Evidence map›Paper›PMID 40647424›Full record

ReviewCancers2025

Immune Checkpoint Inhibitors for Metastatic Colorectal Cancer: A Systematic Review.

Alice Gilson, Vincent Tan, Thibaud Koessler, Jeremy Meyer, Guillaume Meurette, Émilie Liot, Frédéric Ris, Vaihere Delaune

Abstract readReview
In one paragraph

Review in Cancers, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

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

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

Alice GilsonDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.ORCID 0009-0006-4762-6360
Vincent TanInternal Medicine, La Tour Hospital, 1217 Geneva, Switzerland.
Thibaud KoesslerOncology Department, Geneva University Hospitals, 1205 Geneva, Switzerland.
Jeremy MeyerDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.
Guillaume MeuretteDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.
Émilie LiotDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.
Frédéric RisDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.ORCID 0000-0001-7421-6101
Vaihere DelauneDivision of Digestive Surgery, Geneva University Hospitals, 1205 Geneva, Switzerland.ORCID 0000-0001-8931-0977

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundColorectal cancer is a significant health concern. Immunotherapy has become a promising approach in colorectal cancer, offering a wider array of therapeutic strategies. This study aims to summarize the current evidence regarding the use of checkpoint inhibitors in metastatic colorectal cancer.

methodsA systematic review of relevant clinical trials and randomized controlled trials (RCTs) assessing checkpoint inhibitors, published between January 2019 and January 2025, was conducted on Medline, Web of Science, and Cochrane. Progression-free survival (PFS), overall survival (OS), and objective response rate (ORR) were the primary outcomes. Studies focusing on other types of immunotherapy, non-clinical trials, pre-clinical trials, and study protocols were excluded.

results48 studies were included. Checkpoint inhibitors demonstrated significant efficacy in microsatellite instability (MSI) metastatic colorectal cancer (mCRC). In microsatellite stability (MSS) mCRC, immunotherapy was less effective, and combination strategies with chemotherapy or targeted therapies yielded mixed results. Grade ≥ 3 treatment-related adverse events (TRAEs) were common in combination regimens.

conclusionImmunotherapy has revolutionized MSI mCRC treatment while treating MSS CRC with these molecules remains unconvincing. Combination strategies and novel agents may offer potential but require further research to prove efficacy.

Indexed as

checkpoint inhibitorcolorectal cancercytotoxic T lymphocyte antigen 4 protein (CTLA-4)immunotherapymicrosatellite instability (MSI)microsatellite stability (MSS)programmed cell death protein 1 (PD-1)programmed death-ligand 1 (PD-L1)

Identifiers

PMID40647424
PMCPMC12248886

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.