Evidence map›Paper›PMID 40452815›Full record

ArticleMedComm2025

Efficacy and Safety of Neoadjuvant Immunotherapy plus Chemotherapy versus Neoadjuvant Chemotherapy in Non-Small Cell Lung Cancer Treatment: A Mixed Method Meta-Analysis Based on Global Randomized Controlled Trials.

Shen Li, Chenhao Xu, Yuanling Meng, Yiyang Li, Jiaqing Yang, Junxuan Du, Fan Zhang, Hu Liao, Xuelei Ma

Abstract read
In one paragraph

Article in MedComm, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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.

Shen LiDepartment of Biotherapy West China Hospital and State Key Laboratory of Biotherapy Sichuan University Chengdu China.
Chenhao XuWest China School of Medicine West China Hospital Sichuan University Chengdu Sichuan China.
Yuanling MengWest China School of Stomatology Sichuan University Chengdu Sichuan China.
Yiyang LiWest China School of Medicine West China Hospital Sichuan University Chengdu Sichuan China.
Jiaqing YangDepartment of Biotherapy West China Hospital and State Key Laboratory of Biotherapy Sichuan University Chengdu China.
Junxuan DuShihezi University School of Medicine Shihezi University Xinjiang China.
Fan ZhangHealth Management Center General Practice Medical Center West China Hospital Sichuan University Chengdu Sichuan China.
Hu LiaoDepartment of Thoracic Surgery West China Hospital Sichuan University Chengdu China.
Xuelei MaDepartment of Biotherapy West China Hospital and State Key Laboratory of Biotherapy Sichuan University Chengdu China.ORCID https://orcid.org/0000-0002-9148-5001

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study explores the efficacy and safety of combining immunotherapy with chemotherapy for neoadjuvant non-small cell lung cancer (NSCLC) treatment. Despite the rapid advancement of immunotherapy, direct evidence comparing it with chemotherapy alone is limited. Following PRISMA guidelines, we analyzed global phase II and III randomized controlled trials data. Our meta-analysis included nine trials with 3431 participants, showing that combined treatment significantly improved event-free survival, pathological complete response, major pathological response, surgical acceptance, and R0 resection rates in NSCLC compared with chemotherapy alone. Safety analysis revealed similar all adverse event incidences between treatments, while Grade ≥3 adverse events were higher than those in neoadjuvant chemotherapy. Network meta-analysis confirmed the benefits of different immunotherapeutic drugs and efficacy in different subgroups. The study's high-quality evidence suggests that neoadjuvant immunotherapy plus chemotherapy should be considered in clinical practice for NSCLC, with further research needed to optimize treatment strategies and improve patient outcomes.

Indexed as

efficacyimmunotherapyneoadjuvant therapynon‐small cell lung cancersafety

Identifiers

PMID40452815
PMCPMC12126597

What OpenQuestion holds

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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.