Evidence map›Paper›PMID 41244814›Full record

SynthesisFrontiers in pharmacology2025

Efficacy and safety of traditional Chinese medicine (TCM) combined with immune checkpoint inhibitors (ICIs) for the treatment of cancer: a systematic review and meta-analysis.

Yani Ke, Yuyan Pan, Xueru Huang, Xing Bai, Xiaojuan Liu, Mingsi Zhang, Yunhai Wei, Tao Jiang, Guangji Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in pharmacology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing 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

8 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Review
  5. Review
  6. Review
  7. Article
  8. 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.

Yani Ke *School of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Yuyan Pan *Key Laboratory of Blood-stasis-toxin Syndrome of Zhejiang Province, Hangzhou, China.
Xueru HuangSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Xing BaiSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Xiaojuan LiuSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Mingsi ZhangSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Yunhai WeiHuzhou Central Hospital, Huzhou, Zhejiang, China.
Tao JiangSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.
Guangji ZhangSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, Zhejiang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Cancer remains a major global health burden. Combining traditional Chinese medicine (TCM) with immune checkpoint inhibitors (ICIs) may potentially mitigate treatment-related side effects and improve the quality of life for cancer patients. To critically evaluate the clinical efficacy of this combination therapy, a meta-analysis was performed. Methods: A systematic search was conducted across six databases. Data were analyzed using RevMan 5.3 and Stata 12. Heterogeneity was explored through subgroup analysis and meta-regression. The robustness of results was assessed via sensitivity analysis and publication bias. Results: 41 studies were included. The TCM + ICIs group demonstrated significantly superior outcomes compared to the ICIs group across multiple endpoints: Overall Response Rate (ORR) (RR: 1.34 [1.20, 1.49]), Disease Control Rate (DCR) (RR: 1.15 [1.10, 1.21]), CD4 Conclusion: The combination of TCM with ICIs appears to enhance antitumor immunity, reduce adverse reactions, lower serum tumor marker levels, improve disease control, and ameliorate patient performance status. This combination strategy represents a promising therapeutic approach for various cancers and warrants further investigation.

Indexed as

cancerICISimmune checkpoint inhibitorsmeta-analysisTCMtraditional Chinese medicine

Identifiers

PMID41244814
PMCPMC12615493

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Registered trials

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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.