Evidence map›Paper›PMID 35117287›Full record

ArticleTranslational cancer research2020

The efficacy and safety of immune checkpoint inhibitors combined with antiangiogenic drugs in renal cell carcinomas: a systematic review and meta-analysis.

Qian He, Jiayi Li, Chi Zhang, Sheng Tang, Qinglan Ren

Open access · diamondAbstract read
In one paragraph

Article in Translational cancer research, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 32% 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, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  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

5 authors at 1 institution in 1 country.

Qian HeDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jiayi LiDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chi ZhangDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Sheng TangDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Qinglan RenDepartment of Oncology, The First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
First Affiliated Hospital of Chongqing Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe treatment of solid malignant tumors using immune checkpoint inhibitors (ICIs) combined with antiangiogenic drugs, has gradually become an active field of clinical research. However, the results are inconsistent. Therefore, we designed this meta-analysis to evaluate the efficacy and safety of ICIs combined with antiangiogenic drugs in patients with solid malignant tumors. We found that the focus of combination therapy studies was on renal cell carcinomas (RCC).

methodsWe searched PubMed, Embase, and the Cochrane Library to summarize the hazard ratio (HR) for overall survival (OS), progression-free survival (PFS), and the odds ratio (OR) for objective response rate (ORR), disease control rate (DCR), and adverse events (AEs) of grade 3 or higher.

resultsA total of 6 studies were included. We found that patients who received antiangiogenic drugs combined with ICIs had better OS [HR =0.74, 95% confidence interval (CI): 0.60-0.89], PFS (HR =0.79, 95% CI: 0.70-0.89), ORR (OR =2.34, 95% CI: 1.35-4.04) and DCR (OR =1.52, 95% CI: 1.21-1.91) than those without ICIs. There was no significant difference in the incidence of grade 3 or higher AEs (OR =0.76, 95% CI: 0.52-1.11). Subgroup analyses showed that combination therapy resulted in a lower risk of death in patients with PD-L1 expression ≥1% or <1%, and better PFS in patients with RCCs who were of different ages, different genders, and different International Metastatic Renal Cell Carcinoma Database Consortium (IMDC) risk scores (favorable/intermediate/poor).

conclusionsThe results of this meta-analysis suggest that ICIs combined with antiangiogenic drugs can provide more clinical benefits to patients with solid malignant tumors without significantly increasing side effects. More clinical trials are needed to validate these findings further.

Indexed as

angiogenesis inhibitorImmune checkpoint inhibitor (ICI)immunotherapyrenal cell carcinomas (RCCs)vascular endothelial growth factor (VEGF)

Identifiers

PMID35117287
PMCPMC8798721
OpenAlexW3107534453

What OpenQuestion holds

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Registered trials

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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.