Evidence map›Paper›PMID 41125270›Full record

ArticleBMJ open2025

Real-world efficacy of PD-1 inhibitors in treating oesophageal squamous cell carcinoma (ESCAPE): protocol of a multicentre, real-world, observational, cohort study.

Chenghao Wang, Qin Xie, Yan Miao, Wenwu He, Kangning Wang, Guangyuan Liu, Qiang Fang, Lin Peng, Yungchang Chen, Jin Zhou and 6 more

Abstract readClinical Trial Protocol
In one paragraph

Article in BMJ open, 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. 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

16 authors.

Chenghao Wang *Department of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.ORCID http://orcid.org/0009-0006-5549-1988
Qin Xie *Department of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Yan Miao *Department of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Wenwu HeDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.ORCID http://orcid.org/0000-0002-2477-9587
Kangning WangDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Guangyuan LiuDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Qiang FangDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Lin PengDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Yungchang ChenDepartment of Oncology, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Jin ZhouDepartment of Medical Oncology, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Jiahua LvDepartment of Radiation Oncology, Sichuan Cancer Hospital and Institute, Chengdu, Sichuan, China.
Yunxiang QiDepartment of Radiation Oncology, Sichuan Cancer Hospital and Institute, Chengdu, Sichuan, China.
Qifeng WangDepartment of Radiation Oncology, Sichuan Cancer Hospital and Institute, Chengdu, Sichuan, China.
Qiuling ShiSchool of Public Health and Management, Chongqing Medical University, Chongqing, China.ORCID http://orcid.org/0000-0003-0660-3809
Yongtao HanDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China.
Xuefeng LengDepartment of Thoracic Surgery, Sichuan Cancer Hospital and Research Institute, Chengdu, Sichuan, China doc.leng@uestc.edu.cn.ORCID http://orcid.org/0000-0002-5897-0419

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionOesophageal cancer (EC) presents a substantial global health challenge, ranking eighth in incidence and sixth in cancer-related mortality. Oesophageal squamous cell carcinoma (ESCC) is the primary subtype and accounts for approximately 90% of cases in Asia. Despite treatment advances, the 5-year survival rate remains modest at 10%-30%. Immune checkpoint inhibitors, exemplified by KEYNOTE-590 and CheckMate 577 trials, have reshaped EC therapeutic landscapes. Our study addresses the critical gap in understanding the real-world impact of PD-1 (Programmed Death-1) inhibitors, conducting a multicentre, real-world, observational cohort analysis focused on ESCC. This research endeavours to provide practical insights into PD-1 treatment for EC, facilitating informed clinical decision-making and optimising patient outcomes in diverse healthcare settings. METHODS AND ANALYSIS: This multicentre study includes patients diagnosed with histopathologically confirmed ESCC who have consented to treatment with PD-1 inhibitors. It is structured into two distinct segments: Part A, characterised by its retrospective nature, and Part B, representing the prospective arm. Within both parts, four stratified cohorts are delineated, comprising Cohort 1 (preoperative neoadjuvant/conversion therapy), Cohort 2 (postoperative adjuvant therapy), Cohort 3 (first-line therapy for advanced ESCC) and Cohort 4 (≥2 lines of therapy for advanced ESCC). The primary endpoint is the objective response rate in diverse treatment cohorts. Secondary endpoints include pathologic complete response rate, disease-free survival, progression-free survival, overall survival, adverse events, immune-related adverse events, quality of life and the intricacies of immunotherapy patterns and hyperprogression. Furthermore, exploratory endpoints scrutinise potentially predictive biomarkers, as well as the clinical and genomic characteristics inherent to ESCC patients if possible. The study endeavours to enrol 417 participants, subject to a comprehensive 5-year follow-up period.We will collect and analyse real-world data from Chinese ESCC patients treated with PD-1 inhibitors to observe and describe the efficacy and safety of PD-1 inhibitors in Chinese patients with ESCC at various treatment stages. ETHICS AND DISSEMINATION: Ethical approval was provided by the Ethics Committee for Medical Research and New Medical Technology of Sichuan Cancer Hospital, China (Approval No. SCCHEC-02-2023-096). Each participating hospital has applied for research permission from the Institutional Review Board of its unit. We will disseminate the results through peer-reviewed journals and academic conferences. TRIAL REGISTRATION NUMBER: ChiCTR2300078657.

Indexed as

Esophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmune Checkpoint InhibitorsProgrammed Cell Death 1 ReceptorCohort StudiesFemaleHumansMaleMulticenter Studies as TopicObservational Studies as TopicProspective StudiesTreatment OutcomeImmune Checkpoint InhibitorsPDCD1 protein, humanProgrammed Cell Death 1 ReceptorChinaClinical TrialGastrointestinal tumoursOesophageal disease

Identifiers

PMID41125270
PMCPMC12548579

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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.