Evidence map›Paper›PMID 41891390›Full record

Trial reportCancer medicine2026

Efficacy and Safety of Envafolimab Combined With Capecitabine and Lenvatinib as Postoperative Adjuvant Therapy in Resected Biliary Tract Cancer With High-Risk Recurrence Factors: A Phase II Single-Center Prospective Study.

Yitong Tian, Tian Lei, Qingyang Ruan, Xueying Zhou, Ruijing Shen, Tianao Xie, Shijie Li, Xiujun Cai, Mingyu Chen

Abstract readClinical Trial, Phase II
In one paragraph

Trial report in Cancer medicine, 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

9 authors.

Yitong TianDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.ORCID https://orcid.org/0009-0005-7813-2710
Tian LeiDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Qingyang RuanThe School of Medicine, Zhejiang University, Hangzhou, China.
Xueying ZhouDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.ORCID https://orcid.org/0000-0002-0209-5248
Ruijing ShenDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Tianao XieDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Shijie LiDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Xiujun CaiDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.
Mingyu ChenDepartment of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou, China.ORCID https://orcid.org/0000-0001-5113-754X

Funding

Fundamental Research Funds for the Central Universities 226-2025-00172Zhejiang Provincial Natural Science Foundation of China LR25H160001
6 · The paper itself

Abstract

backgroundBiliary tract cancer (BTC) is an aggressive malignancy characterized by a high recurrence rate and poor postoperative prognosis, despite advances in adjuvant therapy. This phase II study evaluated the efficacy and safety of a novel adjuvant regimen combining envafolimab, lenvatinib, and capecitabine in patients with BTC at high risk of recurrence following R0 resection.

methodsThis single-center, open-label, single-arm phase II trial enrolled patients with high-risk recurrence factors after curative resection. Patients received envafolimab (400 mg subcutaneously once every 3 weeks), Lenvatinib (8 mg orally once daily), and capecitabine (1000 mg/m

results28 of 30 screened patients were included in the final analysis. The median DFS was 15.63 months, and the 1-year DFS rate was 68.3%. Median OS was not reached but 1-year OS was 91.4%. Treatment-related adverse events (TRAEs) occurred in 17 patients, with grade 3/4 TRAEs observed in eight patients. No treatment-related deaths were reported. Exploratory analysis suggested that baseline CA19-9 levels were significantly associated with early recurrence.

conclusionsThe adjuvant combination of envafolimab, lenvatinib, and capecitabine demonstrates promising efficacy and a manageable safety profile in high-risk BTC patients after R0 resection. However, these findings still require validation in larger, multicenter, randomized controlled trials.

Indexed as

Antibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBiliary Tract NeoplasmsCapecitabineNeoplasm Recurrence, LocalQuinolinesAdultAgedChemotherapy, AdjuvantFemaleHumansMaleMiddle AgedPhenylurea CompoundsProspective StudiesPyrrolidinonesAntibodies, Monoclonal, HumanizedARQ 197CapecitabinelenvatinibPhenylurea CompoundsPyrrolidinonesQuinolinesadjuvant triple treatmentbiliary tract cancerhigh‐risk recurrence factorphase II trial

Identifiers

PMID41891390
PMCPMC13140624

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.