Evidence map›Paper›PMID 41176581›Full record

SynthesisTargeted oncology2025

The Efficacy and Safety of Beta-blockers and Immune Checkpoint Inhibitors in Patients with Cancer: A Systematic Review and Meta-analysis.

Kota Tokunaga, Yu Fujiwara, Reo Omori, Takumi Sato, Manmeet Singh Ahluwalia, Sarbajit Mukherjee

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Targeted oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Review
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  7. 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

6 authors.

Kota Tokunaga *Fujita Health University Hospital, Toyoake, Japan.
Yu Fujiwara *Department of Medicine, Roswell Park Comprehensive Cancer Center, Buffalo, NY, USA.
Reo OmoriDepartment of Medical Oncology, Kobe City General Hospital, Kobe, Japan.
Takumi SatoDepartment of Internal Medicine, Icahn School of Medicine at Mount Sinai, Morningside and West, New York, NY, USA.
Manmeet Singh AhluwaliaDepartment of Medical Oncology, Miami Cancer Institute, 8900 North Kendall Drive, Miami, FL, 33176, USA.
Sarbajit MukherjeeDepartment of Medical Oncology, Miami Cancer Institute, 8900 North Kendall Drive, Miami, FL, 33176, USA. Sarbajit.Mukherjee@baptisthealth.net.ORCID http://orcid.org/0000-0003-2153-3896

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundImmune checkpoint inhibitors (ICIs) are now standard for various cancers, and preclinical studies suggest beta-blockers (BBs) may boost the efficacy of ICIs. However, prior clinical studies had small sample sizes, requiring large-scale validation.

objectiveWe aimed to evaluate the efficacy and safety of combining BBs with ICIs in patients with solid tumors through a systematic review and meta-analysis.

methodsA systematic search of PubMed/MEDLINE and Embase was conducted for studies on BBs plus ICIs for solid tumors up to July 2024. Outcomes of interest were overall survival, progression-free survival, and adverse events. Hazard ratios with 95% confidence intervals were pooled using a random-effects model meta-analysis, with heterogeneity assessed by I

resultsOverall, 12 clinical studies involving 4293 patients with solid tumors were included, with 1463 patients receiving both BBs and ICIs and 2830 patients receiving ICIs alone. The combination of BBs and ICIs was not associated with a longer overall survival (hazard ratio 1.02; 95% confidence interval 0.84-1.23; p = 0.87; I

conclusionsDespite positive preclinical findings, this meta-analysis showed that adding BBs to ICIs was not associated with longer survival. We await the results of ongoing prospective trials assessing this strategy. PROSPERO REGISTRATION: CRD42024574043.

Indexed as

Adrenergic beta-AntagonistsImmune Checkpoint InhibitorsNeoplasmsHumansAdrenergic beta-AntagonistsImmune Checkpoint Inhibitors

Identifiers

PMID41176581
PMCPMC12669259

What Socratic holds

Textmetadata
LicenceCC BY-NC
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.