Evidence map›Paper›PMID 39608979›Full record

Trial reportJournal for immunotherapy of cancer2024

Camrelizumab plus carboplatin and pemetrexed as first-line therapy for advanced non-squamous non-small-cell lung cancer: 5-year outcomes of the CameL randomized phase 3 study.

Caicun Zhou, Gongyan Chen, Yunchao Huang, Jianying Zhou, LiZhu Lin, Jifeng Feng, Zhehai Wang, Yongqian Shu, Jianhua Shi, Yi Hu and 46 more

Registry-linked trialAbstract readRandomized Controlled TrialClinical Trial, Phase IIIMulticenter Study
In one paragraph

Trial report in Journal for immunotherapy of cancer, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03134872 (A Phase III, Randomized, Open-Label, Multi-center Study of SHR-1210), which is not on this map. Cited by 24 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 7 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.

NCT03134872 phase3completednot on this map

A Phase III, Randomized, Open-Label, Multi-center Study of SHR-1210(Anti-PD-1 Antibody) in Combination With Pemetrexed and Carboplatin as First Line Therapy in Subjects With Advanced/Metastatic Non-squamous Non-small Cell Lung Cancer

TypeinterventionalSponsorJiangsu HengRui Medicine Co., Ltd.Ran2017 to 2019Enrolled419ConditionsLung Neoplasms, Carcinoma, Non-Small-Cell Lung, Respiratory Tract Neoplasms, Thoracic NeoplasmsArmsSHR-1210, Carboplatin, Pemetrexed
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 7 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

56 authors.

Caicun ZhouDepartment of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China caicunzhou_dr@163.com.ORCID 0000-0002-1072-9941
Gongyan ChenDepartment of Respiratory Medicine, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, China.
Yunchao HuangDepartment of Thoracic Surgery Oncology, Yunnan Cancer Hospital and The Third Affiliated Hospital of Kunming Medical University and Yunnan Cancer Center, Kunming, Yunnan, China.
Jianying ZhouRespiratory Medicine, The First Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
LiZhu LinOncology Center, The First Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Jifeng FengDepartment of Thoracic Medical Oncology, Jiangsu Cancer Hospital and Jiangsu Institute of Cancer Research and The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, Jiangsu, China.
Zhehai WangDepartment of Respiratory, Shandong Cancer Hospital and Institute, Jinan, Shandong, China.
Yongqian ShuDepartment of Oncology, Jiangsu Province Hospital, Nanjing, Jiangsu, China.ORCID 0000-0003-2103-0877
Jianhua ShiDepartment of Medical Oncology, Linyi Cancer Hospital, Linyi, Shandong, China.
Yi HuOncology Department, General Hospital of Chinese People's Liberation Army, Beijing, China.
QiMing WangRespiratory Medicine, Henan Cancer Hospital, Zhengzhou, Henan, China.
Ying ChengDepartment of Thoracic Oncology, Jilin Cancer Hospital, Changchun, Jilin, China.ORCID 0000-0001-9908-597X
Fengying WuDepartment of Medical Oncology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Jianhua ChenDepartment of Medical Oncology-Chest, Hunan Cancer Hospital, Changsha, Hunan, China.
Xiaoyan LinDepartment of Oncology, Fujian Medical University Union Hospital, Fuzhou, Fujian, China.
Yongsheng WangDepartment of Thoracic Medical Oncology, West China Hospital, Sichuan University, Chengdu, Sichuan, China.
Jianan HuangDepartment of Respiration, First Affiliated Hospital of Suzhou University, Suzhou, Jiangsu, China.
Jiuwei CuiDepartment of Medical Oncology, The First Bethune Hospital of Jilin University, Changchun, Jilin, China.
Lejie CaoPulmonary and Critical Care Medicine, The First Affiliated Hospital University of Science Technology of China, Hefei, Anhui, China.
Yunpeng LiuDepartment of Medical Oncology, The First Hospital of China Medical University, Shenyang, Liaoning, China.
Yiping ZhangDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Yueyin PanDepartment of Tumor Chemotherapy, The First Affiliated Hospital University of Science Technology of China, Hefei, Anhui, China.
Jun ZhaoDepartment of Thoracic Medical Oncology, Peking University Cancer Hospital and Institute, Beijing, China.
LiPing WangDepartment of Medical Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Jianhua ChangDepartment of Medical Oncology, Fudan University Shanghai Cancer Center, Shanghai, China.
Qun ChenDepartment of Oncology, Fuzhou Pulmonary Hospital of Fujian, Fuzhou, Fujian, China.
Xiubao RenDepartment of Biotherapy, Tianjin Medical University Cancer Institute and Hospital, Tianjin, China.
Wei ZhangPneumology Department, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Yun FanDepartment of Thoracic Medical Oncology, Zhejiang Cancer Hospital, Hangzhou, Zhejiang, China.
Zhiyong HeDepartment of Thoracic Oncology, Fujian Cancer Hospital, Fuzhou, Fujian, China.
Jian FangDepartment of Thoracic Oncology II, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, Beijing, China.ORCID 0000-0003-3697-4563
Kangsheng GuDepartment of Medical Oncology, The First Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
XiaoRong DongCancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Faguang JinDepartment of Respiratory Medicine, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China.
Hongjun GaoDepartment of Pulmonary Oncology, Fifth Medical Center of Chinese People's Liberation Army General Hospital, Beijing, China.
Guangyu AnDepartment of Medical Oncology, Beijing Chaoyang Hospital, Capital Medical University, Beijing, China.
Cuimin DingDepartment of Respiratory Medicine, The Fourth Clinical Medical College of Hebei Medical University, Shijiazhuang, Hebei, China.
Xiaodong JiangDepartment of Medical Oncology, First People's Hospital of Lianyungang City, Lianyungang, Jiangsu, China.
Jianping XiongDepartment of Medical Oncology, The First Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.
Xiangdong ZhouDepartment of Respiratory Medicine, First Affiliated Hospital of Army Medical University, Chongqing, Chongqing, China.
Sheng HuDepartment of Thoracic Medicine, Hubei Cancer Hospital, Wuhan, Hubei, China.ORCID 0000-0002-2709-6976
Ping LuDepartment of Medical Oncology, The First Affiliated Hospital of Xinxiang Medical University, Xinxiang, Henan, China.
Anwen LiuDepartment of Medical Oncology, The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi, China.ORCID 0000-0001-5279-1068
Shuliang GuoDepartment of Respiratory Medicine, First Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jianjin HuangDepartment of Medical Oncology, The Second Affiliated Hospital of Zhejiang University, Hangzhou, Zhejiang, China.
Chengchu ZhuDepartment of Cardiothoracic Surgery, Taizhou Hospital of Zhejiang Province, Taizhou, Zhejiang, China.
Jian ZhaoDepartment of Thoracic Surgical Oncology, Cancer Center of Guangzhou Medical University, Guangzhou, Guangdong, China.
Beili GaoDepartment of Respiratory Medicine, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, China.
Yinglan ChenDepartment of Medical Oncology, Jiangxi Cancer Hospital, Nanchang, Jiangxi, China.
Chengping HuDepartment of Respiratory Medicine, Xiangya Hospital Central South University, Changsha, Hunan, China.
Jian ZhangDepartment of Respiratory Medicine, The First Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China.
Hongmei ZhangDepartment of Medical Oncology, The First Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, China.ORCID 0000-0002-3991-3750
Hui ZhaoDepartment of Respiratory Medicine, Second Affiliated Hospital of Anhui Medical University, Hefei, Anhui, China.
Zhigao WangClinical Research and Development, Jiangsu Hengrui Pharmaceuticals, Shanghai, China.
Xinjing MaClinical Research and Development, Jiangsu Hengrui Pharmaceuticals, Shanghai, China.
Wei ShiClinical Research and Development, Jiangsu Hengrui Pharmaceuticals, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCameL phase 3 study demonstrated the superiority of camrelizumab plus chemotherapy over chemotherapy alone for progression-free survival in patients with previously untreated advanced non-squamous non-small-cell lung cancer (NSCLC) without

methodsPatients were randomized (1:1) and received 4-6 cycles of camrelizumab plus carboplatin and pemetrexed (n=205) or carboplatin and pemetrexed (n=207) every 3 weeks, followed by maintenance camrelizumab plus pemetrexed or pemetrexed only. Crossover from chemotherapy group to camrelizumab monotherapy was permitted after disease progression.

resultsMedian time from randomization to data cut-off was 65.2 months (range, 59.7-72.2). HR for overall survival (OS) was 0.74 (95% CI 0.58 to 0.93; one-sided p=0.0043), and was 0.62 (95% CI 0.49 to 0.79; one-sided p<0.0001) after adjustment for crossover. Five-year OS rates were 31.2% (95% CI 24.7% to 37.9%) with camrelizumab plus chemotherapy versus 19.3% (95% CI 13.9% to 25.3%) with chemotherapy alone. Among the 33 patients who completed 2 years of camrelizumab, 5-year OS rate was 84.3% (95% CI 66.4% to 93.2%), and 5-year duration of response rate was 46.5% (95% CI 24.9% to 65.6%) in the 32 responders. No new safety signals were noted.

conclusionsCamrelizumab plus carboplatin and pemetrexed as first-line therapy continued to demonstrate long-term OS benefit over carboplatin and pemetrexed, with manageable toxicity. Patients who completed 2 years of camrelizumab had enduring response and impressive OS. Current 5-year updated analysis further supports camrelizumab plus carboplatin and pemetrexed as a standard-of-care for previously untreated advanced non-squamous NSCLC without TRIAL REGISTRATION NUMBER: NCT03134872.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarboplatinCarcinoma, Non-Small-Cell LungLung NeoplasmsPemetrexedAdultAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeAntibodies, Monoclonal, HumanizedcamrelizumabCarboplatinPemetrexedImmunotherapyLung Cancer

Identifiers

PMID39608979
PMCPMC11603811

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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.