Evidence map›Paper›PMID 42440555›Full record

ArticleFrontiers in immunology2026

Neoadjuvant chemotherapy and immunotherapy followed by radical radiotherapy for locally advanced cervical cancer: efficacy and safety.

Qianxue Wei, Hui Qu, Yatong Yu, Song Gao, Yuxin Jia, Yu Xia, Xiuqin Li, Wen Gu

Abstract read
In one paragraph

Article in Frontiers in immunology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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

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0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Qianxue Wei *Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Hui Qu *Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Yatong Yu *Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Song Gao *Department of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Yuxin JiaUltrasound Department, Shengjing Hospital of China Medical University, Shenyang, China.
Yu XiaDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Xiuqin LiDepartment of Obstetrics and Gynecology, Shengjing Hospital of China Medical University, Shenyang, China.
Wen GuDepartment of Oncology, Shengjing Hospital of China Medical University, Shenyang, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to evaluate the short-term efficacy and safety of neoadjuvant chemoimmunotherapy (NACI) followed by radical radiotherapy (RR) in patients with locally advanced cervical cancer (LACC). Methods: A retrospective analysis was conducted on 60 patients with FIGO 2018 stage IIIA-IVA cervical cancer between June 2022 and July 2024. The experimental group (n=30) received 1-3 cycles of NACI (anti-PD-1/PD-L1 therapy plus platinum-based chemotherapy) followed by RR, which was administered either alone or concurrently with immunotherapy/chemotherapy. The control group (n=30) received RR with or without concurrent chemotherapy. Treatment response was assessed using RECIST 1.1 incorporating gynecological examination. Results: After NACI, the objective response rate (ORR) was 93.3% in the experimental group, increasing to 100% post-radiotherapy. The complete response (CR) rate was comparable between groups (90.0% vs. 86.7%, P = 1.000). With a median follow-up of 20.5 months, the 2-year progression-free survival (PFS) was significantly higher in the experimental group (82.5% vs. 66.0%; HR = 0.364, P = 0.0303), though overall survival (OS) did not differ significantly. The experimental group had a significantly lower incidence of radiotherapy-related intestinal toxicity (20% vs. 60%, P = 0.0033). All immune-related adverse events were grade 1-2. Conclusion: For high-risk LACC, NACI followed by RR was associated with a significantly lower incidence of radiotherapy-related intestinal toxicity. A potential PFS benefit was also observed, although its independent effect could not be confirmed in this limited sample. These findings warrant further investigation in larger prospective trials.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsImmunotherapyNeoadjuvant TherapyUterine Cervical NeoplasmsAdultFemaleHumansMiddle AgedNeoplasm StagingRetrospective StudiesTreatment Outcomeefficacyintestinal toxicitylocally advanced cervical cancerneoadjuvant chemoimmunotherapyradical radiotherapysafety

Identifiers

PMID42440555
PMCPMC13333629

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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.