Evidence map›Paper›PMID 39463070›Full record

SynthesisCancer medicine2024

Safety and Efficacy of Rechallenge With Immune Checkpoint Inhibitors in Advanced Solid Tumor: A Systematic Review and Meta-Analysis.

Huijun Xu, Yang Yang, Ying Yan, Mengge Li, Shusheng Wu, Lulu Cao, Wenju Chen, Huiqin Luo, Yifu He

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

15 citing papers in PubMed.

  1. Trial
  2. Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. 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

9 authors.

Huijun XuDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Yang YangDivision of Life Sciences and Medicine, Department of Ultrasound, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Ying YanDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Mengge LiDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Shusheng WuDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Lulu CaoDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Wenju ChenDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Huiqin LuoDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.
Yifu HeDivision of Life Sciences and Medicine, Department of Oncology, the First Affiliated Hospital of USTC, University of Science and Technology of China, Hefei, Anhui, China.ORCID https://orcid.org/0000-0003-1990-0298

Funding

Health Commission of Anhui Province Scientific Research Project AHWJ2023A30183Health Commission of Anhui Province Scientific Research Project AHWJ2023BAc10031
6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) have drastically shifted the current landscape toward a wide variety of malignancies. However, ICIs are interrupted owing immune-related adverse events (irAEs), therapy completion, and disease progression. The risk-benefit of rechallenged ICIs remains inconclusive. Herein, a systematic review and meta-analysis were conducted to evaluate the safety and efficacy of ICI rechallenge in the treatment of advanced solid tumor.

methodsPubMed, Web of Science, Embase, and Cochrane Library were searched to analyze the efficacy and safety of ICI rechallenge. The study protocol was approved by the PROSPERO International Register of Systematic Reviews (CRD42022372222). The last updated search date was March 2, 2024. Objective response rate (ORR), disease control rate (DCR), overall survival (OS), and incidence rates of all- and high-grade irAEs were evaluated.

resultsA total of 41 retrospective studies comprising 2343 patients were ultimately enrolled for qualitative and quantitative assessments. A total of 1200 (51.2%) individuals were male and the median age was 66 years (range 18-97 years). The majority of the tumors was lung cancer (n = 898, 38.3%). The occurrence rates of all-grade and high-grade (grade 3 or 4) irAEs between initial and readministration ICIs were not significantly different (all-grade: OR, 0.75, 95% CI: 0.39-1.45, p = 0.40; I

conclusionRechallenging immunotherapy is feasible, and patients should be carefully evaluated by a multidisciplinary team prior to initial therapy for close monitoring and assessment of the risk-benefit ratio. Therefore, prospective trials are essential to guide clinicians in the decision-making process. PROSPERO Registration: CRD42022372222.

Indexed as

Immune Checkpoint InhibitorsNeoplasmsAdolescentAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeYoung AdultImmune Checkpoint Inhibitorsimmune checkpoint inhibitorsimmune‐related adverse eventsrechallengesolid tumor

Identifiers

PMID39463070
PMCPMC11513547

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.