Evidence map›Paper›PMID 34765307›Full record

ArticleAmerican journal of cancer research2021

PD-1 antibody camrelizumab for Epstein-Barr virus-positive metastatic gastric cancer: a single-arm, open-label, phase 2 trial.

Yu-Ting Sun, Wen-Long Guan, Qi Zhao, De-Shen Wang, Shi-Xun Lu, Cai-Yun He, Shuang-Zhen Chen, Feng-Hua Wang, Yu-Hong Li, Zhi-Wei Zhou and 2 more

Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in American journal of cancer research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03755440 (Phase II Study of PD-1 Antibody SHR-1210 in EBV Positive Metastatic Gastric Cancer Patients.), which is not on this map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
2.5field-weighted citation impact, top 8% 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.

NCT03755440 phase2completednot on this map

Phase II Study of PD-1 Antibody SHR-1210 in EBV Positive Metastatic Gastric Cancer Patients.

TypeinterventionalSponsorSun Yat-sen UniversityRan2018 to 2020Enrolled6ConditionsGastric Cancer Stage IV, EBVArmsPD-1 antibody (SHR-1210)
3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
  2. Second-line chemoimmunotherapy with nivolumab and paclitaxel in immune-related biomarker-enriched advanced gastric cancer: a multicenter phase Ib/II study.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2024
    Trial
  3. Advances in the molecular subtyping of gastric cancer.World journal of surgical oncology · 2026
    Review
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Viral oncogenesis in cancer: from mechanisms to therapeutics.Signal transduction and targeted therapy · 2025
    Review
  10. Article
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  13. Article
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  20. Article
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 1 institution in 1 country.

Yu-Ting SunDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Wen-Long GuanDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Qi ZhaoState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
De-Shen WangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Shi-Xun LuState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Cai-Yun HeState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Shuang-Zhen ChenDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Feng-Hua WangDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Yu-Hong LiDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Zhi-Wei ZhouState Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Rui-Hua XuDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Miao-Zhen QiuDepartment of Medical Oncology, Sun Yat-Sen University Cancer Center Guangzhou 510060, P. R. China.
Sun Yat-sen University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Gastric cancer (GC) patients with Epstein-Barr virus (EBV) positivity have demonstrated promising response with immunotherapy. We assessed the efficacy and safety of camrelizumab as salvage treatment in EBV-positive mGC. In this single-arm, phase 2 prospective clinical trial (NCT03755440), stage IV EBV-positive GC patients who failed/could not tolerate previous lines of chemotherapy were given intravenous camrelizumab 200 mg every 2 weeks until disease progression or unacceptable toxicity. The primary endpoint was objective response rate. Secondary endpoints were progression-free survival (PFS), overall survival (OS), disease control rate (DCR), duration of response, and toxicity. Exploratory analysis included the associations between treatment response and tumor mutation burden (TMB), programmed cell death ligand-1 (PD-L1) expression. Six eligible patients were enrolled in the first stage of the study. No patient achieved an objective response; thus, the study did not proceed to the second stage. The DCR was 67% (4/6). The median PFS rate was 2.2 months (95% CI: 1.5-not reached [NR]) and median OS was 6.8 months (95% CI: 1.7-NR). All treatment-related adverse events were grade 1-2, with reactive cutaneous capillary endothelial proliferation (n=4 [67%]) being the most commonly observed event. The only patient with PD-L1 combined positive score >1 had disease progression. Two stable disease and one disease progression were observed in three patients with TMB >10 Mut/Mb. EBV positivity may not be a good predictor for response to camrelizumab in mGC. Newer biomarkers are needed to identify EBV-positive mGC respondents who might benefit from immunotherapy.

Indexed as

camrelizumabEpstein-Barr virusgastric cancerPD-1 inhibitor

Identifiers

PMID34765307
PMCPMC8569350
OpenAlexW3214429509

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.