Evidence map›Paper›PMID 41528579›Full record

ArticleJournal of gastrointestinal cancer2026

Sintilimab Plus Nanoparticle Polymeric Micellar Paclitaxel and S-1 as First-Line Treatment in HER2-Negative Advanced Gastric Cancer: A Real-World Study.

Yu-Qing Cao, Meng Song, Xiang-Ming Huang, Fei-Yu Wang, Ying Peng, Jie Cao, Ai-Guo Cao, Xin-En Huang

Abstract read
In one paragraph

Article in Journal of gastrointestinal cancer, 2026. 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

8 authors.

Yu-Qing Cao *Department of Medical Oncology, The Affiliated Cancer Hospital of Nanjing Medical University& Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, No. 42 Baiziting, Baiziting, Nanjing, Jiangsu, 210009, China.
Meng Song *Department of Medical Oncology, The Affiliated Cancer Hospital of Nanjing Medical University& Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, No. 42 Baiziting, Baiziting, Nanjing, Jiangsu, 210009, China.
Xiang-Ming Huang *Affiliated Hospital of Integrated Traditional Chinese and Western Medicine, Nanjing University of Chinese Medicine, Nanjing, Jiangsu, 210009, China.
Fei-Yu WangThe Affiliated Brain Hospital of Nanjing Medical University, No. 264 Guangzhou Road, Nanjing, Jiangsu, 210009, China.
Ying PengDepartment of Medical Oncology, The Affiliated Cancer Hospital of Nanjing Medical University& Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, No. 42 Baiziting, Baiziting, Nanjing, Jiangsu, 210009, China.
Jie CaoDepartment of Medical Oncology, The Affiliated Cancer Hospital of Nanjing Medical University& Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, No. 42 Baiziting, Baiziting, Nanjing, Jiangsu, 210009, China. jiecao2024@163.com.
Ai-Guo CaoTaixing Cancer Hospital, No.109, Xingyan Road, Taizhou, Jiangsu, 225400, China. caoaiguo2025@163.com.
Xin-En HuangDepartment of Medical Oncology, The Affiliated Cancer Hospital of Nanjing Medical University& Jiangsu Cancer Hospital & Jiangsu Institute of Cancer Research, No. 42 Baiziting, Baiziting, Nanjing, Jiangsu, 210009, China. huangxinen06@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study evaluated the efficacy and safety of a regimen consisting of sintilimab, nanoparticle polymeric micellar paclitaxel (NPMP) and S-1 in HER2-negative advanced gastric cancer (AGC).

methodIn this real-world study, patients with HER2-negative AGC received first-line sintilimab plus NPMP and S-1. The primary endpoint was overall survival (OS) and progression free survival (PFS), while objective response rate (ORR), disease control rate (DCR), and safety were evaluated as secondary endpoints.

resultsAmong 33 enrolled patients, 14 patients (42.4%) achieved partial response (PR), 17 (51.5%) maintained stable disease (SD), 2 (6.1%) showed progressive disease (PD). ORR and DCR were 42.4% and 93.9%. Median OS reached 15.4 months (95%CI: 13.0-17.6), median PFS was 7.8 months (95%CI: 5.8-9.3). Subgroup analysis revealed significant differences in OS and PFS according to PD-L1 expression and cycles of treatment. Observed adverse events (AEs) were fatigue (60.6%), leukopenia (54.5%),anemia (51.5%),thrombocytopenia (36.4%),nausea (30.3%) and vomiting (15.1%). Most toxicities were manageable and predominantly grade 1-2.

conclusionsThe combination of sintilimab, NPMP and S-1 demonstrates promising antitumor effects and controllable toxicity as first-line treatment in patients with HER2-negative with AGC.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsPaclitaxelStomach NeoplasmsAdultAgedDrug CombinationsErb-b2 Receptor Tyrosine KinasesFemaleHumansMaleMicellesMiddle AgedNanoparticlesOxonic AcidProgression-Free SurvivalAntibodies, Monoclonal, HumanizedDrug CombinationsERBB2 protein, humanErb-b2 Receptor Tyrosine KinasesMicellesOxonic AcidPaclitaxelS 1 (combination)sintilimabTegafurAdvanced gastric cancerChemotherapyNanoparticle polymeric micellar paclitaxelS-1Sintilimab

Identifiers

PMID41528579
PMCPMC12799754

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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.