Evidence map›Paper›PMID 41955006›Full record

SynthesisOncotarget2026

Efficacy and safety of PD-1/ PD-L1 inhibitors as adjuvants in the treatment of patients with solid cancers: A systematic review and meta-analysis of randomized controlled trials.

Maryam Aleid, Fatimah Aleid, Daniah Allbdi, Ahmad Rchdeih, Dhai Almuteri, Abdulelah Almesned, Samaa Alotab, Yumna AlMishary, Galia Alsamman, Atlal Abusanad

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Oncotarget, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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.

Maryam AleidCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Eastern Province, Saudi Arabia.
Fatimah AleidCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam 34212, Eastern Province, Saudi Arabia.
Daniah AllbdiFaculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia.
Ahmad RchdeihInternal Medicine Resident, Royal Commission Hospital, Al-Jubail 31961, Saudi Arabia.
Dhai AlmuteriInternal Medicine Resident, King Fahad Specialist Hospital, Qassim Health Cluster, Buraydah 52366, Saudi Arabia.
Abdulelah AlmesnedCollege of Medicine, Qassim University, Unaizah 51911, Saudi Arabia.
Samaa AlotabCollege of Medicine, Alfaisal University, Riyadh 11533, Saudi Arabia.
Yumna AlMisharyCollege of Medicine, Majmaa University, Riyadh 15341, Saudi Arabia.
Galia AlsammanObstetric and Gynecology Resident, Dr. Suliman Al Habib Women Health, Riyadh 12344, Saudi Arabia.
Atlal AbusanadFaculty of Medicine, King Abdulaziz University, Jeddah 21589, Saudi Arabia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Copyright: © 2026 Aleid et al. This is an open access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. BACKGROUND/

objectivesProgrammed cell death protein-1 (PD-1) and programmed death ligand-1 (PD-L1) inhibitors are widely used in cancer treatment. Their benefit as adjuvant therapy in solid tumors is still being defined. This systematic review and meta-analysis evaluated the efficacy and safety of PD-1 and PD-L1 inhibitors as adjuvant treatment in patients with solid tumors.

methodsWe conducted a systematic review and meta-analysis of randomized controlled trials in accordance with PRISMA recommendations and PROSPERO registration CRD42024563699. PubMed, Web of Science, Cochrane Library, and Google Scholar were searched for randomized controlled trials published in English that evaluated adjuvant PD-1 or PD-L1 inhibitors in solid cancers.

resultsThirteen randomized controlled trials published between 2021 and 2023 were included. Adjuvant PD-1 and PD-L1 inhibitors improved disease-free survival (hazard ratio 0.75; 95% CI 0.65–0.86) and distant metastasis-free survival (hazard ratio 0.69; 95% CI 0.54–0.87). No clear difference in overall survival was observed. Trial-level subgroup sizes varied across cancer types.

conclusionsAdjuvant PD-1 and PD-L1 inhibitors improve disease-free and distant metastasis-free survival in selected patients with high-risk solid tumors. The clinical benefit must be balanced against higher toxicity rates. Because the number of studies within each cancer type remains limited, the strength of cancer-specific conclusions is restricted, and further research is required.

Indexed as

B7-H1 AntigenImmune Checkpoint InhibitorsNeoplasmsProgrammed Cell Death 1 ReceptorChemotherapy, AdjuvantHumansRandomized Controlled Trials as TopicTreatment OutcomeB7-H1 AntigenCD274 protein, humanImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptoradjuvant immunotherapycancerPD-1PD-L1solid tumor

Identifiers

PMID41955006
PMCPMC13064933

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.