Evidence map›Paper›PMID 40597875›Full record

ArticleBMC cancer2025

Immunotherapy concurrently administered with chemoradiotherapy in limited-stage small-cell lung cancer.

Liuhua Long, Leilei Jiang, Yue Teng, Dan Yang, Xin Dong, Yuting Zhao, Wei Deng, Jiayi Yu, Xiao Chang, Anhui Shi and 2 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. Cited by 1 paper, 1 of them a synthesis that pooled it.

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

1 citing paper in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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

12 authors.

Liuhua Long *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Leilei Jiang *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Yue Teng *Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Dan YangKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Xin DongKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Yuting ZhaoKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Wei DengKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Jiayi YuKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Xiao ChangKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Anhui ShiKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Rong YuKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China.
Huiming YuKey Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Department of Radiation Oncology, Peking University Cancer Hospital & Institute, Beijing, P. R. China. huiming740512@126.com.

Funding

Noncommunicable Chronic Diseases-National Science and Technology Major Project 2023ZD0502702
6 · The paper itself

Abstract

backgroundFew advancements in treating limited-stage small-cell lung cancer (LS-SCLC) have been made in decades. We aim to explore the efficacy and safety of immune checkpoint inhibitors (ICIs) in combination with concurrent chemoradiotherapy (cCRT) for treating LS-SCLC.

methodsThis study recruited patients with LS-SCLC. cCRT consisted of etoposide and a platin with once daily (60 Gy/30 fractions) or twice daily radiotherapy (45 Gy/30 fractions). ICIs was started concurrently with cCRT and continued for up to 2 years. The primary endpoint was progression-free survival (PFS) and safety.

resultsA total of 29 patients were enrolled. All patients underwent at least one cycle of ICI during cCRT. With the median follow-up duration of 28.4 months, the median PFS was 13.1 months (95% CI: 10.7-15.6), and the 2-year PFS rate was 40%. The median OS was not reached with a 2-year OS rate of 69.8%. The objective response was achieved in 72.4% of patients. There were no grade 5 toxicities, but there was one grade 3 allergic reaction. Pneumonitis with a grade 3 rate was 10.3%. All 21 esophagitis events (72.4%) were grade 1 to 2. There were several grade 4 (10.3%) events (neutropenia) which were well managed.

conclusionICIs concurrent with cCRT for LS-SCLC exhibited promising clinical efficacy. The relatively high incidence of grade 3 pneumonitis suggests that the selection of cCRT combined with ICI requires careful consideration in clinical practice for some patients.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyImmune Checkpoint InhibitorsImmunotherapyLung NeoplasmsSmall Cell Lung CarcinomaAdultAgedEtoposideFemaleHumansMaleMiddle AgedNeoplasm StagingProgression-Free SurvivalEtoposideImmune Checkpoint InhibitorsConcurrent chemoradiotherapyImmune checkpoint inhibitorsLimited stageSmall-cell lung cancer

Identifiers

PMID40597875
PMCPMC12211265

What OpenQuestion holds

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Registered trials

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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.