Evidence map›Paper›PMID 41137021›Full record

Trial reportBMC medicine2025

Efficacy and safety of neoadjuvant camrelizumab and apatinib combined with chemotherapy in stage IIIA (N2) NSCLC: a multi-center, single-arm, phase II trial.

Lilan Zhao, Tianxing Guo, Yi Zhang, Zhen Huang, Yangyun Huang, Lihuan Zhu, Xing Chen, Nan Zhang, Liren Guo, Rongzhi Huang and 5 more

Abstract readClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in BMC medicine, 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. 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

15 authors.

Lilan Zhao *Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China.
Tianxing Guo *Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China.
Yi ZhangDepartment of Cardiothoracic Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University,, Zhangzhou, 363100, China.
Zhen HuangDepartment of Cardiothoracic Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University,, Zhangzhou, 363100, China.
Yangyun HuangDepartment of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China.
Lihuan ZhuDepartment of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China.
Xing ChenDepartment of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian, Fuzhou, 350008, China.
Nan ZhangDepartment of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian, Fuzhou, 350008, China.
Liren GuoDepartment of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian, Fuzhou, 350008, China.
Rongzhi HuangDepartment of Cardiothoracic Surgery, Zhangzhou Affiliated Hospital of Fujian Medical University,, Zhangzhou, 363100, China.
Guojun GengDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, China.
Ning LiDepartment of Thoracic Surgery, The First Affiliated Hospital of Xiamen University, Xiamen, 361003, China.
Shuxing Chen *Department of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian, Fuzhou, 350008, China. chenshuxing2017@163.com.
Xiaojie Pan *Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China. pxj1028@hotmail.com.
Wenshu Chen *Department of Thoracic Surgery, Shengli Clinical Medical College of Fujian Medical University, Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, Fuzhou, 350001, China. doctorcws@163.com.

Funding

Joint Funds for the Innovation of Science and Technology, Fujian Province 2023Y9352National Natural Science Foundation of China 82102981Natural Science Foundation of Fujian Province 2021J01384Natural Science Foundation of Fujian Province 2022J05073Startup Fund for Scientific Research of Fujian Medical University 2020QH1136
6 · The paper itself

Abstract

backgroundCamrelizumab (an anti-programmed cell death protein-1 antibody) combined with apatinib (an antiangiogenic agent) has conferred benefits for advanced NSCLC. This study aimed to assess the efficacy and safety of camrelizumab and apatinib alongside chemotherapy in patients with resectable stage IIIA (N2) NSCLC as neoadjuvant therapy.

methodsPatients with stage IIIA (N2) NSCLC were treated with a combination of chemotherapy, camrelizumab (200 mg, once every 3 weeks [q3w]), and apatinib (250 mg, once daily). Surgery was planned after 2-4 cycles of therapy. The primary endpoint was major pathological response (MPR) rate, with secondary endpoints including pathological complete response (pCR) rate, R0 resection rate, objective response rate (ORR), and safety. The trial was registered at ChiCTR.org.cn (ChiCTR2200059608).

resultsThirty-one patients were enrolled from August 4, 2021, to October 8, 2023. The disease control rate (DCR) was 93.5%, while the ORR was 87.1% and a clinical down-staging rate of 19.4%. Among them, 20 patients underwent complete resection, the MPR rate was 65.0%, and the pCR rate was 40%. Any grade neoadjuvant adverse events (AEs) were reported in 31 (100%) of the patients, and grade 3/4 AEs in 19 (61.3%). The most common AEs of any grade were fatigue (61.3%), nausea (54.8%), and decreased white blood cell count (51.6%). These conditions typically return to normal within a short period following observation or pharmacological treatment. No treatment-related deaths occurred.

conclusionsThe synergistic application of chemotherapy with camrelizumab and apatinib showed clinically meaningful anti-tumor activity and manageable safety, with few hematologic toxicities, and might be a promising therapeutic alternative for individuals with resectable stage IIIA (N2) NSCLC.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungLung NeoplasmsNeoadjuvant TherapyPyridinesAdultAgedFemaleHumansMaleMiddle AgedNeoplasm StagingTreatment OutcomeAntibodies, Monoclonal, HumanizedapatinibcamrelizumabPyridinesAntiangiogenic therapyEfficacyLocally advanced non-small cell lung cancer (NSCLC)Neoadjuvant immunotherapySafety

Identifiers

PMID41137021
PMCPMC12553156

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.