Evidence map›Paper›PMID 41495000›Full record

Trial reportThe oncologist2026

Induction chemoimmunotherapy followed by concurrent radiotherapy in patients with locally advanced esophageal cancer: a single-arm phase 2 trial.

Hui Chen, Zeyuan Liu, Wang Zheng, Xinchen Sun, Xiaolin Ge, Xiaojie Xia

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. 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

6 authors.

Hui ChenDepartment of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.
Zeyuan LiuDepartment of Radiation Oncology, The Affiliated Jiangning Hospital of Nanjing Medical University, Nanjing 210000, China.
Wang ZhengDepartment of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.
Xinchen SunDepartment of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.
Xiaolin GeDepartment of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.
Xiaojie XiaDepartment of Radiation Oncology, The First Affiliated Hospital with Nanjing Medical University, Nanjing 210029, China.ORCID 0009-0005-5645-2190

Funding

Science Foundation of Kangda College of Nanjing Medical University KD2023KYJJ265Special project for Post-Marketing Clinical Research of Innovative Drugs WKZX2024CX102211
6 · The paper itself

Abstract

backgroundThis phase II trial prospectively assessed the efficacy and safety of induction chemoimmunotherapy followed by sequential concurrent chemoradiotherapy plus immunotherapy in patients with locally advanced esophageal squamous cell carcinoma (ESCC) who were ineligible for surgery.

methodsForty-four patients received 2 cycles of induction therapy (paclitaxel plus carboplatin/nedaplatin combined with a PD-1 inhibitor), followed by concurrent radiotherapy with two additional cycles of chemoimmunotherapy and subsequent immune maintenance therapy for up to 1 year. The primary endpoint was progression-free survival (PFS); the secondary endpoints included overall survival (OS), objective response rate (ORR), disease control rate (DCR), safety, and quality of life (QoL).

resultsAt the data cut-off point (median follow-up: 25.5 months), both the ORR and DCR were 95.5%. The median PFS was 26 months (95% CI, 14.8-37.2), and the median OS was 29 months (95% CI, 23.0-35.0). The 1-, 2-, and 3-year PFS rates were 75.0%, 51.9%, and 40.4%, respectively, and the OS rates were 81.8%, 63.1%, and 42.0%, respectively. Distant metastasis represented the main failure mode (64.0%). Treatment-related adverse events were generally mild; moreover, 17 patients (38.6%) experienced grade ≥3 events, primarily involving hematologic toxicity (14/17). Severe immune-related adverse events were rarely observed. QoL assessment in surviving patients (n = 21) indicated favorable overall function and well-being.

conclusionsThis regimen of induction chemoimmunotherapy followed by concurrent chemoradiotherapy and maintenance immunotherapy demonstrated promising survival outcomes, a manageable safety profile, and a preserved QoL, thereby offering a viable nonsurgical alternative for patients with locally advanced ESCC.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsChemoradiotherapyEsophageal NeoplasmsEsophageal Squamous Cell CarcinomaImmunotherapyInduction ChemotherapyAdultAgedFemaleHumansMaleMiddle AgedPaclitaxelQuality of LifePaclitaxelesophageal cancerimmunotherapyinduction therapyquality of lifesurvival

Identifiers

PMID41495000
PMCPMC12854777

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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.