Evidence map›Paper›PMID 37543550›Full record

Trial reportAnnals of surgical oncology2023

The Efficacy and Safety of Surufatinib Combined with Anti PD-1 Antibody Toripalimab in Neoadjuvant Treatment of Locally Advanced Differentiated Thyroid Cancer: A Phase II Study.

Jia-Ying Chen, Nai-Si Huang, Wen-Jun Wei, Jia-Qian Hu, Yi-Ming Cao, Qiang Shen, Zhong-Wu Lu, Yu-Long Wang, Yu Wang, Qing-Hai Ji

Abstract readClinical Trial, Phase II
PubMed Publisher
In one paragraph

Trial report in Annals of surgical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 2 pooled it
4.6field-weighted citation impact, top 4% 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

21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 23 citations in OpenAlex.

  1. Guideline
  2. Guideline
  3. Innovative immunotherapeutic strategies for thyroid cancer: challenges and opportunities.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. Landmark Studies in Differentiated Thyroid Cancer.Annals of surgical oncology · 2025
    Review
  12. Review
  13. Article
  14. Review
  15. Review
  16. Article
  17. Review
  18. Review
  19. Review
  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

10 authors at 2 institutions in 1 country.

Jia-Ying ChenDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Nai-Si HuangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Wen-Jun WeiDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Jia-Qian HuDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Yi-Ming CaoDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Qiang ShenDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Zhong-Wu LuDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China.
Yu-Long WangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China. yulongwang@fudan.edu.cn.
Yu WangDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China. neck130@hotmail.com.
Qing-Hai JiDepartment of Head and Neck Surgery, Fudan University Shanghai Cancer Centre, Shanghai, China. jq_hai@126.com.
Fudan University Shanghai Cancer Center · CNShanghai Medical College of Fudan University · CN

Funding

Shanghai Shenkang Hospital Development Centre SHDC22021201
6 · The paper itself

Abstract

backgroundSurgery is the primary treatment for locally advanced differentiated thyroid cancer (DTC). However, some locally advanced patients are not candidates for R0/1 resection. There is limited evidence of neoadjuvant treatment in locally advanced DTC. Surufatinib targets multiple kinases, which is efficient, tolerable, and safe in patients with radioiodine-refractory DTC. In addition, surufatinib plus toripalimab (an anti-PD-1 antibody) showed encouraging antitumor activity in advanced solid tumors. This study was designed to evaluate the efficacy and safety of surufatinib plus toripalimab in locally advanced DTC in the neoadjuvant setting.

methodsIn this single-arm, phase II study, patients with pathologically confirmed unresectable or borderline resectable DTC were eligible and received a combination of 250 mg of surufatinib (orally daily) with 240 mg of toripalimab (intravenous, every 3 weeks). Treatment continued until satisfied for curative surgery, disease progression, withdrawal of consent, unacceptable toxicity, or investigator decision. Primary endpoint was objective response rate (ORR). Secondary endpoints included R0/1 resection rate, adverse events (AEs), etc.

resultsTen patients were enrolled and received at least 4 cycles of treatment. The ORR was 60%. Nine patients received R0/1 resections after neoadjuvant treatment. The median best percentage change in the sum of the target lesion diameter was 32%. Most adverse events (AEs) were grade 1 or 2.

conclusionsSurufatinib in combination with toripalimab as neoadjuvant therapy for locally advanced DTC was feasible, and the majority of patients achieved R0/1 resection. It represents a new option for locally advanced DTC and needs further investigation.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsNeoadjuvant TherapyThyroid NeoplasmsAdultAgedAntibodies, Monoclonal, HumanizedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisProgrammed Cell Death 1 ReceptorAntibodies, Monoclonal, HumanizedPDCD1 protein, humanProgrammed Cell Death 1 Receptortoripalimab

Identifiers

PMID37543550
OpenAlexW4385604360

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.