Evidence map›Paper›PMID 40031424›Full record

SynthesisClinics (Sao Paulo, Brazil)2025

Pembrolizumab in gestational trophoblastic neoplasia: Systematic review and meta-analysis with sub-group analysis of potential prognostic factors.

Marcio Barcellos, Antonio Braga, Matheus Machado Rech, Solange Artimos de Oliveira, Jose Mauro Madi, Sue Yazaki Sun, Jorge de Rezende-Filho, Kevin M Elias, Neil S Horowitz, Ross S Berkowitz

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Clinics (Sao Paulo, Brazil), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. 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

10 authors.

Marcio BarcellosCentro de Doenças Trofoblásticas do Rio de Janeiro, Maternidade Escola da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil.
Antonio BragaCentro de Doenças Trofoblásticas do Rio de Janeiro, Maternidade Escola da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil; Postgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil; Postgraduate Program in Applied Health Sciences, Universidade de Vassouras, Vassouras, RJ, Brazil. Electronic address: antonio.braga@ufrj.br.
Matheus Machado RechCentro de Doenças Trofoblásticas de Caxias do Sul, Faculdade de Medicina, Universidade de Caxias do Sul, Caxias do Sul, RS, Brazil.
Solange Artimos de OliveiraPostgraduate Program in Medical Sciences, Faculdade de Medicina, Universidade Federal Fluminense, Rio de Janeiro, RJ, Brazil.
Jose Mauro MadiCentro de Doenças Trofoblásticas de Caxias do Sul, Faculdade de Medicina, Universidade de Caxias do Sul, Caxias do Sul, RS, Brazil.
Sue Yazaki SunDepartment of Obstetrics, Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, SP, Brazil.
Jorge de Rezende-FilhoCentro de Doenças Trofoblásticas do Rio de Janeiro, Maternidade Escola da Universidade Federal do Rio de Janeiro, Rio de Janeiro, RJ, Brazil.
Kevin M EliasNew England Trophoblastic Disease Center, Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Neil S HorowitzNew England Trophoblastic Disease Center, Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.
Ross S BerkowitzNew England Trophoblastic Disease Center, Division of Gynecologic Oncology, Department of Obstetrics, Gynecology and Reproductive Biology, Brigham and Women's Hospital, Dana-Farber Cancer Institute, Harvard Medical School, Boston, MA, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo assess the performance of pembrolizumab for the treatment of Gestational Trophoblastic Neoplasia (GTN).

methodsThe Medical Subject Headings related to immunotherapy/pembrolizumab and GTN were used alone or in combination to retrieve relevant articles. The authors searched in EMBASE, MEDLINE/PubMed, Elsevier's Scopus, and Web of Science until November/2024. The authors included any randomized controlled trials, cohort studies, case series, and case reports focusing on pembrolizumab treatment in GTN. Meta-analysis of proportions was carried out employing a random-effects model. The meta-analysis employed the inverse variance method, with the arcsine link function for the analysis of proportional data. All analyses were performed using Stata 18. For all analyses, a p-value < 0.05 indicated statistical significance. This study was registered on PROSPERO (CRD42023493329).

resultsA total of 550 studies were identified after a literature search among which 15 original studies were included in the systematic review and in the meta-analysis. Pembrolizumab induced complete sustained remission in 71.59% (95% CI 53.27‒84.78%; I

conclusionsPembrolizumab seems an effective treatment for patients with high-risk GTN with chemoresistant or relapsed disease, including cases of PSTT/ETT, notwithstanding patient age, time to initiate immunotherapy and whether or not it was associated with chemotherapy.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalGestational Trophoblastic DiseaseFemaleHumansPregnancyPrognosisTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic Agents, ImmunologicalpembrolizumabChoriocarcinomaGestational trophoblastic neoplasiaImmunotherapyPD-1/PD-L1 inhibitorsPembrolizumab

Identifiers

PMID40031424
PMCPMC11923758

What OpenQuestion holds

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LicenceCC BY
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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.