Evidence map›Paper›PMID 40899424›Full record

SynthesisCancer medicine2025

The Safety of Cadonilimab: A Systematic Review and Single-Arm Meta-Analysis.

Zhuo Zhang, Jiao Yu, Zhiqi Zhang, Qianxin Liu, Xiaocong Pang, Ying Zhou

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Cancer medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 2 of them syntheses that pooled it.

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

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

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

6 authors.

Zhuo ZhangDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Jiao YuDepartment of Obstetrics and Gynecology, Peking University First Hospital, Beijing, China.
Zhiqi ZhangDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Qianxin LiuDepartment of Pharmacy, Peking University First Hospital, Beijing, China.ORCID https://orcid.org/0009-0004-3722-403X
Xiaocong PangDepartment of Pharmacy, Peking University First Hospital, Beijing, China.
Ying ZhouDepartment of Pharmacy, Peking University First Hospital, Beijing, China.ORCID https://orcid.org/0000-0003-2562-8323

Funding

National Natural Science Foundation of China 82274015
6 · The paper itself

Abstract

introductionCadonilimab (AK104) is a bispecific antibody that simultaneously targets programmed cell death-1 and cytotoxic T-lymphocyte antigen-4. It has received approval for the treatment of cervical cancer and gastric/gastroesophageal junction cancer. This meta-analysis aims to assess cadonilimab's safety profile.

methodsA systematic review of electronic databases was conducted to identify clinical trials that reported cadonilimab's safety data. Immune-related adverse events (irAEs) was the primary endpoint, and treatment-related adverse events (TRAEs) were the secondary endpoints. A single-group proportion meta-analysis was conducted by R software.

resultsA total of 1271 patients across more than five cancer types in 11 clinical trials were included in this study. The incidence of any grade irAEs, grade ≥ 3 irAEs, irAEs leading to treatment discontinuation, and irAEs associated with mortality was 43.3% [95% confidence interval (CI), 33.3%-53.4%], 11.3% (95% CI, 9.5%-13.3%), 3.7% (95% CI, 1.5%-6.5%), and 0% (95% CI, 0%-0.4%), respectively. Hypothyroidism was the most common all-grade irAEs (13.3%, 95% CI, 8.9%-18.5%). The incidence of TRAEs was higher in the combined therapy group compared to the cadonilimab monotherapy group.

conclusionsThe irAEs associated with cadonilimab are generally manageable. When combining with other anticancer agents, physicians and pharmacists should be particularly aware of the potential increase in TRAEs.

Indexed as

Antibodies, BispecificAntineoplastic Agents, ImmunologicalCTLA-4 AntigenHumansProgrammed Cell Death 1 ReceptorAntibodies, BispecificAntineoplastic Agents, ImmunologicalCTLA-4 AntigenProgrammed Cell Death 1 Receptorbispecific antibodycadonilimabirAEsmeta‐analysissafety

Identifiers

PMID40899424
PMCPMC12405967

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.