Evidence map›Paper›PMID 40281282›Full record

SynthesisEuropean journal of nuclear medicine and molecular imaging2025

Efficacy of combined targeted radionuclide therapy and immune checkpoint Inhibition in animal tumour models: a systematic review and meta-analysis of the literature.

Simone C Kleinendorst, Carlijn R Hooijmans, Stijn Muselaers, Egbert Oosterwijk, Mark Konijnenberg, Sandra Heskamp, Sanne A M van Lith

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of nuclear medicine and molecular imaging, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Materials today. Bio · 2026
    Article
  2. Targeted Radionuclide Therapy: Current Landscape and Combination Approaches to Improve Oncology Outcomes.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Review
  3. Article
  4. Article
  5. Review
  6. Review
  7. α-Therapy and Combination Strategies to Overcome Resistance and Enhance Clinical Outcomes in Prostate Cancer.Journal of nuclear medicine : official publication, Society of Nuclear Medicine · 2025
    Article
  8. Article
  9. 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

7 authors.

Simone C KleinendorstDepartment of Medical Imaging, Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands. Simone.C.Kleinendorst@radboudumc.nl.ORCID 0000-0002-2664-9428
Carlijn R HooijmansDepartment of Anesthesiology, Pain and Palliative Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-6435-5714
Stijn MuselaersDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-6906-7033
Egbert OosterwijkDepartment of Urology, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-5049-0018
Mark KonijnenbergDepartment of Medical Imaging, Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-5895-8500
Sandra HeskampDepartment of Medical Imaging, Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-7250-0846
Sanne A M van LithDepartment of Medical Imaging, Nuclear Medicine, Radboud University Medical Center, Nijmegen, The Netherlands.ORCID 0000-0001-8584-2546

Funding

KWF Kankerbestrijding 2019-2, 12567Nederlandse Organisatie voor Wetenschappelijk Onderzoek 09150162310086Nederlandse Organisatie voor Wetenschappelijk Onderzoek 09150172010054ZonMw 01142042330012
6 · The paper itself

Abstract

purposeGiven radiation's immunomodulatory effects and the complementary anti-cancer mechanisms of targeted radionuclide therapy (TRT) and immune checkpoint inhibition (ICI), their combination holds promise as a cancer treatment. This systematic review and meta-analysis summarize the literature on the therapeutic efficacy of combined TRT/ICI in animal tumour models.

methodsA systematic search in MEDLINE-PubMed and Embase-OVID was performed. Study characteristics and risk of bias were assessed. Outcome parameters included normalized area under the tumour growth curve and restricted mean survival time, of which ratios between combined treatment and untreated and monotherapy groups were analysed in a random-effects meta-analyses. Predefined subgroup analyses explored potential moderators of treatment efficacy.

resultsIn total, 31 studies were included. Study characteristics such as animal sex and age, cancer type, TRT target, and radionuclides, varied considerably across studies. The quality of the included studies could not always be assessed due to poor reporting. All meta-analyses indicated significantly improved survival and tumour growth of combination treatment over untreated, TRT and ICI monotherapy controls (RMST ratio 1.96 [1.72-2.23], 1.44 [ 1.34-1.55], 1.54 [1.38-1.72], and nAUC ratio 0.32 [0.25-0.42], 0.49 [0.41-0.59], 0.41 [0.31-0.55], respectively), with high between-study heterogeneity (I

conclusionThis systematic review highlights the therapeutic potential of combined TRT/ICI treatment, demonstrating preclinical proof-of-concept and supporting its further evaluation in clinical trials. However, the current literature remains insufficient to determine optimal treatment parameters like TRT tumour-absorbed dose and ICI type for clinical translation. Further research with improved reporting standards should systematically evaluate the impact of such parameters to enable robust comparisons.

Indexed as

Immune Checkpoint InhibitorsNeoplasmsAnimalsCombined Modality TherapyDisease Models, AnimalTreatment OutcomeImmune Checkpoint InhibitorsCombined modality therapyImmune checkpoint inhibitionMeta-analysisSystematic reviewTargeted radionuclide therapy

Identifiers

PMID40281282
PMCPMC12491095

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.