Evidence map›Paper›PMID 39230804›Full record

SynthesisJournal of neuro-oncology2024

Advancements and challenges: immunotherapy therapy in high-grade glioma - a meta-analysis of randomized clinical trials.

Lucca B Palavani, Lucas Pari Mitre, Raphael Camerotte, Bernardo Vieira Nogueira, Gisele Lúcia Canto, Hsien-Chung Chen, Niels Pacheco-Barrios, Márcio Yuri Ferreira, Sávio Batista, Filipi Fim Andreão and 6 more

Abstract readMeta-AnalysisReview
PubMed Publisher
In one paragraph

Synthesis in Journal of neuro-oncology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. 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

16 authors.

Lucca B PalavaniMax Planck University Center, Indaiatuba, SP, Brazil.
Lucas Pari MitreSanta Casa de São Paulo School of Medical Sciences, São Paulo, SP, Brazil.
Raphael CamerotteFederal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Bernardo Vieira NogueiraSerra dos Órgãos University Center, TeresópolisRio de Janeiro, RJ, Brazil. bevnogueira@gmail.com.
Gisele Lúcia CantoFederal University of Amazonas, Manaus, AM, Brazil.
Hsien-Chung ChenTaipei Medical University Shuang Ho Hospital, Taipei, Taiwan.
Niels Pacheco-BarriosBrigham and Womens's Hospital, Boston, MA, USA.
Márcio Yuri FerreiraDepartment of Neurosurgery, Lenox Hill Hospital/Northwell Health, New York, NY, USA.
Sávio BatistaFederal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Filipi Fim AndreãoFederal University of Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Allan Dias PolveriniNeurosurgical Oncology Division, Barretos Cancer Hospital, Barretos, São Paulo, SP, Brazil.
Thiago S MontenegroDepartment of Neurosurgery, Thomas Jefferson University, Philadelphia, PA, USA.
Wellingson PaivaDepartment of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Christian FerreiraPhelps Hospitalm/Northwell Health, New York, NY, USA.
Raphael BertaniDepartment of Neurosurgery, University of São Paulo, São Paulo, SP, Brazil.
Randy S D'AmicoDepartment of Neurosurgery, Lenox Hill Hospital/Northwell Health, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundHigh-grade gliomas (HGG) are the most aggressive primary brain tumors with poor prognoses despite conventional treatments. Immunotherapy has emerged as a promising avenue due to its potential to elicit a targeted immune response against tumor cells.

objectiveThis meta-analysis aimed to evaluate the efficacy and safety of various immunotherapeutic strategies, including immune checkpoint inhibitors (ICI), virotherapy, and dendritic cell vaccines (DCV) in treating HGG.

methodsFollowing the PRISMA framework, we searched PubMed, Cochrane, and Embase for studies reporting outcomes of HGG patients treated with immunotherapy. Key metrics included overall survival, progression-free survival, and treatment-related adverse events.

resultsWe reviewed 47 studies, analyzing data from 3674 HGG patients treated with immunotherapy. The mean overall survival for patients treated with ICI was 11.05 months, with virotherapy at 11.79 months and notably longer for DCV at 24.11 months. The mean progression-free survival (PFS) for ICIs was 3.65 months. Virotherapy demonstrated a PFS favoring the control group, indicating minimal impact, while DCV showed substantial PFS improvement with a median of 0.43 times lower hazard compared to controls (95% CI: 29-64%). Adverse events were primarily Grade 1 or 2 for ICI, included a Grade 5 event for virotherapy, and were predominantly Grade 1 or 2 for DCV, indicating a favorable safety profile.

conclusionImmunotherapy holds potential as an effective treatment for HGG, especially DCV. However, results vary significantly with the type of therapy and individual patient profiles. Further randomized controlled trials are necessary to establish robust clinical guidelines and optimize treatment protocols.

Indexed as

Brain NeoplasmsGliomaImmunotherapyRandomized Controlled Trials as TopicCancer VaccinesHumansImmune Checkpoint InhibitorsOncolytic VirotherapyCancer VaccinesImmune Checkpoint InhibitorsDendritic cell vaccineHigh-grade gliomaImmune checkpoint inhibitorsImmunotherapyVirotherapy

Identifiers

What OpenQuestion holds

Textmetadata
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.