Evidence map›Paper›PMID 40355848›Full record

SynthesisBMC cancer2025

Unlocking the potential of immune checkpoint inhibitors in advanced cervical cancer: a meta-analysis and systematic review.

Zheng-Rui Li, Yu-Feng Wang, Chen- Rong Zuo, Jing-Sheng Men, Xin-Yuan Li, Peng Luo, Xiao-San Su, Rui-Fen Sun

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

8 authors.

Zheng-Rui Li *College of Basic Medical Science , Yunnan University of Chinese Medicine, kunming, 650500, China.
Yu-Feng Wang *School of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China.
Chen- Rong ZuoCollege of Nursing, Yunnan University of Chinese Medicine, No. 1076, Yuhua Street, Chenggong District, Kunming, 650500, China.
Jing-Sheng MenSchool of Medicine, Shanghai Jiao Tong University, Shanghai, 200000, China.
Xin-Yuan LiFujian University of Traditional Chinese Medicine, Fuzhou, 350122, China.
Peng LuoDepartment of Oncology, Zhujiang Hospital, Southern Medical University, Guangzhou, 510280, Guangdong, China. luopeng@smu.edu.cn.
Xiao-San SuScientific Research and Experimental Center, Yunnan University of Chinese Medicine, Kunming, 650500, China. suxs163@163.com.
Rui-Fen SunCollege of Nursing, Yunnan University of Chinese Medicine, No. 1076, Yuhua Street, Chenggong District, Kunming, 650500, China. sunruifen@ynucm.edu.cn.

Funding

the National Natural Science Foundation of China No. 82060519, 81760519, 81560429the Open Research Fund Program of Yunnan Key Laboratory of Integrated Traditional Chinese and Western Medicine for Chronic Disease in Prevention and Treatment CWCD2023-025Yunnan Province 10,000 people plan young top-notch talents YNWR-QNBJ-2018-212Yunnan Provincial Department of Science and Technology - Yunnan University of Chinese Medicine Applied Basic Research Joint Special Project 202301AZ070001-062
6 · The paper itself

Abstract

objectiveThis meta-analysis systematically evaluated the effectiveness and safety of immune checkpoint inhibitors (ICIs) in treating advanced cervical cancer, emphasizing their potential as transformative therapeutic options in this complex clinical landscape.

methodsEMBASE, Web of Science, PubMed, and the Cochrane Library were thoroughly searched for articles on the outcomes of ICIs in advanced cervical cancer patients. A pooled analysis was performed to evaluate the objective response rate (ORR: reported as an odds ratio (OR), progression-free survival (PFS; hazard ratio (HR), overall survival (OS; HR), and safety outcomes risk ratio (RR). Subgroup and sensitivity analyses were also conducted to identify potential sources of bias and heterogeneity.

resultsOur meta-analysis included 5 studies involving 3,112 patients. Compared with standard therapies, treatment with immune checkpoint inhibitors (ICIs) significantly improved the objective response rate (ORR; OR = 1.68, 95% CI = 1.27-2.23), prolonged progression-free survival (PFS; HR = 0.72, 95% CI = 0.65-0.80), and extended overall survival (OS; HR = 0.69, 95% CI = 0.61-0.79). Subgroup analyses revealed potential predictors of treatment response. Moreover, ICIs exhibit a manageable safety profile, with adverse events consistent with known immune-related toxicities.

conclusionThis meta-analysis highlights the promising efficacy and favourable safety profile of immune checkpoint inhibitors in advanced cervical cancer. These findings suggest a paradigm shift in treatment strategies, with ICIs emerging as a potential cornerstone therapy. Further research is warranted to elucidate optimal patient selection, combination therapies, and long-term outcomes. This study provides valuable insights for clinicians and researchers, paving the way for personalized and effective treatment approaches for advanced cervical cancer.

Indexed as

Immune Checkpoint InhibitorsUterine Cervical NeoplasmsFemaleHumansProgression-Free SurvivalTreatment OutcomeImmune Checkpoint InhibitorsCervical cancerEfficacyImmune checkpoint inhibitorsImmunotherapyMeta-analysisSafety

Identifiers

PMID40355848
PMCPMC12070727

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.