Evidence map›Paper›PMID 40346506›Full record

ArticleBMC cancer2025

Camrelizumab combined with apatinib plus irinotecan as a second-line treatment in advanced or metastatic esophageal squamous cell carcinoma patients.

Shusheng Wu, Huiqin Luo, Wenju Chen, Xudong Liu, Huimin Li, Mengge Li, Lihong Ke, Jiayu Niu, Bing Hu, Huijun Xu and 6 more

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Shusheng WuDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Huiqin LuoDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Wenju ChenDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Xudong LiuGraduate School, Wannan Medical College, Wuhu, Anhui, 241002, China.
Huimin LiDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Mengge LiDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Lihong KeDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Jiayu NiuDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Bing HuDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Huijun XuDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Gang WangDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Ying YanDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Lulu CaoDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Xiaoxiu HuDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China.
Chenghui LiDepartment of Medical Oncology, Anqing Municipal Hospital, Anqing, Anhui, 246000, China.
Yifu HeDepartment of Medical Oncology, Division of Life Sciences and Medicine, The First Affiliated Hospital of USTC, University of Science and Technology of China, No. 107 Huanhu Road East, Shushan District, Hefei, Anhui, 230031, China. yifuhe@fsyy.ustc.edu.cn.

Funding

Fundamental Research Funds for the Central Universities WK9110000172Health Commission of Anhui Province Scientific Research Project AHWJ2023BAc10031
6 · The paper itself

Abstract

backgroundCamrelizumab (CAM) combined with apatinib plus chemotherapy as a first-line treatment shows good efficacy in advanced or metastatic esophageal squamous cell carcinoma (ESCC) patients. This study aimed to explore the potential of CAM combined with apatinib plus irinotecan (IRT) as a second-line treatment in advanced or metastatic ESCC patients.

methodsA total of 59 advanced or metastatic ESCC patients receiving CAM combined with apatinib plus IRT as second-line treatment were enrolled in this study between January 2020 and March 2024. The primary endpoint was progression-free survival (PFS), with secondary endpoints including overall survival (OS), the objective response rate (ORR), the disease control rate (DCR), and the assessment of toxicity. Concurrently, a model was constructed utilizing patients' clinical characteristics and radiomic features to predict the patients' prognoses.

resultsAt the time of analysis, 58 patients were withdrawn due to disease progression (n = 9), death (n = 43), or lost to follow-up (n = 6), and 1 patient was ongoing. The ORR and DCR were 37.7% and 84.9%, respectively. The median PFS and OS were 6.3 (95% CI: 4.8-7.8) and 16.7 (95% CI: 13.5-19.9) months, respectively. The most common adverse events of any grade were leukopenia (52.5%), fatigue (25.4%), anemia (23.7%), thrombocytopenia (23.7%), neutropenia (22.0%), and hypoalbuminemia (22.0%). Most of the adverse events were grade I-II. The incidence of grade III-IV adverse events was 20.3%. Predictive models were established based on the outcomes of multivariate Cox analyses. The combined model had an excellent ability to predict the 1-year OS [AUC (95% CI): 0.979 (0.930-1.000)].

conclusionCAM combined with apatinib plus IRT as a second-line treatment exhibits acceptable efficacy and safety in advanced or metastatic ESCC patients. The model that combines clinical and radiomic features has the greatest ability to predict the survival of advanced or metastatic ESCC patients.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaIrinotecanPyridinesAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesAntibodies, Monoclonal, HumanizedapatinibcamrelizumabIrinotecanPyridinesAdvanced or metastatic esophageal squamous cell carcinomaApatinibCamrelizumabPredictive modelsSecond-line treatment

Identifiers

PMID40346506
PMCPMC12063473

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