Evidence map›Paper›PMID 40357050›Full record

ArticleBMJ oncology2025

Combined immune checkpoint inhibitors and ablative radiotherapy in metastatic cancers: a meta-analysis of prospective clinical trials.

Eduardo Urias, Jaehoon Lee, Christopher R Weil, Eric Roach, Shane Lloyd, Mia Hashibe, Andrea Facciabene, Amit Maity, Randa Tao

Abstract read
In one paragraph

Article in BMJ oncology, 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. Review
  2. Review
  3. CD4Journal for immunotherapy of cancer · 2026
    Article
  4. Article
  5. Review
  6. Review
  7. Review
  8. 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.

Eduardo UriasDepartment of Radiation Oncology, University of Utah Health Huntsman Cancer Institute, Salt Lake City, Utah, USA.ORCID 0000-0002-0158-8200
Jaehoon LeeDepartment of Educational Psychology, Leadership, and Counseling, Texas Tech University, Lubbock, Texas, USA.
Christopher R WeilDivision of Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, Texas, USA.
Eric RoachDepartment of Radiation Oncology, University of Utah Health Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Shane LloydDepartment of Radiation Oncology, University of Utah Health Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Mia HashibeDepartment of Family and Preventive Medicine, University of Utah Health, Salt Lake City, Utah, USA.
Andrea FacciabeneRadiation Oncology, University of Pennsylvania, Philadelphia, Pennsylvania, USA.
Amit MaityDepartment of Radiation Oncology, University of Utah Health Huntsman Cancer Institute, Salt Lake City, Utah, USA.
Randa TaoDepartment of Radiation Oncology, University of Utah Health Huntsman Cancer Institute, Salt Lake City, Utah, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To pool data from prospective clinical trials investigating combined stereotactic ablative radiotherapy (SABR) with immune checkpoint inhibitors (ICI) in patients with metastatic cancers. Methods and analysis: PubMed, Scopus and EMBASE were queried for full-length articles of prospective clinical trials involving patients with metastatic solid tumours. Random-effects meta-analysis was performed with the Knapp-Hartung method. Multilevel regression analyses with primary cancers used as random effects and pairwise comparisons with two-tailed test adjusted with Benjamini-Hochberg method were performed. Regression coefficients (β) were calculated to assess the correlation between dose and outcomes. Results: We identified 30 trials and 35 individual treatment arms with a total of 951 patients with at least one outcome metric reported. Large heterogeneity was identified for all outcomes measured (I Conclusion: We report a safety profile of combined ICI with SABR in patients with metastatic cancer that is comparable to that of ICI alone. We identified higher doses of radiotherapy and dual-target ICI to be associated with better OS at 6 months. Large heterogeneity and the lack of a control group limit the interpretation of our findings.

Indexed as

ImmunotherapyMetastatic cancerRadiotherapy

Identifiers

PMID40357050
PMCPMC12067805

What OpenQuestion holds

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Registered trials

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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.