Evidence map›Paper›PMID 41689073›Full record

SynthesisJournal of translational medicine2026

Comparative efficacy, immune response, and safety of mRNA versus dendritic cell vaccines in solid tumors: a systematic review and meta-analysis.

Ning Lu, Jiashu Han, Liangbo Dong, Tianyu Li, Georgios Antonios Margonis, Jaeyun Jane Wang, Hongtao Cao, Yixuan Sun, Weibin Wang, Chen Lin

Abstract readSystematic ReviewNetwork Meta-AnalysisComparative Study
In one paragraph

Synthesis in Journal of translational medicine, 2026. 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. 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

10 authors.

Ning Lu *Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.ORCID 0009-0007-9721-3393
Jiashu Han *Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Liangbo Dong *Department of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Tianyu LiDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Georgios Antonios MargonisDepartment of Surgery, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Jaeyun Jane WangDepartment of Surgery, University of California San Francisco, San Francisco, CA, USA.
Hongtao CaoDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Yixuan SunDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China.
Weibin WangDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China. wwb_xh@163.com.
Chen LinDepartment of General Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No.1 Shuaifuyuan, Dongcheng District, Beijing, 100730, China. linchen0818@sina.com.ORCID 0000-0001-7632-216X

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI SELWYN M VICKERS · 1985 to 2026
$347.4M
Capital's Funds for Health Improvement and Research 2024-2-4017National Key R&D Program of China 2022YFF1202600National Key R&D Program of China 2024YFB4708800NCI NIH HHS P30 CA008748Peking Union Medical College Hospital Undergraduate Educational Reform Project 2024bkjg015the Beijing Natural Science Foundation 7232127the CAMS Innovation Fund for Medical Sciences 2024-I2M-ZD-001the National High Level Hospital Clinical Research Funding 2022-PUMCH-B-004the National High Level Hospital Clinical Research Funding 2022-PUMCH-D-001the National Natural Science Foundation of China 82173074
6 · The paper itself

Abstract

backgroundmRNA and dendritic cell vaccines are emerging immunotherapies for solid tumors. However, their relative immunogenicity and clinical efficacy have not been directly compared. We aimed to evaluate the comparative immune response, tumor response, safety, and survival outcomes of mRNA versus dendritic cell vaccines in patients with solid tumors.

methodsWe performed a systematic review and network meta-analysis of clinical trials assessing mRNA and dendritic cell cancer vaccines in patients with solid tumors. We included 60 unique studies (67 trials) with a total of 1777 patients. Outcomes evaluated included immunogenicity (immune response), tumor response (objective response rate and disease control rate), safety (incidence of mild and severe adverse events), and survival (overall and progression-free survival). The review was prospectively registered in PROSPERO (No. CRD420251012772; registered 17 March, 2025).

resultsmRNA vaccines elicited significantly stronger immune responses than dendritic cell vaccines. mRNA vaccine recipients also experienced a higher incidence of adverse events, including mild and severe events. By contrast, dendritic cell vaccines achieved significantly higher objective response and disease control rates. No significant differences in overall survival or progression-free survival were observed between the two vaccine groups. Despite moderate between-trial heterogeneity, the findings were consistent and robust across analyses.

conclusionsThis comprehensive network meta-analysis provides the first comparative evaluation of mRNA versus dendritic cell vaccines in solid tumors. It indicates that while mRNA vaccines induce more potent immunogenicity, dendritic cell vaccines confer better tumor control, with no observed differences in survival outcomes. These findings fill a critical evidence gap and provide an exploratory synthesis highlighting potential strengths and limitations of each vaccine type. Given that most included studies were early-phase, small-sample trials, these findings should be considered hypothesis-generating and interpreted with caution.

Indexed as

Cancer VaccinesDendritic CellsImmunityNeoplasmsRNA, MessengerHumansTreatment OutcomeCancer VaccinesRNA, MessengerCancer immunotherapyDendritic cell vaccinemRNA vaccineNetwork meta-analysisSolid tumours

Identifiers

PMID41689073
PMCPMC12903260

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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.