Question · asked by 1 review

Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone (radiotherapy or chemoradiotherapy): Adverse effects

Population
People with squamous cell carcinoma of the oral cavity or oropharynx
Intervention
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy
Comparison
Standard therapy alone (radiotherapy or chemoradiotherapy)
Outcome
Adverse effects

Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.

What each review found

Current versions only
No studies found 0 · 0%GRADE not reported 9 · 100%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 0 · 0%
FindingEffectStudiesGRADE certainty
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Moderate to severe chills (BCG-CWP, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 11.00 [0.67, 179.29]1 study · 24 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Nausea/vomiting (rIL-2, grades >=3)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 3.40 [0.15, 77.34]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Stomatitis (rIL-2, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 1.47 [0.75, 2.90]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Leukopenia (rIL-2, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 0.57 [0.22, 1.50]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Increased temperature (BCG-CWP, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 0.67 [0.13, 3.30]1 study · 24 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Leukopenia (rIL-2, grades >=3)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 0.38 [0.04, 3.26]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Nausea/vomiting (rIL-2, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 1.24 [0.90, 1.70]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Stomatitis (rIL-2, grades >=3)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 1.71 [0.33, 8.83]1 study · 30 participantsGRADE not reported
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell wall preparation) plus standard therapy vs Standard therapy alone
Adverse effects · People with squamous cell carcinoma of the oral cavity or oropharynx · 24 to 70 months, Gastrointestinal complaints (BCG-CWP, all grades)
Non-specific immunotherapy (recombinant interleukin-2 or BCG cell… showed no clear difference in adverse effects compared with standard therapy alone; GRADE not reported.
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy (2015) · Cochrane All outcomes
RR 5.00 [0.27, 94.34]1 study · 24 participantsGRADE not reported

Findings are shown side by side, never pooled across reviews.

The reviews

ReviewSearched up toIncluded studiesAMSTAR 2
Interventions for the treatment of oral and oropharyngeal cancers: targeted therapy and immunotherapy
2015 · Cochrane All outcomes
2015-02Not listedNot assessed
How reviews are matched to this question

Reviews word the same question differently. Four decision models (TypeSafe's Jev, Liquid AI's d1-ultra, SubQ Snap and Baseten's Elephant) judged each wording of the population, intervention, comparator and outcome against the others; two wordings count as the same when at least three of them agree and none clearly disagrees, and findings count as this question only when all four elements match. Timing, setting and subgroup never split a question: they are shown on each finding.