PMID- 30425519 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220330 IS - 1178-6930 (Print) IS - 1178-6930 (Electronic) IS - 1178-6930 (Linking) VI - 11 DP - 2018 TI - Efficacy and safety analysis on dendritic cell-based vaccine-treated high-grade glioma patients: a systematic review and meta-analysis. PG - 7277-7293 LID - 10.2147/OTT.S177768 [doi] AB - BACKGROUND: Dendritic cell (DC)-based vaccine is a promising therapy for high-grade gliomas (HGGs); however, its actual effectiveness still remains controversial. This meta-analysis aims to extensively evaluate the efficacy and safety of DC vaccine for HGG patients. METHODS: We systematically searched PubMed, the Cochrane Library, EMBASE, Medline, and Web of Science for relevant parallel randomized controlled trials (RCTs) and properly controlled non-randomized studies (NRS) published in English. Two investigators reviewed all the texts and extracted information regarding overall survival (OS), progression-free survival (PFS), and adverse events (AEs) from eligible studies. Sensitivity analyses and subgroup analyses were also conducted. RESULTS: Of 353 suitable studies, 13 studies (three RCTs and ten NRS) involving 944 patients were finally included. Compared to the control therapy group (CT group), the DC group showed better OS and PFS without serious AEs. Subgroup analysis showed that trials designed as NRS obtained better results in the DC group in this study; however, no specific subgroup regarding dosages, cycles or injection routes was found to be superior in the DC group compared to the CT group. CONCLUSION: DC vaccine can significantly improve OS and PFS, with acceptable toxicity, of HGG patients. Nevertheless, further studies are needed to verify this conclusion. FAU - Li, Changling AU - Li C AD - Department of Experimental Medicine, Northern Hospital, Shenyang 110016, China, hyingy@sina.com. FAU - Liu, Ting AU - Liu T AD - Department of General Practice, The Second Hospital of Dalian Medical University, Dalian 116023, China, byqf_2011@163.com. FAU - Zhou, Bo AU - Zhou B AD - Department of Clinical Epidemiology and Evidence-based Medicine, The First Affiliated Hospital, China Medical University, Shenyang 110001, China. FAU - Zhou, Yubin AU - Zhou Y AD - Department of Oncology, The People's Hospital of China Medical University, Shenyang 110015, China. FAU - Yu, Huiying AU - Yu H AD - Department of Experimental Medicine, Northern Hospital, Shenyang 110016, China, hyingy@sina.com. FAU - Sun, Yun AU - Sun Y AD - Department of General Practice, The Second Hospital of Dalian Medical University, Dalian 116023, China, byqf_2011@163.com. LA - eng PT - Journal Article DEP - 20181024 PL - New Zealand TA - Onco Targets Ther JT - OncoTargets and therapy JID - 101514322 PMC - PMC6204866 OTO - NOTNLM OT - dendritic cell OT - glioblastoma multiforme OT - high-grade gliomas OT - overall survival OT - progression-free survival OT - vaccine COIS- Disclosure The authors report no conflicts of interest in this work. EDAT- 2018/11/15 06:00 MHDA- 2018/11/15 06:01 PMCR- 2018/10/24 CRDT- 2018/11/15 06:00 PHST- 2018/11/15 06:00 [entrez] PHST- 2018/11/15 06:00 [pubmed] PHST- 2018/11/15 06:01 [medline] PHST- 2018/10/24 00:00 [pmc-release] AID - ott-11-7277 [pii] AID - 10.2147/OTT.S177768 [doi] PST - epublish SO - Onco Targets Ther. 2018 Oct 24;11:7277-7293. doi: 10.2147/OTT.S177768. eCollection 2018.