Evidence map›Paper›PMID 42568612›Full record

Trial reportFrontiers in immunology2026

CT-guided intratumoral immunotherapy for advanced solid tumors: a prospective clinical study of safety and systemic antitumor effects.

Yongqiong Ou, Jian Zhang, Hongye Tan, Binjia He, Tianheng Li, Manting Liu, Cheng Zhi, Junhao Huang, Ming Li, Shenghua Zuo and 10 more

5 registry-linked trialsAbstract readClinical Trial
In one paragraph

Trial report in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this 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.

NCT03198052 phase1recruitingnot on this map

CAR-T Targeting GPC3, Mesothelin, Claudin18.2, GUCY2C, B7-H3, PSCA, PSMA, MUC1, TGFβ, HER2, Lewis-Y, AXL, or EGFR for Immunotherapy of Lung Cancer: Phase I Clinical Trial

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2017 to 2036Enrolled30ConditionsLung Cancer, Cancer, Immunotherapy, CAR-T CellArmsCAR-T cells targeting GPC3, Mesothelin, Claudin18.2, GUCY2C, B7-H3, PSCA, PSMA, MUC1, TGFβ, HER2, Lewis-Y, AXL, or EGFR
NCT03755739 phase2 / phase3recruitingnot on this map

A Phase II/III Trial of Comparison of Benefit of Administration of Checkpoint Inhibitors Plus Chemodrug Via Artery or Fine Needle to Tumor Versus Vein for Immunotherapy of Advanced Solid Tumors

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2018 to 2036Enrolled200ConditionsHepatocarcinoma, Lung Cancer, Melanoma, Renal CancerArmsCheckpoint inhibitor (CPI) such as Pembrolizumab plus chemotherapy
NCT03769129 narecruitingnot on this map

A Prospective,Single Center, Randomized Control,Phase III Clinical Study for Evaluating the Safety and Efficacy of Pembrolizumab Combined With MWA for Patients With Stage ⅢB-Ⅳ NSCLC Who Failed With First-line Therapy

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2018 to 2029Enrolled100ConditionsNon Small Cell Lung CancerArmsPembrolizumab, microwave ablation
NCT03952065 phase2 / phase3recruitingnot on this map

A Phase II/III Randomized Trial of Comparison of Survival Benefit of Administration of PD1/PDL1/CTLA4 Inhibitors or Their Combinations Via Neck Artery or Intratumor Versus Vein Infusion for Immunotherapy of HNC

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2019 to 2035Enrolled200ConditionsHead/Neck NeoplasmArmsPD1/PDL1/CTLA4 inhibitors
NCT05341492 early_phase1recruitingnot on this map

A Single-arm, Open, Exploratory Clinical Study Evaluating the Safety and Efficacy of EGFR/B7H3 CAR-T in Patients With EGFR/ B7H3-positive Advanced Solid Tumors (Lung and Triple-negative Breast Cancer)

TypeinterventionalSponsorSecond Affiliated Hospital of Guangzhou Medical UniversityRan2022 to 2035Enrolled30ConditionsEGFR/ B7H3-positive Advanced Lung Cancer, EGFR/ B7H3-positive Advanced Triple-negative Breast CancerArmsEGFR/B7H3 CAR-T
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

20 authors.

Yongqiong Ou *Department of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jian Zhang *Department of Radiology, the First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hongye Tan *Department of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Binjia He *Department of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Tianheng Li *Department of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Manting LiuDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Cheng ZhiDepartment of Pathology, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Junhao HuangDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Ming LiDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Shenghua ZuoDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Noor Ul Huda ShahDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Yuning ChenDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Junjian HuangDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Dongni ChenDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Ruzhai QinCenter for Clinical Trial, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Xufeng LiDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Hui LianDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Qingde WuDepartment of Radiology, Shunde Chinese Medicine Hospital, the Affiliated Hospital of Traditional Chinese Medicine University of Guangzhou, Foshan, China.
Hainan YangDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Zhenfeng ZhangDepartment of Radiology; Translational Medicine Center; Guangzhou Key Laboratory for Research and Development of Nano-Biomedical Technology for Diagnosis and Therapy; Guangdong Provincial Education Department Key Laboratory of Nano-Immunoregulation Tumor Microenvironment; Central Laboratory, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Systemic administration of immunotherapy via intravenous injection is frequently associated with off-target toxicity throughout the body. In contrast, intratumoral injection has emerged as a promising strategy to mitigate systemic adverse effects. However, data regarding the safety of CT-guided intratumoral immunotherapy remain limited. Methods: This pooled prospective cohort study included patients from several single-arm clinical trials. Eligible participants had histologically confirmed advanced solid tumors that were refractory or intolerant to standard therapies. Each participant had at least one measurable tumor lesion accessible for puncture under imaging guidance. All patients received CT-guided intratumoral injection of various ICIs (PD-1, PD-L1, and CTLA-4 inhibitors) either alone or in combination, or of CAR-T cells. The primary endpoint was safety of the treatment. Results: A total of 169 patients were included in the study cohort, with a median follow-up duration of 8.4 months (range, 1.0-38.0 months). Grade 3-4 adverse events occurred in 15 patients (8.88%), comprising 10 (5.92%) grade 3 and 5 (2.96%) grade 4 events; no treatment-related deaths were observed. Efficacy outcomes included 4 patients (2.37%) with complete response (CR), 15 (8.88%) with partial response (PR), 142 (84.02%) with stable disease (SD), and 8 (4.73%) with progressive disease (PD). The objective response rate (ORR) was 11.24%, and the disease control rate (DCR) was 95.27%. The median progression-free survival (PFS) was 3.6 months (95% CI, 3.1-4.1 months), and the median overall survival (OS) was 8.8 months (95% CI, 8.2-9.3 months). Conclusion: This study indicates the safety and preliminary therapeutic potential of intratumoral injection. Intratumoral injection may be a promising strategy for mitigating systemic toxicity; however, further research is necessary to validate its therapeutic efficacy. Clinical trial registration: https://clinicaltrials.gov, identifier NCT03198052, NCT03769129, NCT03755739, NCT03952065, and NCT05341492.

Indexed as

Immune Checkpoint InhibitorsImmunotherapyNeoplasmsTomography, X-Ray ComputedAdultAgedAged, 80 and overFemaleHumansInjections, IntralesionalMaleMiddle AgedProspective StudiesTreatment OutcomeImmune Checkpoint Inhibitorsadvanced solid tumorsCT guidanceimmunotherapyintratumoral injectionsafety

Identifiers

PMID42568612
PMCPMC13447376

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.