Evidence map›Paper›PMID 38890298›Full record

Trial reportSignal transduction and targeted therapy2024

Penpulimab, an anti-PD-1 antibody, for heavily pretreated metastatic nasopharyngeal carcinoma: a single-arm phase II study.

Xiaozhong Chen, Wei Wang, Qingfeng Zou, Xiaodong Zhu, Qin Lin, Yi Jiang, Yan Sun, Liangfang Shen, Lin Wang, Guorong Zou and 17 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Signal transduction and targeted therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

27 authors.

Xiaozhong Chen *Department of Radiation Oncology, Cancer Hospital of the University of Chinese, Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China.
Wei Wang *Gastroenterology and Urology Department II, Hunan Cancer Hospital/the Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University, Changsha, China.
Qingfeng Zou *Department of Medical Oncology, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou, China.
Xiaodong ZhuDepartment of Radiation Oncology, Guangxi Medical University Affiliated Tumor Hospital & Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor (Guangxi Medical University), Ministry of Education & Guangxi Key Laboratory of Early Prevention and Treatment for Regional High Frequency Tumor, Guangxi Medical University, Nanning, China.
Qin LinDepartment of Radiation Oncology, Cancer Center, The First Affiliated Hospital of Xiamen University, Xiamen, China.
Yi JiangDepartment of Medical Oncology, Cancer Hospital of Shantou University Medical College, Shantou, China.
Yan SunDepartment of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, China.
Liangfang ShenDepartment of Oncology, Xiangya Hospital Central South University, Changsha, China.
Lin WangDepartment of Medical Oncology, Hainan General Hospital, Hainan Affiliated Hospital of Hainan Medical University, Haikou, China.
Guorong ZouDepartment of Oncology, The Affiliated Panyu Central Hospital of Guangzhou Medical University, Guangzhou, China.
Xiaoyan LinDepartment of Medical Oncology, Fujian Medical University Union Hospital, Fuzhou, China.
Shaojun LinDepartment of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, China.
Minying LiDepartment of Radiation Therapy for Thoracic Tumors, Zhongshan City People's Hospital, Zhongshan, China.
Ying WangTumor Radiotherapy Center, Chongqing University Cancer Hospital, Chongqing Cancer Hospital, Chongqing Cancer Institute, Chongqing, China.
Ruilian XuDepartment of Oncology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, China.
Rui AoOncology Center, Sichuan Academy of Medical Sciences & Sichuan Provincial People's Hospital, School of Medicine UESTC, Chengdu, China.
Rensheng WangDepartment of Radiation Oncology, The First Affiliated Hospital of Guangxi Medical University, Nanning, China.
Haifeng LinDepartment of Medical Oncology, The Second Affiliated Hospital of Hainan Medica University, Haikou, China.
Shuang HuangDepartment of Radiation Oncology, Cancer Hospital of the University of Chinese, Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou, China.
Tingting XuDepartment of Radiation Oncology, Fudan University, Shanghai Cancer Center, Shanghai, China.
Wenting LiAkeso Biopharma Inc., Zhongshan, China.
Mengying XiaAkeso Biopharma Inc., Zhongshan, China.
Yu XiaAkeso Biopharma Inc., Zhongshan, China.
Zhongmin WangAkeso Biopharma Inc., Zhongshan, China.ORCID 0000-0002-1683-5147
Baiyong LiAkeso Biopharma Inc., Zhongshan, China.
Jingao LiDepartment of Radiation Oncology, Jiangxi Cancer Hospital, Nanchang, China. lijingao@hotmail.com.
Chaosu HuDepartment of Radiation Oncology, Fudan University, Shanghai Cancer Center, Shanghai, China. hucsu62@163.com.ORCID 0000-0001-6407-3311

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Penpulimab is an anti-programmed cell death-1 (PD-1) IgG1 antibody with no Fc gamma receptor (FcγR) binding activity, and thus theoretically reduced immune-related adverse events (irAEs) while maintaining efficacy. This single-arm, phase II trial conducted across 20 tertiary care centers in China enrolled adult patients with metastatic nasopharyngeal carcinoma (NPC) who had failed two or more lines of previous systemic chemotherapy. Patients received 200-mg penpulimab intravenously every 2 weeks (4 weeks per cycle) until disease progression or intolerable toxicities. The primary endpoint was objective response rate (ORR) per RECIST (version 1.1), as assessed by an independent radiological review committee. The secondary endpoints included progression-free survival (PFS) and overall survival (OS). One hundred thirty patients were enrolled and 125 were efficacy evaluable. At the data cutoff date (September 28, 2022), 1 patient achieved complete response and 34 patients attained partial response. The ORR was 28.0% (95% CI 20.3-36.7%). The response was durable, with 66.8% still in response at 9 months. Thirty-three patients (26.4%) were still on treatment. The median PFS and OS were 3.6 months (95% CI = 1.9-7.3 months) and 22.8 months (95% CI = 17.1 months to not reached), respectively. Ten (7.6%) patients experienced grade 3 or higher irAEs. Penpulimab has promising anti-tumor activities and acceptable toxicities in heavily pretreated metastatic NPC patients, supporting further clinical development as third-line treatment of metastatic NPC.

Indexed as

Nasopharyngeal CarcinomaNeoplasm MetastasisProgrammed Cell Death 1 ReceptorAdultAgedAntibodies, Monoclonal, HumanizedFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedNasopharyngeal NeoplasmsAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptor

Identifiers

PMID38890298
PMCPMC11189389

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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.