The Antitumor Immunity and Tumor Responses of Chemotherapy with or without DC-CIK for Non-Small-Cell Lung Cancer in China: A Meta-Analysis of 28 Randomized Controlled Trials
Table 2
Subgroup analysis results of peripheral blood T lymphocytes.
Subgroups
SM
CD3+ T cells
CD3+ CD4+ T cells
CD3+ CD8+ T cells
CD4+/CD8+ T cell ratio
Trials
Cases
SMD(95% CI)
I2
Trials
Cases
SMD(95% CI)
I2
Trials
Cases
SMD(95% CI)
I2
Trials
Cases
SMD(95% CI)
I2
Totality
REM
23
1888
1.85 [1.39, 2.31]
94%
23
1889
0.87 [0.65, 1.10]
81%
26
2066
1.04 [0.58, 1.50]
96%
14
1008
0.75 [0.27, 1.22]
92%
(a) Subgroup analysis via DC-CIK types (Figure S1–4)
DC-CIK cells
REM
17
1195
2.21 [1.64, 2.78]
94%
17
1196
0.99 [0.68, 1.31]
85%
20
1373
1.32 [0.72, 1.91]
96%
12
827
0.84 [0.28, 1.40]
93%
Ag-DC-CIK cells
REM
6
693
0.88 [0.11, 1.65]
95%
6
693
0.57 [0.41, 0.72]
0%
6
693
0.18 [−0.56, 0.92]
95%
2
181
0.25 [−0.05, 0.54]
0%
(b) Subgroup analysis via treatment cycles (Figure S5–8)
One cycle
REM
9
821
1.16 [0.59, 1.74]
92%
9
821
0.70 [0.42, 0.98]
70%
10
868
0.64 [0.05, 1.23]
94%
5
327
0.86 [0.33, 1.38]
81%
Two cycles
REM
6
464
1.51 [0.88, 2.13]
89%
7
536
0.87 [0.50, 1.23]
75%
8
601
0.57 [−0.12, 1.27]
94%
4
272
1.27 [0.90, 1.65]
51%
Three cycles
REM
2
124
2.83 [1.05, 4.60]
91%
2
139
2.07 [1.63, 2.51]
9%
2
139
2.47 [1.87, 3.08]
43%
No
No
No
No
Four cycles
REM
2
122
4.36 [3.69, 5.03]
0%
2
122
1.07 [0.62, 1.52]
25%
3
187
2.00 [−0.11, 4.11]
97%
1
52
−0.58 [−1.14, −0.03]
No
Six cycles
REM
1
100
2.41 [1.89, 2.93]
No
1
100
−0.03 [−0.42, 0.36]
No
1
100
6.04 [5.10, 6.98]
No
1
100
−1.16 [−1.58, −0.73]
No
Two to six cycles
REM
2
137
3.43 [2.89, 3.96]
0%
1
51
1.05 [0.46, 1.64]
No
1
51
0.15 [−0.40, 0.70]
No
2
137
1.23 [−0.22, 2.68]
93%
Unclear
REM
1
120
0.05 [−0.31, 0.40]
No
1
120
0.58 [0.21, 0.95]
No
1
120
−0.33 [−0.69, 0.03]
No
1
120
0.35 [−0.01, 0.71]
No
(c) Subgroup analysis via combination with chemotherapy (Figure S9–12)
Taxanes
REM
7
504
1.80 [0.81, 2.79]
95%
8
591
1.03 [0.44, 1.62]
91%
9
656
1.87 [0.86, 2.88]
97%
4
285
0.28 [−0.89, 1.46]
95%
NP
REM
5
349
2.34 [1.54, 3.15]
88%
5
349
0.92 [0.52, 1.32]
68%
6
414
1.34 [0.22, 2.47]
96%
3
200
1.20 [0.71, 1.69]
62%
GP
REM
5
343
1.75 [0.58, 2.93]
95%
4
257
0.73 [0.19, 1.26]
77%
4
257
−0.28 [−0.61, 0.05]
44%
4
283
1.29 [0.58, 2.00]
86%
Pemetrexed
REM
2
172
3.14 [0.03, 6.26]
96%
2
172
0.90 [0.14, 1.67]
79%
3
219
1.12 [0.57, 1.68]
69%
1
52
−0.58 [−1.14, −0.03]
Systemic
REM
4
520
0.91 [−0.05, 1.87]
96%
4
520
0.61 [0.44, 0.79]
0%
4
520
0.08 [−0.92, 1.08]
96%
2
188
0.54 [0.11, 0.96]
49%
Note: REM: random-effects model; SMD: standardized mean difference; SM: statistical method; taxanes: taxane chemotherapy as paclitaxel and cisplatin (TP), paclitaxel and nedaplatin (TN), and docetaxel and cisplatin (DP); NP: navebine and cisplatin; GP: gemcitabine and cisplatin; pemetrexed: pemetrexed chemotherapy including pemetrexed and cisplatin and pemetrexed alone; systemic: systemic chemotherapy including GP, TP, DP, et al.