Evidence map›Paper›PMID 40239627›Full record

Trial reportCell reports. Medicine2025

Phase 2 trial of perioperative chemo-immunotherapy for gastro-esophageal adenocarcinoma: The role of M2 macrophage landscape in predicting response.

Thierry Alcindor, James Tankel, Pierre-Olivier Fiset, Sanjima Pal, Touhid Opu, Michael Strasser, Mehrnoush Dehghani, Nicholas Bertos, Dongmei Zuo, Carmen Mueller and 15 more

Registry-linked trialAbstract readClinical Trial, Phase II
In one paragraph

Trial report in Cell reports. Medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03288350 (Phase II Trial of Perioperative PD-L1 Inhibition With Avelumab and Docetaxel, Cisplatin and 5-Fluorouracil for Resectable Locally Advanced Esophago-Gastric Adenocarcinoma), which is not on this map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing 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.

NCT03288350 phase2unknown statusnot on this map

Phase II Trial of Perioperative PD-L1 Inhibition With Avelumab and Docetaxel, Cisplatin and 5-Fluorouracil for Resectable Locally Advanced Esophago-Gastric Adenocarcinoma

TypeinterventionalSponsorMcGill University Health Centre/Research Institute of the McGill University Health CentreRan2018 to 2023Enrolled55ConditionsGastric Adenocarcinoma, Esophageal AdenocarcinomaArmsmDCF + Avelumab
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Review
  5. Article
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
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

25 authors.

Thierry AlcindorDepartment of Medicine, McGill University Health Centre, Montreal, QC, Canada; Center for Innovative Medicine, McGill University Health Centre, Montreal, QC, Canada. Electronic address: thierry.alcindor@mcgill.ca.
James TankelDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Pierre-Olivier FisetDivision of Pathology, Department of Clinical Laboratory Medicine, McGill University Health Centre, Montreal, QC, Canada.
Sanjima PalDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Touhid OpuCenter for Innovative Medicine, McGill University Health Centre, Montreal, QC, Canada.
Michael StrasserInstitute for Systems Biology, Seattle, WA, USA.
Mehrnoush DehghaniDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Nicholas BertosDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Dongmei ZuoCenter for Innovative Medicine, McGill University Health Centre, Montreal, QC, Canada.
Carmen MuellerDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Jonathan Cools-LartigueDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Marc HickesonDepartment of Nuclear Medicine, McGill University Health Centre, Montreal, QC, Canada.
Victoria MarcusDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Sophie Camilleri-BroetDivision of Pathology, Department of Clinical Laboratory Medicine, McGill University Health Centre, Montreal, QC, Canada.
Alan SpatzDivision of Pathology, Department of Clinical Laboratory Medicine, McGill University Health Centre, Montreal, QC, Canada.
Gertruda EvaristoDivision of Pathology, Department of Clinical Laboratory Medicine, McGill University Health Centre, Montreal, QC, Canada.
Mina FaragDivision of Pathology, Department of Clinical Laboratory Medicine, McGill University Health Centre, Montreal, QC, Canada.
Giovanni ArthoDepartment of Diagnostic Radiology, McGill University Health Centre, Montreal, QC, Canada.
Arielle ElkriefDepartment of Medicine, McGill University Health Centre, Montreal, QC, Canada.
Ramy SalehDepartment of Medicine, McGill University Health Centre, Montreal, QC, Canada; Center for Innovative Medicine, McGill University Health Centre, Montreal, QC, Canada.
Swneke BaileyDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Morag ParkCenter for Innovative Medicine, McGill University Health Centre, Montreal, QC, Canada.
Sui HuangInstitute for Systems Biology, Seattle, WA, USA.
Veena SangwanDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada.
Lorenzo FerriDepartment of Surgery, McGill University Health Centre, Montreal, QC, Canada. Electronic address: lorenzo.ferri@mcgill.ca.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

We present the clinical results of a phase 2 trial combining neoadjuvant docetaxel, cisplatin, 5 Flourouracil, and the PD-L1 inhibitor avelumab in locally advanced gastro-esophageal adenocarcinoma (GEA). Fifty-one patients receive neoadjuvant therapy with 50 proceeding to surgery. Grade 3-4 adverse events occur in 40%; complete/major pathological response is found in 7/50 (14%) and 9/50 (18%), with 2-year disease-free survival of 67.5%. There is no correlation between tumor regression and PD-L1 or mismatch repair (MMR) status. Multiplex immunohistochemistry and longitudinal single-cell transcriptomic profiling reveal alterations in certain innate immune cell populations, particularly noting an M2-tumor-associated macrophage (M2-TAM) proliferation in non-responding tumors. These findings describe the effective nature of this treatment regimen for GEA and reveal associated features of the inflammatory milieux associated with response to chemo-immunotherapy. The specific character of the inflammatory environment in non-responders may, in the future, help personalize treatment. This study was registered at ClinicalTrials.gov (NCT03288350).

Indexed as

AdenocarcinomaEsophageal NeoplasmsImmunotherapyMacrophagesStomach NeoplasmsAdultAgedAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsB7-H1 AntigenCisplatinDocetaxelFemaleFluorouracilHumansMaleAntibodies, Monoclonal, HumanizedavelumabB7-H1 AntigenCisplatinDocetaxelFluorouracilchemotherapygastroesophageal adenocarcinomaimmune microenvironmentimmunotherapypathologic responsesingle cell transcriptomicsspatial proteomicssurgerytumor associated macrophage

Identifiers

PMID40239627
PMCPMC12047487

What OpenQuestion holds

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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.