Evidence map›Paper›PMID 40842286›Full record

Trial reportThoracic cancer2025

Three-Year Follow-Up of the Phase II Trial for Resectable Non-Small-Cell Lung Cancer Treated With Perioperative Sintilimab and Neoadjuvant Anlotinib Plus Chemotherapy: TD-NeoFOUR Trial.

Zhiyuan Gao, Yajie Mao, Yichen Sun, Liping Tong, Honggang Liu, Tianhu Wang, Changjian Shao, Hongtao Duan, Xiaolong Yan

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Thoracic cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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. Trial
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

9 authors.

Zhiyuan GaoDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.ORCID https://orcid.org/0009-0006-6381-7802
Yajie MaoDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Yichen SunDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Liping TongDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Honggang LiuDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Tianhu WangDepartment of Thoracic Surgery, Third Affiliated Hospital, Chongqing Medical University, Chongqing, China.ORCID https://orcid.org/0000-0003-1494-3416
Changjian ShaoDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Hongtao DuanDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.
Xiaolong YanDepartment of Thoracic Surgery, Tangdu Hospital, The Fourth Military Medical University, Xi'an, China.

Funding

National Natural Science Foundation of China 82173252Shaanxi Key Science and Technology Innovation Team Project 2023-CX-TD-64
6 · The paper itself

Abstract

backgroundLung cancer is a leading cause of cancer-related deaths. Perioperative therapies, including neoadjuvant chemo-immunotherapy, have improved outcomes, but combining them with antiangiogenic drugs may offer further benefits. This study evaluated the 3-year efficacy and safety of neoadjuvant sintilimab, anlotinib, and chemotherapy in resectable NSCLC patients from the TD-NeoFOUR trial.

methodsThe study included 45 patients who received neoadjuvant treatment with anlotinib, sintilimab, and platinum-based chemotherapy. The primary endpoint was overall survival (OS), and the secondary endpoint was event-free survival (EFS). The Kaplan-Meier method was used to estimate survival curves, and the log-rank test was used to compare survival rates between subgroups.

resultsAs of November 11, 2024, all 45 patients had been followed up for a median of 35.7 months. The estimated 3-year EFS rate was 84.3%, and the estimated 3-year OS rate was 86.7%. Subgroup analysis showed that patients achieving pathological complete response (pCR) and major pathological response (MPR) had significantly higher 3-year EFS and OS rates compared to patients with non-pCR and non-MPR. No new treatment-related adverse events (TRAEs) occurred during the 3-year follow-up, indicating the long-term safety of the treatment regimen.

conclusionsThe combination of neoadjuvant chemo-immunotherapy and antiangiogenic drugs significantly improved long-term survival outcomes in patients with resectable NSCLC. This treatment regimen is a promising option for improving prognosis in this patient population.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungIndolesLung NeoplasmsNeoadjuvant TherapyQuinolinesAdultAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedanlotinibAntibodies, Monoclonal, HumanizedIndolesQuinolinessintilimabantiangiogensisfollow‐upneoadjuvantNSCLCTD‐NeoFOUR

Identifiers

PMID40842286
PMCPMC12371203

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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.