Evidence map›Paper›PMID 40597861›Full record

SynthesisBMC cancer2025

Efficacy of vaccination therapy in newly diagnosed and recurrent glioblastoma patients: a meta-analysis.

Ioannis Karavolias, Konstantinos I Karampinos, Eleni-Rafaela Kani, Konstantinos Drougkas, Vasiliki Kleopatra Karampinou, Despoina Maria Karavolia, Ioannis-Alexios Koumprentziotis, Ioanna Ploumaki, Efthymios Triantafyllou, Panagis M Lykoudis and 3 more

Abstract readMeta-AnalysisSystematic Review
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 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Vaccine-based cancer immunotherapy in newly diagnosed glioblastoma: a time-to-event meta-analysis of phase II and III randomized controlled trials.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  2. 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

13 authors.

Ioannis KaravoliasDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece. ioanniskaravolias@gmail.com.
Konstantinos I KarampinosDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Eleni-Rafaela KaniDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Konstantinos DrougkasDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Vasiliki Kleopatra KarampinouDepartment of Medicine, School of Medicine, University of Patras, Patras, Greece.
Despoina Maria KaravoliaDepartment of Obstetrics and Gynecology, General Hospital of Nikaia "Agios Panteleimon", Athens, Greece.
Ioannis-Alexios KoumprentziotisDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Ioanna PloumakiDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Efthymios TriantafyllouDepartment of Medicine, School of Medicine, National and Kapodistrian University of Athens, Mikras Asias 75, Attica, Athens, 11527, Greece.
Panagis M LykoudisFaculty of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Theophilos TzaridisCancer Genome and Epigenetics Program, NCI-Designated Cancer Center, Prebys Medical Discovery Institute, La Jolla, Sanford Burnham, CA, USA.
Ilias KarabinosCardiology Department, Euroclinic of Athens, Athens, Greece.
Konstantinos GousiasDepartment of Neurosurgery, Athens Medical Center, Athens, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlioblastoma (GB) is the most common and fatal primary central nervous system malignancy in adults. Various immunotherapies, including vaccination, are under investigation for their potential to extend survival in GB patients. Vaccination therapy has shown variable but promising outcomes across studies. This meta-analysis aims to evaluate the efficacy of available vaccines for newly diagnosed and recurrent GB.

methodsWe conducted a systematic search in PubMed, Scopus, and Web of Science to identify randomized or non-randomized double-arm studies involving adult GB patients treated with vaccines. Overall survival (OS) and progression-free survival (PFS) were the primary outcomes, with effect sizes represented as hazard ratios (HR) and calculated using a random-effects model. Funnel plots, Egger's and Begg-Mazumdar tests assessed publication bias, and the chi-square (Q) statistic, I

resultsA total of 2,792 patients from 23 clinical studies were included. Our findings showed significant improvements in PFS (HR, 0.64; p < 0.001) and OS (HR, 1.09; p < 0.00001) with minimal publication bias but notable heterogeneity. Meta-regression identified vaccine type and publication year as influential factors. Subgroup analysis demonstrated survival benefits with dendritic cell and viral vector vaccines, with a trend towards lower 6-methylguanine-DNA methyltransferase (MGMT) methylation rates. Sensitivity analysis confirmed the robustness of our results.

conclusionsVaccination therapy showed potential survival benefits for GB patients; however, further phase III studies are needed to validate these results, elucidate biological mechanisms, and strive for improved trial designs and patient stratification.

Indexed as

Brain NeoplasmsCancer VaccinesGlioblastomaNeoplasm Recurrence, LocalVaccinationHumansProgression-Free SurvivalTreatment OutcomeCancer VaccinesBrain cancerCancer vaccinesGlioblastoma

Identifiers

PMID40597861
PMCPMC12210592

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.