Evidence map›Paper›PMID 40251674›Full record

ArticleRadiation oncology (London, England)2025

Efficacy and safety of concurrent programmed cell death protein 1 inhibitor and definitive radiotherapy with immunonutrition support in esophageal squamous cell cancer: a phase II multicenter clinical trial.

Yupei Yuan, Shihong Luo, Xiaomin Wang, Zhiyong Zheng, Qing Qi, Yunxiao Wang, Meiling Chen, Haihua Yang, Pingjun Gu, Qin Du and 4 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in Radiation oncology (London, England), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06342167 (Efficacy and Safety of Concurrent Sintilimab and Radiotherapy With Immunonutrition Support in Esophageal Cancer), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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.

NCT06342167 phase2active not recruitingnot on this map

Efficacy and Safety of Concurrent Sintilimab and Radiotherapy With Immunonutrition Support in Esophageal Cancer: A Phase II Multicenter Clinical Trial

TypeinterventionalSponsorCancer Institute and Hospital, Chinese Academy of Medical SciencesRan2024 to 2026Enrolled57ConditionsLocally Advanced Esophageal Squamous Cell Carcinoma, Sintilimab, Radiotherapy, Concurrent ChemoradiotherapyArmsRadiotherapy, Programmed Cell Death Protein 1 Inhibitor, Immunonutrition support
3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. Article
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

14 authors.

Yupei Yuan *Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, P. R. China.
Shihong Luo *Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, P. R. China.
Xiaomin WangDepartment of Radiation Oncology, Anyang Tumor Hospital, Anyang, Henan Province, 518116, China.
Zhiyong ZhengDepartment of Radiation Oncology, Anyang Tumor Hospital, Anyang, Henan Province, 518116, China.
Qing QiDepartment of Oncology, Affiliated Hospital of Hebei University of Engineering, Baoding, Hebei Province, 056002, China.
Yunxiao WangDepartment of Oncology, Affiliated Hospital of Hebei University of Engineering, Baoding, Hebei Province, 056002, China.
Meiling ChenDepartment of Radiation Oncology, the First Affiliated Hospital of Xinxiang Medical University, Xinjiang, Henan Province, 453199, China.
Haihua YangTaizhou hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, 317000, China.
Pingjun GuTaizhou hospital of Wenzhou Medical University, Wenzhou, Zhejiang Province, 317000, China.
Qin DuDepartment of Radiation Oncology, Affiliated Hospital of Jining Medical University, Jining, Shandong Province, 272004, China.
Xia WuDepartment of Radiation Oncology, Fei County People's Hospital, Jinan, Shandong Province, 031899, China.
Wenyan PanDepartment of Radiation Oncology, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Province, 750003, China.
Yuanji XuDepartment of Radiation Oncology, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou, Fujian Province, 350014, China.
Jianyang WangDepartment of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, No.17 Panjiayuan Nanli, Chaoyang District, Beijing, 100021, P. R. China. pkucell@163.com.

Funding

National Natural Science Foundation of China 82071759
6 · The paper itself

Abstract

backgroundEsophageal cancer is one of the most common malignant tumors, with China accounting for 50% of the world's total incidence. Concurrent chemoradiotherapy (cCRT) with platin-based dual-drug regimen is the standard treatment for inoperable, locally advanced esophageal cancer in patients with a good performance status. However, certain patients possess risk factors that heighten toxicity and reduce their tolerance to cCRT, thereby challenging the feasibility of standard treatment. This study evaluates an alternative therapeutic approach combining programmed cell death protein 1 inhibitor (PD-1 inhibitor), definitive radiotherapy, and immunonutrition support for patients with unresectable non-metastatic esophageal cancer expressing PD-L1 who are intolerant to cCRT.

methodsThis is a phase II, single-arm, multicenter clinical trial involving patients with histologically confirmed unresectable esophageal squamous cell carcinoma (ESCC), who exhibit positive PD-L1 and are unsuitable for cCRT. Participants will receive a total radiotherapy dose of 50-60 Gy in 25-30 fractions, sintilimab (200 mg every three weeks), alongside, supplemented by enteral nutritional emulsion (600-1600 ml/day). The primary endpoint is the 1-year progression-free survival rate, with secondary endpoints including objective response rate, overall survival and incidence of adverse events.

conclusionThis research has the potential to redefine treatment for inoperable ESCC patients who cannot tolerate conventional therapies. By evaluating a less toxic regimen that combines immunotherapy, radiotherapy, and nutritional support, we aim to determine if this approach can improve both survival rates and quality of life. The synergistic effects of immunonutrition support and PD-1 inhibitor will also be explored.

trial registrationNCT06342167.

Indexed as

Antibodies, Monoclonal, HumanizedChemoradiotherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsAdultAgedClinical Trials, Phase II as TopicFemaleHumansImmunonutrition DietImmunotherapyMaleMiddle AgedProgrammed Cell Death 1 ReceptorAntibodies, Monoclonal, HumanizedImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorClinical trialESCCImmunonutritionRadiotherapySintilimab

Identifiers

PMID40251674
PMCPMC12007264

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.