Evidence map›Paper›PMID 40040691›Full record

ArticleFrontiers in immunology2025

Combination of cadonilimab (PD-1/CTLA-4 bispecific antibody) and apatinib as salvage therapy achieves partial response in MSI-H advanced gastric cancer: a case report.

Jiayu Zhao, Xiaoxiao Li, Xiaoyuan Sun, Ruoxi Xiao, Juan Xue, Kexin Sui, Zimin Liu

Abstract readCase Reports
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

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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

7 authors.

Jiayu ZhaoDepartment of Oncology, Shouguang People's Hospital, Weifang, China.
Xiaoxiao LiDigestive Tumor Treatment Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Xiaoyuan SunDigestive Tumor Treatment Center, Affiliated Hospital of Qingdao University, Qingdao, China.
Ruoxi XiaoDepartment of Medcine, Qingdao University, Qingdao, China.
Juan XueDepartment of Medcine, Qingdao University, Qingdao, China.
Kexin SuiDepartment of Medcine, Shandong First Medical University, Affiliated Hospital of Qingdao University, Jinan, China.
Zimin LiuDigestive Tumor Treatment Center, Affiliated Hospital of Qingdao University, Qingdao, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microsatellite instability-high (MSI-H) gastric cancer (GC) is recognized as a unique subtype of gastric cancer. While patients with advanced MSI-H gastric cancer may respond favorably to a combination of immune checkpoint inhibitors and chemotherapy in first-line treatment, no definitive recommendations exist regarding the optimal regimen for subsequent therapy. Cadonilimab, a PD-1 and CTLA-4 bispecific antibody, has shown encouraging efficacy and safety in the first-line treatment of advanced gastric cancer. However, its utility in the MSI-H gastric cancer subtype following multiple lines of therapy remains uncertain. This case report describes a patient with advanced MSI-H gastric adenocarcinoma that progressed after multiple treatments and achieved notable efficacy with a combination of cadonilimab and apatinib. By examining the current therapeutic landscape for MSI-H gastric cancer, this study explores the potential of combining PD-1/CTLA-4 dual-immunity with anti-vascular therapy as salvage treatment for this gastric cancer subtype. The findings provide valuable reference points for future clinical trials, offering a promising perspective on backline therapeutic strategies for MSI-H gastric cancer and highlighting the potential of integrating bispecific antibodies with anti-vascular therapies.

Indexed as

Antibodies, BispecificAntineoplastic Combined Chemotherapy ProtocolsPyridinesStomach NeoplasmsAntibodies, Monoclonal, HumanizedCTLA-4 AntigenHumansImmune Checkpoint InhibitorsMicrosatellite InstabilityProgrammed Cell Death 1 ReceptorSalvage TherapyTreatment OutcomeAntibodies, BispecificAntibodies, Monoclonal, HumanizedapatinibCTLA-4 AntigenCTLA4 protein, humanImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorPyridinesadvanced gastric cancerAK104/cadonilimabapatinibmicrosatellite instabilityPD-1/CTLA-4 bispecific antibodysalvage therapy

Identifiers

PMID40040691
PMCPMC11876123

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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.