Evidence map›Paper›PMID 35352512›Full record

ArticleCancer medicine2022

Neoadjuvant treatment of sintilimab plus hypofractionated radiotherapy for MSI-H/dMMR rectal cancer: A prospective, multicenter, phase Ib study.

Xiaofen Li, Chao Fang, Xin Wang, Yongyang Yu, Ziqiang Wang, Meng Qiu

Open access · goldAbstract readMulticenter StudyClinical Trial, Phase I
In one paragraph

Article in Cancer medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.9field-weighted citation impact, top 24% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 9 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

6 authors at 1 institution in 1 country.

Xiaofen LiDepartment of Abdominal Oncology, West China Hospital of Medicine, Sichuan University, Sichuan, China.ORCID 0000-0002-1064-768X
Chao FangDepartment of Gastrointestinal Surgery, West China Hospital of Medicine, Sichuan University, Sichuan, China.
Xin WangDepartment of Abdominal Oncology, West China Hospital of Medicine, Sichuan University, Sichuan, China.
Yongyang YuDepartment of Gastrointestinal Surgery, West China Hospital of Medicine, Sichuan University, Sichuan, China.
Ziqiang WangDepartment of Gastrointestinal Surgery, West China Hospital of Medicine, Sichuan University, Sichuan, China.ORCID 0000-0002-2874-1535
Meng QiuDepartment of Abdominal Oncology, West China Hospital of Medicine, Sichuan University, Sichuan, China.
Sichuan University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundNeoadjuvant radiochemotherapy followed by radical surgery is the standard treatment strategy for local advanced rectal cancer (LARC). However, the efficacy of neoadjuvant radiochemotherapy is limited, especially for patients with DNA mismatch repair-deficient (dMMR)/microsatellite instability-high (MSI-H) rectal cancer. Considering the amazing therapeutic effect of immune check point inhibitors for metastatic colorectal cancer, we conduct this multicenter, phase Ib study to investigate the safety and efficacy of anti-PD-1 antibody, sintilimab combined with hypofractionated radiotherapy in MSI-H/dMMR rectal cancer patients.

methodsPatients with MSI-H/dMMR LARC will receive hypofractionated radiotherapy (5 Gy × 5) and three cycles of sintilimab 200 mg IV every 2 weeks. Radical surgery will be performed 6-8 weeks after radiotherapy. The primary endpoint is adverse reaction after neoadjuvant treatment and perioperative complications. Secondary endpoints include pathological response rate, complete resection rate, and quality of life. DISCUSSION: This is the first study to investigate the safety and effectiveness of neoadjuvant radiotherapy combined with immunotherapy for MSI-H/dMMR LARC. It is expected that this study will propose a brand new and effective treatment strategy for MSI-H/dMMR LARC.

Indexed as

Colorectal NeoplasmsRectal NeoplasmsBrain NeoplasmsDNA Mismatch RepairHumansMicrosatellite InstabilityNeoadjuvant TherapyNeoplastic Syndromes, HereditaryProspective StudiesQuality of Lifeanti-PD-1 antibodyhypofractionated radiotherapyneoadjuvant therapyrectal cancer

Identifiers

PMID35352512
PMCPMC9741977
OpenAlexW4220734453

What OpenQuestion holds

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Registered trials

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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.