Evidence map›Paper›PMID 40809924›Full record

ArticleWorld journal of gastroenterology2025

Targeted therapy combined with immunotherapy

Zhao Gao, Xiao-Yan Wang, Tao Song, Zhi-Gang Shen, Xiao-Yun Wang, Shi-Kai Wu, Xuan Jin

Abstract readMulticenter StudyComparative Study
In one paragraph

Article in World journal of gastroenterology, 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

7 authors.

Zhao GaoDepartment of Medical Oncology, Peking University First Hospital, Beijing 100034, China.
Xiao-Yan WangDepartment of Pharmacy, Jilin Cancer Hospital, Changchun 130012, Jilin Province, China.
Tao SongDepartment of Pharmacy, Jilin Cancer Hospital, Changchun 130012, Jilin Province, China.
Zhi-Gang ShenDepartment of Pharmacy, Jilin Cancer Hospital, Changchun 130012, Jilin Province, China.
Xiao-Yun WangDepartment of Medical Oncology, Peking University First Hospital, Beijing 100034, China.
Shi-Kai WuDepartment of Medical Oncology, Peking University First Hospital, Beijing 100034, China.
Xuan JinDepartment of Medical Oncology, Peking University First Hospital, Beijing 100034, China. jinxuanbdyy@outlook.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTargeted therapy combined with anti-programmed cell death 1 immunotherapy (TP) and trifluridine/tipiracil (TAS-102) combined with bevacizumab (TB) are two common therapies for patients with late-line therapy in microsatellite stable (MSS) metastatic colorectal cancer (mCRC). However, it is still unclear which therapy can bring better prognosis.

aimTo evaluate the effectiveness and safety of TP

methodsThis is a dual-center retrospective cohort study conducted in Peking University First Hospital and Jilin Cancer Hospital. Patients with MSS mCRC who had received at least the second line treatment were eligible. Propensity score (PS) would be calculated to balance the baseline characteristics of two cohorts. Progression-free survival (PFS) was set as the primary endpoint. The Kaplan-Meier method and Cox proportional hazard model were used to evaluate PFS and to estimate hazard ratios (HRs) and 95% confidence intervals (CIs). Landmark analysis was performed to create segmented survival curves, studying the impact of treatment regimen on prognosis during different follow-up periods.

resultsBetween July 2019 and March 2025 (data cutoff), 127 eligible patients were enrolled, with 88 and 39 patients assigned to the TP and TB cohorts, respectively, based on treatment allocation. At a global median follow-up of 9.73 months, the crude median PFS was 3.9 months (95%CI: 3.03-5.53) in the TP cohort

conclusionTP and TB demonstrated similar PFS in both crude and PS-adjusted analyses. However, patients who derived benefits from TP therapy exceeding 90 days showed more sustained clinical advantages compared to TB. Our study suggests that for patients with MSS mCRC who respond to TP therapy in later-line treatments, this regimen could provide additional prolonged clinical benefits, which warrants further validation through large-scale cohort investigations.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsBevacizumabColorectal NeoplasmsImmunotherapyTrifluridineAdultAgedDrug CombinationsFemaleHumansImmune Checkpoint InhibitorsMaleMiddle AgedMolecular Targeted TherapyPrognosisProgression-Free SurvivalBevacizumabDrug CombinationsImmune Checkpoint InhibitorsPyrrolidinesThymineTrifluridinetrifluridine tipiracil drug combinationImmune checkpoint inhibitorsMetastatic colorectal cancerMicrosatellite stableProgrammed cell death 1Targeted therapyTrifluridine/tipiracil

Identifiers

PMID40809924
PMCPMC12344350

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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.