Evidence map›Paper›PMID 32020483›Full record

ArticleIntensive care medicine experimental2020

Checkpoint inhibitor therapy in preclinical sepsis models: a systematic review and meta-analysis.

Lindsay M Busch, Junfeng Sun, Xizhong Cui, Peter Q Eichacker, Parizad Torabi-Parizi

Open access · goldAbstract read
In one paragraph

Article in Intensive care medicine experimental, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 7% of its field
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

20 citing papers in PubMed, 2 syntheses or guidelines pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  13. Frontiers in pharmacology · 2022
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  18. The unleashing of the immune system in COVID-19 and sepsis: the calm before the storm?Inflammation research : official journal of the European Histamine Research Society ... [et al.] · 2020
    Article
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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 at 1 institution in 1 country.

Lindsay M BuschCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, USA. Lindsay.busch@nih.gov.ORCID http://orcid.org/0000-0002-5332-5883
Junfeng SunCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, USA.
Xizhong CuiCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, USA.
Peter Q EichackerCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, USA.
Parizad Torabi-PariziCritical Care Medicine Department, National Institutes of Health Clinical Center, Bethesda, USA.
National Institutes of Health Clinical Center · US

Funding

Investigation of the Effects of a PD1 Inhibitor in a Murine Model of Pneumonia ZIACL090042 · CLC · CLINICAL CENTER · PI TORABI-PARIZI, PARIZAD · 2016 to 2021
$0k
NIH Clinical Center n/a
6 · The paper itself

Abstract

backgroundAnimal studies reporting immune checkpoint inhibitors (CPIs) improved host defense and survival during bacterial sepsis provided one basis for phase I CPI sepsis trials. We performed a systematic review and meta-analysis examining the benefit of CPI therapy in preclinical studies, and whether variables potentially altering this clinical benefit were investigated. Studies were analyzed that compared survival following bacteria or lipopolysaccharide challenge in animals treated with inhibitors to programmed death-1 (PD-1), PD-ligand1 (PD-L1), cytotoxic T lymphocyte-associated protein-4 (CTLA-4), or B- and T-lymphocyte attenuator (BTLA) versus control.

resultsNineteen experiments from 11 studies (n = 709) were included. All experiments were in mice, and 10 of the 19 were published from a single research group. Sample size calculations and randomization were not reported in any studies, and blinding procedures were reported in just 1. Across all 19 experiments, CPIs increased the odds ratio for survival (OR, 95% CI) [3.37(1. 55, 7.31)] but with heterogeneity (I

conclusionsPreclinical studies showing that CPIs add benefit to antibiotic therapy for the common bacterial infections causing sepsis clinically are needed to support this therapeutic approach. Studies should be reproducible across multiple laboratories and include procedures to reduce the risk of bias.

Indexed as

Bacterial infectionCheckpoint inhibitorCheckpoint moleculePreclinical modelSepsisTreatment

Identifiers

PMID32020483
PMCPMC7000606
OpenAlexW3007914835

What Socratic 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 Socratic graph.