Evidence map›Paper›PMID 40999892›Full record

ArticleThe oncologist2025

A multicenter retrospective study of PD-1 blockade plus chemotherapy as first-line therapy in advanced hepatoid adenocarcinoma of the stomach.

Jingru Wang, Jinbo Zhan, Zhen Rao, Gang Su, Yan He, Ling Zhou, Jianhua Wu, Xiaowei Sun, Xiaojun Xiang

Abstract readMulticenter Study
In one paragraph

Article in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Review
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.

Jingru WangDepartment of Oncology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R.China.
Jinbo ZhanDepartment of Oncology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R.China.
Zhen RaoDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong 510000, P.R.China.
Gang SuDepartment of Cardiac Vascular Surgery, The First Affiliated Hospital of Soochow University, Suzhou Medical College, Soochow University, Suzhou, Jiangsu 215000, P.R.China.
Yan HeDepartment of Oncology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R.China.
Ling ZhouDepartment of Oncology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R.China.
Jianhua WuDepartment of Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, P.R.China.ORCID 0000-0003-4142-8903
Xiaowei SunDepartment of Gastric Surgery, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Guangzhou, Guangdong 510000, P.R.China.
Xiaojun XiangDepartment of Oncology, the First Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang, Jiangxi 330000, P.R.China.ORCID 0000-0002-8734-584X

Funding

Natural Science Foundation of China 82160464
6 · The paper itself

Abstract

purposeThis study aims to evaluate the efficacy and safety of programmed cell death protein 1 (PD-1) blockade in combination with chemotherapy for patients with advanced hepatoid adenocarcinoma of the stomach (HAS). MATERIALS AND

methodsThis study retrospectively collected data from 25 patients with advanced HAS who received first-line PD-1 blockade combined with chemotherapy across 6 centers between January 2018 and January 2024. Progression-free survival and overall survival were assessed using Kaplan-Meier curves.

resultsThis study included 25 patients with HAS, all of whom received a first-line treatment regimen combining PD-1 blockade and chemotherapy. The objective response rate and disease control rate were 76.0% and 88.0%, respectively. The median follow-up time was 13.1 months, with a median progression-free survival of 10.2 months (95% CI, 6.3-14.1) and a median overall survival of 20.3 months (95% CI, 11.3-29.4). A total of 20 patients (80.0%) experienced adverse reactions of varying degrees, with white blood cell count decreased (12, 48.0%) being the most common adverse event. Two patients experienced fatal adverse events (grade 5), both of which were unrelated to the PD-1 blockade.

conclusionsPatients with HAS can derive survival benefits from first-line treatment with PD-1 blockade combined with chemotherapy, and the treatment is well tolerated. Furthermore, this pathological subtype may serve as a predictive indicator of favorable efficacy for PD-1 blockade, regardless of the patients' programmed death-ligand 1 combined positive score.

Indexed as

AdenocarcinomaAntineoplastic Combined Chemotherapy ProtocolsImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorStomach NeoplasmsAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 Receptorbiomarkerhepatoid adenocarcinoma of the stomachimmunotherapyPD-1 blockade

Identifiers

PMID40999892
PMCPMC12573259

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