Evidence map›Paper›PMID 41584576›Full record

SynthesisFrontiers in oncology2025

Comparative efficacy of antibody-drug conjugates and chemotherapy for malignant tumors: a systematic review and meta-analysis.

Xin Gao, Linghui Tao, Wen Hao, Xiaqiu Wu, Feiye Zhu, Shengxia Lv, Yongsheng Zhang

Abstract readSystematic Review
In one paragraph

Synthesis in Frontiers in oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

7 authors.

Xin GaoSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Linghui TaoSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Wen HaoLanxi Hospital of Traditional Chinese Medicine, Jinhua, China.
Xiaqiu WuLanxi Hospital of Traditional Chinese Medicine, Jinhua, China.
Feiye ZhuSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Shengxia LvSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.
Yongsheng ZhangSchool of Basic Medical Sciences, Zhejiang Chinese Medical University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Despite advancements in cancer treatment, malignant tumors remain a significant global health challenge. Drawbacks of chemotherapy, such as drug resistance and strong side effects, have prompted the exploration of antibody-drug conjugates (ADCs), which combine targeting capabilities with potent cytotoxins to enhance therapeutic efficacy. Methods: We searched PubMed, Cochrane, and EMBASE library databases up to June 8, 2025, for eligible randomized controlled trials (RCTs) and extracted relevant data. The primary outcome measures were overall survival (OS) and progression-free survival (PFS), with subgroup analysis and sensitivity analysis conducted to assess the heterogeneity of statistical results. Results: A total of thirteen RCTs involving 5,927 patients were included. The results indicated that ADCs offered superior OS (HR = 0.67, 95%CI: 0.55-0.81) and PFS (HR = 0.76; 95% CI: 0.66-0.86) compared to chemotherapy drugs. The any adverse event (96.8% vs. 93.6%), grade 3-5 adverse event (51.7% vs. 51.8%) and serious adverse event (25.3% vs. 22.4%) caused to patients were generally similar between ADCs and chemotherapy. Conclusion: Our meta-analysis demonstrates that compared to chemotherapy drugs, ADC drugs can prolong both OS and PFS in cancer patients, with no significant difference in adverse reactions. Systematic Review Registration: http://www.crd.york.ac.uk/PROSPERO, identifier CRD42024592020.

Indexed as

antibody-drug conjugatechemotherapymalignant tumorsmeta-analysissystematic review

Identifiers

PMID41584576
PMCPMC12827071

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.