Evidence map›Paper›PMID 41098719›Full record

ArticleFrontiers in immunology2025

Immunotherapy combined with definitive chemoradiotherapy for locally advanced unresectable esophageal squamous cell carcinoma.

Yidan Hong, Qishu Tan, Yixin Li, Bo Yang, Yinan Wu, Lijun Zhao, Yang Zhao, Yu Chen, Zihao Zhu, Xiangzhi Zhu and 2 more

Abstract read
In one paragraph

Article in Frontiers in immunology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Review
  4. 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

12 authors.

Yidan Hong *Department of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Qishu Tan *Department of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Yixin Li *Department of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Bo YangDepartment of Medical Imaging Center, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Yinan WuDepartment of Pathology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Lijun ZhaoDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Yang ZhaoDepartment of Information, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Yu ChenDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Zihao ZhuDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Xiangzhi ZhuDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Lingling GuDepartment of Medical Imaging Center, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.
Ning JiangDepartment of Radiation Oncology, The Affiliated Cancer Hospital of Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The clinical value of immune checkpoint inhibitors (ICIs) in the treatment of unresectable locally advanced esophageal squamous cell carcinoma (LA-ESCC) remains under investigation in large-scale randomized clinical trials. In this study, we aimed to assess the efficacy and safety of concurrent ICIs in combination with definitive chemoradiotherapy (dCRT) in a relatively large cohort of patients with unresectable LA-ESCC. Methods: Between January 2019 and December 2023, this retrospective study included patients with LA-ESCC who received ICIs concurrently with dCRT at Jiangsu Cancer Hospital. The primary endpoints were overall survival (OS) and progression-free survival (PFS), while secondary endpoints included clinical response and safety. Results: A total of 165 patients with LA-ESCC were included in this study, with a median age of 66 years (IQR 60-70 years), and 163 (98.8%) had stage III or IVA disease. After a median follow-up of 24 months (IQR 16-33 months), the 2-year OS was 64.3% (95%CI 57.2%-72.3%), and the 2-year PFS was 50.2% (95%CI 42.9%-58.8%). It is noteworthy that induction therapy before dCRT did not improve OS (HR = 1.09, 95% CI: 0.61-1.93, Conclusion: ICIs combined with concurrent dCRT demonstrated promising efficacy and manageable safety in patients with unresectable LA-ESCC.

Indexed as

ChemoradiotherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsImmunotherapyAgedCombined Modality TherapyFemaleHumansMaleMiddle AgedNeoplasm StagingRetrospective StudiesTreatment OutcomeImmune Checkpoint Inhibitorschemoradiotherapy (CRT)esophageal squamous cell carcinomaimmunotherapysurvival analysistoxicity

Identifiers

PMID41098719
PMCPMC12518077

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.