Evidence map›Paper›PMID 39478479›Full record

SynthesisBMC cancer2024

PD-1/PD-L1 immune checkpoint inhibitors in the treatment of unresectable locally advanced or metastatic triple negative breast cancer: a meta-analysis on their efficacy and safety.

Zuxiu Wang, Peimeng You, Zhanglei Yang, Hanxi Xiao, Xinrong Tang, Yongping Pan, Xuhuan Li, Feng Gao

Abstract readMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 3 pooled it
–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

17 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Mammographic radiomics and breast density for predicting PD-L1 expression in breast cancer.Cancer imaging : the official publication of the International Cancer Imaging Society · 2026
    Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Review
  15. Article
  16. Article
  17. 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

8 authors.

Zuxiu Wang *Department of General Practice Medicine, Second People's Hospital of Bengbu City, No. 302 Yan'an Road, Bengbu, Anhui Province, China.
Peimeng You *Department of Biomedical Engineering, Capital Medical University, Beijing, China.
Zhanglei YangDepartment of Rehabilitation Medicine, Red Cross Hospital Affiliated to Xi'an Jiaotong University, Xi'an, China.
Hanxi XiaoDepartment of General Practice Medicine, Nanchang University Affiliated Rehabilitation Hospital, Square South Road, Xihu District, Nanchang, Jiangxi Province, China.
Xinrong TangDepartment of General Practice Medicine, Nanchang University Affiliated Rehabilitation Hospital, Square South Road, Xihu District, Nanchang, Jiangxi Province, China.
Yongping PanDepartment of General Practice Medicine, Nanchang University Affiliated Rehabilitation Hospital, Square South Road, Xihu District, Nanchang, Jiangxi Province, China.
Xuhuan LiDepartment of General Practice Medicine, Nanchang University Affiliated Rehabilitation Hospital, Square South Road, Xihu District, Nanchang, Jiangxi Province, China. 1154766397@qq.com.
Feng GaoDepartment of General Practice Medicine, Second People's Hospital of Bengbu City, No. 302 Yan'an Road, Bengbu, Anhui Province, China. 653837097@qq.com.

Funding

The Fourth Affiliated Hospital of Nanchang University SKJP220210373
6 · The paper itself

Abstract

backgroundTriple negative breast cancer (TNBC) represents a particularly aggressive and clinically challenging subtype of breast cancer, characterized by its invasive nature and generally poor prognosis. Treatment options for unresectable TNBC are limited. In recent years, the advent of PD-1/PD-L1 immune checkpoint inhibitors has offered a promising new treatment option for unresectable TNBC. The role of PD-1/PD-L1 immune checkpoint inhibitors (ICIs) in unresectable TNBC management remains a subject of debate. This article aims to synthesize evidence from randomized controlled trials (RCTs) through a meta-analysis (MA) to provide a comprehensive evaluation of the efficacy and safety profile of ICIs in the treatment of unresectable TNBC.

methodWe searched PubMed, Embase, Cochrane library, Web of Science, and ClinicalTrials.gov for the eligible RCTs which compared the efficacy and safety of PD-1/PD-L1 ICIs and chemotherapy alone. The outcomes analyzed included overall survival (OS), progression-free survival (PFS), objective response rate (ORR) and treatment-related adverse effects (AEs).

resultsThis meta-analysis included 11 trials. Therapy with PD-L1 inhibitors was superior to chemotherapy in terms of OS in both the intention-to-treat (ITT) population and the PD-L1-positive population. (ITT: HR: = 0.90 [0.81, 0.99], P = 0.04, I

conclusionBoth PD-1 and PD-L1 inhibitors can offer survival benefits to TNBC patients, with the primary beneficiaries being those who are PD-L1-positive. However, immunotherapy can also lead to an increase in treatment-related adverse events. Therefore, it is essential to conduct a risk assessment for each patient before starting treatment to prevent the occurrence of serious adverse reactions.

trial registrationThis systematic review study has been filed with PROSPERO (Registration number: CRD42024571775).

Indexed as

B7-H1 AntigenImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorTriple Negative Breast NeoplasmsFemaleHumansProgression-Free SurvivalRandomized Controlled Trials as TopicTreatment OutcomeB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorImmunotherapyMeta-analysisPD-1/PD-L1 inhibitorsSystematic reviewsTriple-negative breast cancer

Identifiers

PMID39478479
PMCPMC11526542

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.