armamentarium of treatment options for advanced gastric and esophageal cancers. Methods: We performed a systematic literature review and pooled analysis to map out the currently available robust clinical evidence for the use of ICIs in upper GI cancers. Immunotherapy (IO), either as monotherapy or in combination with chemotherapy, and its role in first-line, maintenance, and second-line settings, as well as in specific clinical and biological subgroups, were critically appraised. All statistical tests were 2-sided. Results: ICIs, in combination with chemotherapy, have provided statistically significant overall survival benefit in the first-line setting in gastric and gastro-esophageal adenocarcinomas (hazard ratio [HR] = 0.83, 95% confidence interval [CI] = 0.76 to 0.90, Conclusions: IO is changing the treatment landscape in upper GI malignancies. The rapidly developing evidence in the field needs to be critically appraised while further validation of the existing information from ongoing trials is awaited.

Indexed as

AdenocarcinomaAntineoplastic AgentsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaHumansImmune Checkpoint InhibitorsImmunotherapyMaintenance ChemotherapyRandomized Controlled Trials as TopicStomach NeoplasmsAntineoplastic AgentsImmune Checkpoint Inhibitors

Identifiers

PMID34926989
PMCPMC8677514
OpenAlexW3216101837

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.