Evidence map›Paper›PMID 37915576›Full record

ReviewFrontiers in immunology2023

Clinical outcomes and timing on the combination of focal radiation therapy and immunotherapy for the treatment of brain metastases.

Gabriela Antelo, Silvia Comas, Francesc Casas, Izaskun Valduvieco, Tanny Barreto, María Laplana, Joel Mases, Gabriela Oses, Meritxell Mollà

Open access · goldAbstract readReview
In one paragraph

Review in Frontiers in immunology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 3 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Review
  4. Review
  5. Article
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.

Gabriela AnteloRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Silvia ComasRadiation Oncology Department, Institut Catalá d'Oncologia (ICO), Badalona, Badalona, Spain.
Francesc CasasRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Izaskun ValduviecoRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Tanny BarretoRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
María LaplanaRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Joel MasesRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Gabriela OsesRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Meritxell MollàRadiation Oncology Department, Hospital Clinic Barcelona, Barcelona, Spain.
Hospital Clínic de Barcelona · ESInstitut Català d'Oncologia · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Radiotherapy is one of the standard treatments for brain metastases (BM). Over the past years, the introduction of immunotherapy as routine treatment for solid tumors has forced investigators to review and evaluate how it would interact with radiation. Radiation and Immunotherapy have shown a synergic effect activating the host's immune system and enhancing treatment response. The combinatory effect on BM is currently under investigation. Methods: Data published on Pubmed to determine toxicity, survival, treatment characteristics and timing on the combination of radiotherapy and immunotherapy for the treatment of BM has been reviewed. Results: Mostly retrospective reviews report an improvement of intracranial progression free survival (iPFS) when combining radioimmunotherapy for BM patients. Two systematic reviews and meta-analysis and one phase II prospective trial also report a benefit on iPFS without an increase of toxicity. Among the published literature, the definition of concurrency is heterogeneous, being one month or even narrowed intervals correlated to better clinical outcomes. Toxicity due to concurrent radioimmunotherapy, specifically symptomatic radionecrosis, is also directly analyzed and reported to be low, similar to the toxicity rates secondary to stereotactic radiosurgery alone. Conclusion: Radiation combined with immunotherapy has shown in predominantly retrospective reviews a synergic effect on the treatment of BM. The concurrent combination of radioimmunotherapy is a feasible therapeutic strategy and seems to improve clinical outcomes, especially iPFS, when delivered within <30 days. Larger prospective and randomized studies are needed to establish reliable outcomes, best delivery strategies and toxicity profile.

Indexed as

Brain NeoplasmsRadiosurgeryHumansImmunotherapyProspective StudiesRetrospective Studiesbrain metastasescombination (combined) therapyimmunotherapyradiosurgerystereotactic radiation

Identifiers

PMID37915576
PMCPMC10616465
OpenAlexW4387694657

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.