Evidence map›Paper›PMID 40554667›Full record

Trial reportThe oncologist2025

Multi-center phase II study of nab-paclitaxel plus camrelizumab versus nab-paclitaxel alone as second-line treatment for advanced gastric cancer.

Li Sun, Zhimin Gong, Lei Wang, Li Kuang, Qiao Huang, Bo Pei, Xianglin Yuan, Hong Qiu

Registry-linked trialAbstract readClinical Trial, Phase IIMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04294784 (A Multi-center, Open-label, Randomized Controlled Clinical Study of Nab-paclitaxel Plus SHR-1210), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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.

NCT04294784 phase2terminatednot on this map

A Multi-center, Open-label, Randomized Controlled Clinical Study of Nab-paclitaxel Plus SHR-1210(PD-1 Inhibitor)Versus Nab-paclitaxel As Second-line Treatment in Advanced or Recurrent Gastric and Esophagogastric Adenocarcinoma

TypeinterventionalSponsorHuazhong University of Science and TechnologyRan2020 to 2023Enrolled58ConditionsGastric Cancer, GastroEsophageal CancerArmsAlbumin-bound Paclitaxel Plus SHR-1210 (PD-1 inhibitor), Albumin-bound Paclitaxel
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. 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

8 authors.

Li SunDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.ORCID 0000-0003-2918-9719
Zhimin GongDepartment of Oncology, Xiangyang Central Hospital, Affiliated Hospital of HubeiUniversity of Arts and Science, Xiangyang 441021, China.
Lei WangDepartment of Oncology, Xiangyang Central Hospital, Affiliated Hospital of HubeiUniversity of Arts and Science, Xiangyang 441021, China.
Li KuangDepartment of Oncology, Guoyao Dongfeng General Hospital, Shiyan 442000, China.
Qiao HuangThe First College of Clinical Medical Science, China Three Gorges University, Yichang 443000, China.
Bo PeiDepartment of Oncology, The Central Hospital of Enshi Tujia and Miao Autonomous Prefecture, Enshi 445000, China.
Xianglin YuanDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.
Hong QiuDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China.ORCID 0009-0003-2480-6332

Funding

National Key Research and Development Program of China 2023YFC3402102Natural Science Foundation of Hubei Province 2021CFA006Teaching Fund of the Second Clinical College of Huazhong University of Science and Technology TJSZ2024061
6 · The paper itself

Abstract

backgroundNab-paclitaxel is a standard second-line treatment for advanced gastric cancer, but the role of PD-1 inhibitors remains uncertain. This multicenter, randomized phase II trial evaluated the efficacy of nab-paclitaxel plus camrelizumab (Cam-NP) versus nab-paclitaxel alone (NP) in patients with advanced gastric adenocarcinoma resistant to prior treatment.

methodsPatients were randomized to receive either Cam-NP or NP until disease progression, intolerable toxicity, or consent withdrawal. The primary endpoint was the overall response rate (ORR), with secondary endpoints including progression-free survival (PFS), overall survival (OS), and safety.

resultsSixty one patients were randomized, with 58 receiving treatments. At a median follow-up of 34.5 months, the Cam-NP group achieved a significantly higher ORR (33.3% vs. 10.7%; P = .039) and longer median PFS (5.62 vs. 4.21 months; P = .006). Median response duration also favored Cam-NP (4.64 vs. 2.96 months; P = .058). While the Cam-NP group showed a longer OS (9.8 vs. 7.2 months; P = .087), this was not statistically significant. The most common grade 3-4 adverse event was hematological toxicity.

conclusionsCam-NP significantly improved ORR and PFS compared to NP as a second-line treatment for advanced gastric adenocarcinoma. Larger studies and biomarker exploration are needed to validate these findings.

trial registrationClinicalTrials.gov, NCT04294784, 03/02/2020.

Indexed as

AlbuminsAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsPaclitaxelStomach NeoplasmsAdultAgedFemaleHumansMaleMiddle Aged130-nm albumin-bound paclitaxelAlbuminsAntibodies, Monoclonal, HumanizedcamrelizumabPaclitaxelGastric adenocarcinomaNab-paclitaxelPD-1 inhibitorsecond-line treatment

Identifiers

PMID40554667
PMCPMC12284923

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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.