Evidence map›Paper›PMID 34938292›Full record

Trial reportFrontiers in immunology2021

The Sequence of Chemotherapy and Toripalimab Might Influence the Efficacy of Neoadjuvant Chemoimmunotherapy in Locally Advanced Esophageal Squamous Cell Cancer-A Phase II Study.

Wenqun Xing, Lingdi Zhao, Yan Zheng, Baoxing Liu, Xianben Liu, Tiepeng Li, Yong Zhang, Baozhen Ma, Yonghao Yang, Yiman Shang and 12 more

Registry-linked trialOpen access · goldAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in Frontiers in immunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03985670 (Neoadjuvant Teripalimab Plus Chemotherapy in Local Advanced Esophageal Squamous Cancer), which is not on this map. Cited by 65 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
65citing papers in PubMed, 9 pooled it
12.8field-weighted citation impact, top 1% 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.

NCT03985670 phase2unknown statusnot on this map

Neoadjuvant Teripalimab Plus Chemotherapy in Local Advanced Esophageal Squamous Cancer

TypeinterventionalSponsorHenan Cancer HospitalRan2019 to 2023Enrolled30ConditionsSquamous Cell Carcinoma, Esophageal Cancer, Perioperative PeriodArmsteripalimab plus chemotherapy, chemotherapy plus teripalimab
3 · Its place in the literature

Who cites it

65 citing papers in PubMed, 9 syntheses or guidelines pooled it, 69 citations in OpenAlex.

  1. Pooled it
  2. Cancer-related fatigue during treatment with neoadjuvant and/or adjuvant immune checkpoint inhibitors: a systematic review and meta-analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026
    Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Review
  14. Article
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

5 more citing papers are in PubMed but not listed here.

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

22 authors at 3 institutions in 1 country.

Wenqun XingDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Lingdi ZhaoDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Yan ZhengDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Baoxing LiuDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Xianben LiuDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Tiepeng LiDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Yong ZhangDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Baozhen MaDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Yonghao YangDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Yiman ShangDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Xiaomin FuDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Guanghui LiangDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Dongfeng YuanDepartment of Thoracic Surgery, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Jinrong QuDepartment of Radiology, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Xiaofei ChaiDepartment of Pathology, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
He ZhangDepartment of Pathology, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Zibing WangDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Hongwei LinDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Liang LiuDepartment of Biotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Xiubao RenDepartment of Biotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Jiangong ZhangDepartment of Cancer Epidemiology, Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Quanli GaoDepartment of Immunotherapy, Cancer Hospital Affiliated to Zhengzhou University and Henan Cancer Hospital, Zhengzhou, China.
Henan Cancer Hospital · CNZhengzhou University · CNTianjin Medical University Cancer Institute and Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: There is no standard neoadjuvant therapy for locally advanced esophageal cancer in China. The role of neoadjuvant chemotherapy plus immunotherapy for locally advanced esophageal cancer is still being explored. Methods: This open-label, randomized phase II study was conducted at a single center between July 2019 and September 2020; 30 patients with locally advanced esophageal squamous cell carcinoma (ESCC) (T3, T4, or lymph-node positive) were enrolled. Patients were randomized according to the enrollment order at a 1:1 ratio to receive chemotherapy on day 1 and toripalimab on day 3 (experimental group) or chemotherapy and toripalimab on day 1 (control group). The chemotherapeutic regimen was paclitaxel and cisplatin. Surgery was performed 4 to 6 weeks after the second cycle of chemoimmunotherapy. The primary endpoint was pathological complete response (pCR) rate, and the secondary endpoint was safety and disease-free survival. Results: Thirty patients completed at least one cycle of chemoimmunotherapy; 11 in the experimental group and 13 in the control group received surgery. R0 resection was performed in all these 24 patients. Four patients (36%) in the experimental group and one (7%) in the control group achieved pCR. The experimental group showed a statistically non-significant higher pCR rate ( Conclusions: Although the primary endpoint was not met, the initial results of this study showed that delaying toripalimab to day 3 in chemoimmunotherapy might achieve a higher pCR rate than that on the same day, and further large-sample clinical trials are needed to verify this. Clinical Trial Registration: ClinicalTrials.gov, identifier NCT03985670.

Indexed as

ImmunotherapyNeoadjuvant TherapyAgedAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCisplatinDrug Administration ScheduleEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedPaclitaxelTreatment OutcomeAntibodies, Monoclonal, HumanizedAntineoplastic AgentsCisplatinPaclitaxeltoripalimabchemoimmunotherapyesophageal squamous cell carcinomapathological complete responsesequencetoripalimab

Identifiers

PMID34938292
PMCPMC8685246
OpenAlexW4200436082

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.