Evidence map›Paper›PMID 39303674›Full record

ArticleThe oncologist2025

Feasibility and tolerability of anlotinib plus PD-1 blockades as rechallenge immunotherapy in previously treated advanced ESCC: a retrospective study.

Yonggui Hong, Jun Liu, Ping Lu, Zhiwei Chang, Guifang Zhang, Xiumei Ma, Wei Liang, Yongjing Tian, Jin Xia, Heng Cao and 1 more

Abstract read
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 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

8 citing papers in PubMed, 1 synthesis or guideline 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

11 authors.

Yonggui HongGastroenterology, Anyang Tumor Hospital, Anyang 455000, People's Republic of China.
Jun LiuRadiation Oncology Department, Shanghai Chest Hospital, Shanghai Jiaotong University, Shanghai 200025, People's Republic of China.
Ping LuMedical Oncology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang 453100, People's Republic of China.
Zhiwei ChangMedical Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, People's Republic of China.
Guifang ZhangMedical Oncology, Xinxiang Central Hospital, Xinxiang 453700, People's Republic of China.
Xiumei MaRadiation Oncology, Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University, Shanghai 200127, People's Republic of China.
Wei LiangRadiation Oncology, Huixian People's Hospital, Xinxiang 453000, People's Republic of China.
Yongjing TianThoracic surgery, Nanyang Central Hospital, Nanyang 473000, People's Republic of China.
Jin XiaDepartment of Oncology and Palliative Care, Anyang Tumor Hospital, Anyang 455000, People's Republic of China.
Heng CaoGastroenterology, Anyang Tumor Hospital, Anyang 455000, People's Republic of China.
Jing HuangDepartment of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, People's Republic of China.ORCID 0009-0000-7655-8519

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRechallenge with immune checkpoint inhibitor (ICI) seemed favorable in several tumors, but clinical experience on esophageal squamous cell carcinoma (ESCC) was scanty. This real-world study aimed to assess the feasibility and safety of anlotinib plus ICI for patients with previously ICI-treated advanced ESCC. MATERIALS AND

methodsWe retrospectively identified advanced ESCC patients who received anlotinib plus ICI in the rechallenge setting for evaluation of clinical outcomes and safety. Totally 110 ICI-pretreated patients, of which 89 (80.9%) received prior first- or second-line treatment, were included from September 9, 2019, to November 30, 2022. Most patients (63.6%) discontinued initial ICI due to disease progression.

resultsAfter rechallenge, median overall survival (OS) and progression-free survival (PFS) were 11.1 (95% CI, 8.6-13.7) and 5.6 (95% CI, 4.4-6.8) months, respectively; estimated OS and PFS rates at 12 months were 47.6% (95% CI, 36.8%-57.7%) and 21.4% (95% CI, 10.9%-34.2%), respectively. No complete response was reported and 21 (19.1%) patients attained partial response; the objective response rate was 19.1%. Fifty-five (50.0%) had stable disease for a disease control rate of 69.1%. Of the 21 responders, median duration of response was 6.4 months. Tendencies for longer OS were observed in patients with Eastern Cooperative Oncology Group Performance of 0 (P = .056). The incidence of grade 3 or higher treatment-related adverse events was 10.0%.

conclusionAnlotinib plus ICI in the rechallenge setting was promising and resulted in encouraging benefits for patients with previously ICI-treated advanced ESCC. Our findings provided preliminary but unique evidence to help select ESCC patients benefiting from this strategy.

trial registrationchictr.org.cn; number ChiCTR2300070777.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsImmunotherapyIndolesQuinolinesAdultAgedAged, 80 and overFeasibility StudiesFemaleHumansMaleMiddle AgedProgrammed Cell Death 1 ReceptoranlotinibImmune Checkpoint InhibitorsIndolesProgrammed Cell Death 1 ReceptorQuinolinesadvanced esophageal squamous cell carcinomaanlotinib plus ICIefficacy and safetyICI rechallenge

Identifiers

PMID39303674
PMCPMC11954505

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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.