Evidence map›Paper›PMID 37326317›Full record

Trial reportCancer medicine2023

A phase II study of perioperative pembrolizumab plus mFOLFOX in patients with potentially resectable esophagus, gastroesophageal junction (GEJ), and stomach adenocarcinoma.

Weijing Sun, Nirmal Veeramachaneni, Raed Al-Rajabi, Rashna Madan, Anup Kasi, Mazin Al-Kasspooles, Joaquina Baranda, Anwaar Saeed, Milind A Phadnis, Andrew K Godwin and 5 more

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

Trial report in Cancer medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06798376 (The Comparison of Different Cycles of PD-1 Blockades Combined with Chemotherapy As Neoadjuvant Therapy for Patients with Advanced Gastric Cancer), which is not on this map. Cited by 20 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 5 pooled it
4.8field-weighted citation impact, top 5% 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.

NCT06798376 recruitingnot on this mapstarted 2025, after this paper: background citation

The Comparison of Different Cycles of PD-1 Blockades Combined with Chemotherapy As Neoadjuvant Therapy for Patients with Advanced Gastric Cancer

TypeobservationalSponsorChinese PLA General HospitalRan2025 to 2025Enrolled300ConditionsGastric AdenocarcinomaArms≤4 cycles of neoadjuvant PD-1 Inhibitors combined with chemotherapy, ≥5 cycles of neoadjuvant PD-1 Inhibitors combined with chemotherapy, Gastrectomy
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 5 syntheses or guidelines pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Trial
  7. Trial
  8. Diagnostic discordance and treatment-associated change of PD-L1 and CLDN18.2 in gastric cancer: a real-world analysis of paired biopsy-resection samples.Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association · 2026
    Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Current status of neoadjuvant immunotherapy for the treatment of gastric cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2024
    Review
  16. Review
  17. Review
  18. Review
  19. Review
  20. Review
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

15 authors at 4 institutions in 1 country.

Weijing SunDivision of Medical Oncology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.ORCID 0000-0001-6549-9605
Nirmal VeeramachaneniCardiothoracic Surgery Division, Department of Surgery, Saint Louis University School of Medicine, Saint Louis, Missouri, USA.
Raed Al-RajabiDivision of Medical Oncology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Rashna MadanDepartment of Pathology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Anup KasiDivision of Medical Oncology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Mazin Al-KasspoolesUniversity of Kansas Cancer Center, Kansas City, Kansas, USA.
Joaquina BarandaDivision of Medical Oncology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Anwaar SaeedHematology-Oncology Division, Department of Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
Milind A PhadnisDepartment of Biostatistics and Data Science, University of Kansas Medical Center, Kansas City, Kansas, USA.
Andrew K GodwinUniversity of Kansas Cancer Center, Kansas City, Kansas, USA.
Mojtaba OlyaeeDivision of Gastroenterology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
Natalie StreeterUniversity of Kansas Cancer Center, Kansas City, Kansas, USA.
Alykhan NagjiUniversity of Kansas Cancer Center, Kansas City, Kansas, USA.
Junqiang DaiDepartment of Pathology, University of Kansas Medical Center, Kansas City, Kansas, USA.
Stephen WilliamsonDivision of Medical Oncology, Department of Internal Medicine, University of Kansas Medical Center, Kansas City, Kansas, USA.
The University of Kansas Cancer Center · USUniversity of Kansas Medical Center · USSaint Louis University · USUniversity of Pittsburgh Medical Center · US

Funding

Using Integrated Omics to Identify Dysfunctional Genetic Mechanisms Influencing Schizophrenia and Sleep DisturbancesP20GM130423 · NIGMS · UNIVERSITY OF KANSAS MEDICAL CENTER · PI ANDREW K. GODWIN · 2019 to 2026
$21.5M
NIGMS NIH HHS P20 GM130423
6 · The paper itself

Abstract

backgroundPerioperative chemotherapy/chemoradiation is standard in esophageal/gastric/gastroesophageal junction (GEJ) adenocarcinoma, immune checkpoint inhibitors (ICI) effect in setting of metastatic and postoperatively. This study is to assess ICI + chemotherapy perioperatively.

methodsPatients with locally advanced (T1N1-3M0 or T2-3NanyM0) potentially resectable esophageal/gastric/GEJ adenocarcinoma by PET/EUS/CT and staging-laparoscopy, were treated preoperative 4 cycles mFOLFOX6 (Oxaliplatin 85 mg/m

resultsThirty-seven patients completed the preoperative treatment. Twenty-nine patients had curative R0 resection. 6/29 (21%; 95% CI: 0.08-0.40) achieved ypCR with TRS 0 in resected patients. 26/29 (90%; 95% CI: 0.73-0.98) had ypRR with TRS ≤2. Twenty-six patients finished adjuvant therapy with a median 36.3-month follow-up. Three patients had recurrence/metastatic disease (at 9-, 10-, 22 months enrollment) with one dead at 23 months, and two are still alive at 28 and 36.5 months. The remaining (23/26) are free of disease with 3 years DFS of 88.5% and 3 years OS of 92.3%. There were no unexpected toxicities. Preoperative ICI + chemotherapy enhanced immune responses significantly with increasing expression of PD-L1 (CPS ≥10, p = 0.0078) and CD8 (>5%, p = 0.0059).

conclusionsThe perioperative pembrolizumab and mFOLFOX combination in resectable esophageal/gastric/GEJ adenocarcinoma is very effective with 90% ypRR, 21% ypCR, and impressive long-time survival benefits.

Indexed as

AdenocarcinomaEsophageal NeoplasmsStomach NeoplasmsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenEsophagogastric JunctionHumansNeoadjuvant TherapyAntibodies, Monoclonal, HumanizedB7-H1 AntigenpembrolizumabadenocarcinomaCD8esophageal gastricGEJimmune checkpoint inhibitor (ICI)pathological response (ypRR)PD-L1pembrolizumabperioperativetumor regression score (TRS)

Identifiers

PMID37326317
PMCPMC10469814
OpenAlexW4380870936

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.