Evidence map›Paper›PMID 41258596›Full record

ArticleDiscover oncology2025

Efficacy and safety of PD-1 inhibitors combined with anti-angiogenic agents in patients with recurrent or metastatic nasopharyngeal carcinoma: a systematic review and meta-analysis.

Jingjing Gao, Dan Zong, Yiyue He, Jingshu Xu, Xia He

Abstract read
In one paragraph

Article in Discover oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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

  1. Pooled it
  2. Article
  3. 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

5 authors.

Jingjing GaoThe Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, 210009, Jiangsu, China.
Dan ZongThe Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, 210009, Jiangsu, China.
Yiyue HeThe Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, 210009, Jiangsu, China.
Jingshu XuThe Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, 210009, Jiangsu, China.
Xia HeThe Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing, 210009, Jiangsu, China. hexiabm@163.com.

Funding

Key Project of Jiangsu Provincial Health Commission K2019028Nanjing Science and Technology Plan Project 2022SX00001663Nasopharyngeal Carcinoma Cohort Program of Nanjing Medical University NMUC2021011ANational Natural Science Foundation of China 82172804
6 · The paper itself

Abstract

objectivesPD-1 inhibitors have shown significant progress in treating recurrent or metastatic nasopharyngeal carcinoma (R/M NPC); however, the optimal second-line regimen remains unclear. Studies have suggested that the combination of PD-1 inhibitors and anti-angiogenic agents shows synergistic potential in advanced nasopharyngeal carcinoma. This meta-analysis aims to assess the efficacy and safety of this combination therapy. MATERIALS AND

methodsWe performed an extensive search of PubMed, Embase, Cochrane Library, and Web of Science databases up to May 13, 2025. Stata 18.0 was used to analyze the eligible data.

resultsEight clinical trials involving 271 cases were included. The objective response rate (ORR) was 49% (95% CI: 39-59%), the disease control rate (DCR) was 80% (95% CI: 74-85%), the one-year progression-free survival rate (1-year PFS) was 39% (95% CI: 29-49%), and the one-year overall survival rate (1-year OS) was 73% (95% CI: 58-85%). The most common grade 3-4 adverse event was hypothyroidism, occurring in 36% of patients. Additionally, further subgroup analysis showed that combination therapy was more effective in patients who had not previously received PD-1 inhibitors (P = 0.003).

conclusionIn summary, PD-1 inhibitors combined with anti-angiogenic agents exhibited notable effectiveness with a manageable safety profile. Additional phase III randomized controlled trials (RCTs) are needed to confirm these findings.

Indexed as

Anti-angiogenic agentsMeta-analysisMetastaticNasopharyngeal carcinomaPD-1 inhibitorsRecurrent

Identifiers

PMID41258596
PMCPMC12711609

What OpenQuestion holds

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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.