Evidence map›Paper›PMID 31451841›Full record

Trial reportCancer immunology, immunotherapy : CII2019

Safety and efficacy of PD-1 blockade-activated multiple antigen-specific cellular therapy alone or in combination with apatinib in patients with advanced solid tumors: a pooled analysis of two prospective trials.

Lijun Liang, Yixuan Wen, Rong Hu, Lei Wang, Youyou Xia, Chenxi Hu, Yun Qiao, Xiaowei Geng, Ting Chen, Jiayan Fei and 2 more

Registry-linked trialOpen access · greenAbstract readClinical Trial, Phase IClinical Trial, Phase II
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04642664 (Apatinib Plus Camrelizumab in Patients With Previously Treated Advanced Biliary Tract Cancer), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.5field-weighted citation impact, top 15% of its field
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.

NCT04642664 phase2completednot on this map

Apatinib Plus Camrelizumab in Patients With Previously Treated Advanced Biliary Tract Cancer (ACABC): A Prospective Clinical Study

TypeinterventionalSponsorPeking Union Medical College HospitalRan2018 to 2021Enrolled22ConditionsBiliary Tract Cancer, Cholangiocarcinoma, Biomarker, Hepatobiliary NeoplasmArmsApatinib plus Camrelizumab
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 26 citations in OpenAlex.

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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

12 authors at 3 institutions in 1 country.

Lijun LiangDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Yixuan WenDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Rong HuDepartment of Respiratory and Critical Care Medicine, The First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029, China.
Lei WangDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Youyou XiaDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Chenxi HuDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Yun QiaoDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Xiaowei GengDepartment of Clinical Medicine, Xuzhou Medical University, Xuzhou, Jiangsu, China.
Ting ChenDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Jiayan FeiDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China.
Kaiyuan HuiDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China. kyhui1987@163.com.
Xiaodong JiangDepartment of Oncology, The Affiliated Lianyungang Hospital of Xuzhou Medical University, No. 182 Tongguan North Road, Lianyungang, 222002, China. jxdysy1970@163.com.
Xuzhou Medical College · CNLianyungang Oriental Hospital · CNNanjing Medical University · CN

Funding

Jiangsu Province Key Research and Development Plan (Social Development) Project BE2017684National Natural Science Foundation of China 81472792National Natural Science Foundation of China 81702813Postgraduate Research & Practice Innovation Program of Jiangsu Province SJCX18_0707Postgraduate Research & Practice Innovation Program of Jiangsu Province SJCX19_0766Scientific Research Project of Jiangsu Health and Family Planning Commission H2017039Technology Office Foundation of Lianyungang City SH1613
6 · The paper itself

Abstract

backgroundThe lethal effects of multiple antigen-specific cellular therapy (MASCT) may be enhanced by blocking PD-1 in vitro and vascular endothelial growth factor receptor 2 inhibitor (apatinib). We analyzed the pooled data from our phase I/II trials to determine the toxicity and efficacy of PD-1 blockade (SHR-1210)-activated MASCT (aMASCT) alone or in combination with apatinib in advanced solid tumors.

methodsPatients with advanced solid tumors received aMASCT alone (n = 32) or aMASCT plus apatinib (500 mg q.d., n = 38) after standard treatment. The safety profile was the primary end point. The secondary end points were antitumor response, progression-free survival (PFS), and overall survival (OS). The circulating T cells were quantified before and after aMASCT infusion.

resultsTreatment-related adverse events (AEs) occurred in 18/32 (56.3%) and 25/38 (65.8%) patients in the aMASCT and aMASCT plus apatinib groups, respectively. No serious AEs were reported, and apatinib did not increase immunotherapy-related toxicity. The objective response rate (34.2% and 18.8%) and PFS (median 6.0 and 4.5 months, P = 0.002) were improved in the aMASCT plus apatinib group compared with the aMASCT group; however, the OS was not improved (median 10.0 and 8.2 months, P = 0.098). Multivariate analyses indicated that two or more cycles of aMASCT treatment was an independent and favorable prognostic factor of PFS and OS. The circulating T cells increased and Tregs decreased in both groups after one cycle of aMASCT treatment.

conclusionsTreatment with aMASCT plus apatinib was safe and effective for the management of advanced solid tumors.

Indexed as

AdultAgedAged, 80 and overAntibodies, Monoclonal, HumanizedAntigens, NeoplasmAntineoplastic Combined Chemotherapy ProtocolsCombined Modality TherapyDendritic CellsDrug-Related Side Effects and Adverse ReactionsErb-b2 Receptor Tyrosine KinasesFemaleHumansImmunotherapyMaleMiddle AgedNeoplasmsAntibodies, Monoclonal, HumanizedAntigens, NeoplasmapatinibcamrelizumabERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesPDCD1 protein, humanProgrammed Cell Death 1 ReceptorPyridinesAnti-angiogenic drugsApatinibDC-CIKPD-1 blockadeSafety

Identifiers

PMID31451841
PMCPMC11028216
OpenAlexW2970070760

What OpenQuestion holds

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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 OpenQuestion graph.