Evidence map›Paper›PMID 42736273›Full record

Trial reportNature communications2026

Sintilimab plus Bevacizumab biosimilar IBI305 and chemotherapy as a first-line treatment in advanced gastric or gastroesophageal junction adenocarcinoma (SBAGA): a single-arm, phase Ib/II study.

Mo Cheng, Pengfei Zhang, Qiancheng Hu, Jitao Zhou, Ruihong Dai, Wenke Li, Jing Wei, Menghui Xu, Yanna Lei, Xiaoying Li and 24 more

Registry-linked trialAbstract readClinical Trial, Phase IClinical Trial, Phase IIMulticenter Study
In one paragraph

Trial report in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05640609 (A Phase Ib/II Trial of Capeox Regimen Combined With Sintilimab and Bevacizumab in First-line Treatment for Recurrent or Metastatic Gastric and Gastroesophageal Junction Adenocarcinoma), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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.

NCT05640609 phase1 / phase2recruitingnot on this map

A Phase Ib/II Trial of Capeox Regimen Combined With Sintilimab and Bevacizumab in First-line Treatment for Recurrent or Metastatic Gastric and Gastroesophageal Junction Adenocarcinoma

TypeinterventionalSponsorWest China HospitalRan2023 to 2026Enrolled57ConditionsStomach NeoplasmArmsCapeox regimen combined with Sintilimab and Bevacizumab
3 · Its place in the literature

Who cites it

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

34 authors.

Mo Cheng *Gastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.ORCID http://orcid.org/0009-0004-8814-4339
Pengfei Zhang *Gastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Qiancheng HuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Jitao ZhouAbdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Ruihong DaiAbdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Wenke LiGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Jing WeiGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Menghui XuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Yanna LeiGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Xiaoying LiAbdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Xiufeng ZhengGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Qian HuangDepartment of Medical Oncology, Chengdu Third People's Hospital, Chengdu, China.
Zhiping LiAbdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China.
Bo ZhangGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Wen ZhuangGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Zhixin ChenGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Xiaolong ChenGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Chaoyong ShenGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Weihan ZhangGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Kai LiuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Linyong ZhaoGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Xiaonan YinGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Boqiang PengGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Zhaolun CaiGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Yuan YinGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Ji ChenDepartment of Medical Oncology, Chengdu Seventh People's Hospital, Chengdu, China.
Chunjuan LiuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Deying KangDivision of Project Design and Statistics, West China Hospital, Sichuan University, Chengdu, China.
Mojin WangGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Hongfeng GouGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Kun YangGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Jiankun HuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China.
Feng BiAbdominal Oncology Ward, Cancer Center, West China Hospital, Sichuan University, Chengdu, China. bifeng@csco.org.cn.ORCID http://orcid.org/0000-0002-7815-9025
Ming LiuGastric Cancer Center, Division of Medical Oncology, West China Hospital, Sichuan University, Chengdu, China. liuming629@wchscu.cn.ORCID http://orcid.org/0000-0002-8662-3190

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Adding anti-PD-1 or anti-VEGF therapy to chemotherapy improves survival in patients with advanced gastric cancer, yet outcomes remain poor. This Phase Ib/II trial aimed to evaluate the efficacy and safety of combining sintilimab, the bevacizumab biosimilar IBI305, and CapeOX chemotherapy as a first-line treatment for patients with HER2-negative advanced gastric or gastroesophageal junction adenocarcinoma (GA/GEJA). In phase Ib, no dose-limiting toxicities (DLTs) that served as the primary endpoint were observed (N = 9). In phase II, the primary endpoint of the objective response rate (ORR) in the efficacy-evaluable population (N = 54) was 87.0% (95% CI: 75.1-94.6%), achieving the pre-specified target was reached. Secondary endpoints included progression-free survival (PFS), overall survival (OS), disease control rate (DCR), duration of response (DoR), and safety. The DCR was 98.1% (95% CI: 90.1-100.0%). At a median follow-up of 20.3 months, median PFS and DoR were 12.2 months (95% CI: 9.2-18.1) and 12.5 months (95% CI: 9.4-NE), respectively, while the median OS was not reached. A clinical benefit was observed regardless of PD-L1 CPS, Claudin-18.2 expression status, or the presence of peritoneal metastases. Treatment-related adverse events of grade ≥3 occurred in 66% of patients; the most common were neutropenia (14%), fatigue (13%), and thrombocytopenia (11%). The limitations of the study include the single-arm, non-randomized design and the modest sample size, which necessitate confirmation in larger randomized controlled trials. Nonetheless, sintilimab plus IBI305 and chemotherapy demonstrated promising antitumor activity and favorable PFS with manageable toxicity in HER2-negative advanced GA/GEJA. Trial number: NCT05640609.

Indexed as

AdenocarcinomaAntibodies, Monoclonal, HumanizedAntineoplastic Combined Chemotherapy ProtocolsBevacizumabBiosimilar PharmaceuticalsEsophageal NeoplasmsStomach NeoplasmsAdultAgedCapecitabineEsophagogastric JunctionFemaleHumansMaleMiddle AgedOxaliplatinAntibodies, Monoclonal, HumanizedBevacizumabBiosimilar PharmaceuticalsCapecitabineOxaliplatinsintilimab

Identifiers

PMID42736273
PMCPMC13575140

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