Evidence map›Paper›PMID 41231056›Full record

ReviewActa medica academica2025

The Possible Role of Immunotherapy in Locally Advanced Pancreatic Cancer Treatment.

Rouan Barakat, Despoina Sidira, Athanasios Stavropoulos, Nikias Konsolas, Andreas Palantzas, Dimitrios Filippou

Abstract readReview
In one paragraph

Review in Acta medica academica, 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. Article
  2. 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

6 authors.

Rouan BarakatDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece; Research and Education Institute in Biomedical Sciences, Piraeus, Greece. r1barakat@hotmail.com.
Despoina SidiraDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece; Research and Education Institute in Biomedical Sciences, Piraeus, Greece.
Athanasios StavropoulosDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece.
Nikias KonsolasDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece.
Andreas PalantzasDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece.
Dimitrios FilippouDepartment of Anatomy, Medical School of Athens, National and Kapodistrian University of Athens, Greece; Research and Education Institute in Biomedical Sciences, Piraeus, Greece.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveLocally advanced pancreatic cancer (LAPC) represents a significant subset of pancreatic cancers and is characterized by a poor prognosis and limited treatment options. Conventional therapies, including chemoradiotherapy, have demonstrated limited success, prompting interest in innovative strategies, such as immunotherapy. This review evaluates the role of immunotherapy in LAPC. MATERIALS AND

methodsFor this review, a comprehensive search of the PubMed database was conducted in August 2024. After applying the exclusion criteria, 26 studies were included in the analysis.

resultsImmune checkpoint inhibitors have produced inconsistent clinical outcomes, with modest improvements in progression-free survival and significant side effects. Cancer vaccines, particularly GVAX in combination regimens, have demonstrated potential, as have fibroblast activation protein (FAP) and mKRAS-specific amphiphile vaccines in preclinical and clinical settings. Chimeric antigen receptor (CAR) T-cell therapies targeting various antigens have yielded encouraging outcomes but have faced safety and efficacy challenges. Emerging approaches, including Toll-like receptor agonists, tumor-associated macrophage targeting, and radioimmunotherapy, have also shown preclinical promise but require further study. Despite numerous investigations, the overall impact of immunotherapy on LAPC remains limited. Some combination therapies involving checkpoint inhibitors, vaccines, and CAR T cells have shown positive outcomes; however, many are hindered by the immunosuppressive environment and toxicity of tumors. Recent studies emphasize the need for further research to refine these strategies and improve treatment options.

conclusionLAPC remains one of the deadliest malignancies, with immunotherapy offering potential but constrained by limited survival benefits and adverse effects. Further studies focusing on novel agents, refined combinations, and overcoming tumor resistance mechanisms are critical to improve outcomes for this challenging disease.

Indexed as

ImmunotherapyPancreatic NeoplasmsCancer VaccinesHumansImmune Checkpoint InhibitorsCancer VaccinesImmune Checkpoint InhibitorsImmune Checkpoint InhibitorsImmunotherapyLocally Advanced Pancreatic CancerOncology

Identifiers

PMID41231056
PMCPMC12739874

What OpenQuestion holds

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LicenceCC BY-NC
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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.