Evidence map›Paper›PMID 40355811›Full record

ArticleBMC cancer2025

Safety and efficacy of rechallenge with immune checkpoint inhibitors and anlotinib in advanced non-small cell lung cancer without targetable driver mutations: a retrospective analysis.

Xinrong Chen, Ke Wang, Yongxin Liao, Chuangjie Zheng, Deyu Yang, Zhichao Li, Linzhu Zhai

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. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

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, 1 synthesis or guideline pooled it.

  1. 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

7 authors.

Xinrong ChenThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Ke WangThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Yongxin LiaoThe Second Clinical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Chuangjie ZhengThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Deyu YangThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Zhichao LiThe First Clinical Medical College of Guangzhou University of Chinese Medicine, Guangzhou, Guangdong, China.
Linzhu ZhaiCancer Center, the First Affiliated Hospital of Guangzhou University of Chinese, Guangzhou, Guangdong, China. linzhuzhai@gzucm.edu.cn.

Funding

2023 Characteristic and Innovative Projects of Ordinary Institutions of Higher Education in Guangdong Province 2023KTSCX0272024 Characteristic and Innovative Projects of Ordinary Institutions of Higher Education in Guangdong Province 2024ZDZX2045the "Double first-class" and high-level university construction discipline (Integrated Traditional Chinese and Western Medicine) reserve talent cultivation project of Guangzhou University of Chinese Medicine A1-2601-22-415-014the National Natural Science Foundation of China 82274604
6 · The paper itself

Abstract

objectiveThis study assessed the safety and efficacy of rechallenging patients in advanced non-small cell lung cancer (NSCLC) without targetable driver mutations using a combination of immune checkpoint inhibitors (ICIs) and anlotinib following progression after prior immunotherapy.

methodsA retrospective analysis was performed on 14 patients who received rechallenge with ICIs combined with anlotinib at the First Affiliated Hospital of Guangzhou University of Chinese Medicine. China, between March 2020 and June 2024.

resultsThe study observed an objective response rate of 28.6% and a disease control rate of 92.9%. The median progression-free survival (PFS) was 11.7 months, with programmed death-ligand 1 (PD-L1)-positive patients demonstrating significantly longer PFS (13.0 months) compared with PD-L1-negative or unknown patients (10.3 months, P = 0.048). Toxicity was manageable, with most adverse events being mild to moderate in severity. Only one case (7.1%) of grade 3 adverse events was reported, and no treatment-related fatalities occurred.

conclusionICIs combined with anlotinib as a rechallenge therapy exhibited promising efficacy and an acceptable safety profile in patients with advanced NSCLC without targetable driver mutations. These findings suggest a potential treatment option for patients with post-immunotherapy progression.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungImmune Checkpoint InhibitorsIndolesLung NeoplasmsQuinolinesAdultAgedFemaleHumansMaleMiddle AgedMutationProgression-Free SurvivalRetrospective StudiesTreatment OutcomeanlotinibImmune Checkpoint InhibitorsIndolesQuinolinesAnlotinibImmune checkpoint inhibitorsNon-small cell lung cancerRechallenge

Identifiers

PMID40355811
PMCPMC12070621

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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.