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Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial
by
Zheng, Chao-Hui
, Li, Ping
, Ye, Kai
, Lin, Wei
, Chen, Qi-Yue
, Huang, Chang-Ming
, Cai, Li-Sheng
, Wang, Jia-Bin
, Tang, Yi-Hui
, Lin, Jian-Xian
, Cai, Jian-Chun
, Lu, Jun
, Xie, Jian-Wei
, Zheng, Hua-Long
, Cao, Long-Long
in
692/4028/546
/ 692/4028/67/1059/2325
/ 692/4028/67/1504/1829
/ 82/51
/ Adenocarcinoma
/ Angiogenesis inhibitors
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Apoptosis
/ Cancer
/ Cell death
/ Chemotherapy
/ Gastric cancer
/ Humanities and Social Sciences
/ Humans
/ multidisciplinary
/ Neoadjuvant Therapy
/ Neoplasms, Second Primary
/ Paclitaxel
/ Patients
/ PD-1 protein
/ Prospective Studies
/ Science
/ Science (multidisciplinary)
/ Stomach Neoplasms - drug therapy
/ Survival
/ Tumor cells
2024
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Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial
by
Zheng, Chao-Hui
, Li, Ping
, Ye, Kai
, Lin, Wei
, Chen, Qi-Yue
, Huang, Chang-Ming
, Cai, Li-Sheng
, Wang, Jia-Bin
, Tang, Yi-Hui
, Lin, Jian-Xian
, Cai, Jian-Chun
, Lu, Jun
, Xie, Jian-Wei
, Zheng, Hua-Long
, Cao, Long-Long
in
692/4028/546
/ 692/4028/67/1059/2325
/ 692/4028/67/1504/1829
/ 82/51
/ Adenocarcinoma
/ Angiogenesis inhibitors
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Apoptosis
/ Cancer
/ Cell death
/ Chemotherapy
/ Gastric cancer
/ Humanities and Social Sciences
/ Humans
/ multidisciplinary
/ Neoadjuvant Therapy
/ Neoplasms, Second Primary
/ Paclitaxel
/ Patients
/ PD-1 protein
/ Prospective Studies
/ Science
/ Science (multidisciplinary)
/ Stomach Neoplasms - drug therapy
/ Survival
/ Tumor cells
2024
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Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial
by
Zheng, Chao-Hui
, Li, Ping
, Ye, Kai
, Lin, Wei
, Chen, Qi-Yue
, Huang, Chang-Ming
, Cai, Li-Sheng
, Wang, Jia-Bin
, Tang, Yi-Hui
, Lin, Jian-Xian
, Cai, Jian-Chun
, Lu, Jun
, Xie, Jian-Wei
, Zheng, Hua-Long
, Cao, Long-Long
in
692/4028/546
/ 692/4028/67/1059/2325
/ 692/4028/67/1504/1829
/ 82/51
/ Adenocarcinoma
/ Angiogenesis inhibitors
/ Antineoplastic Combined Chemotherapy Protocols - therapeutic use
/ Apoptosis
/ Cancer
/ Cell death
/ Chemotherapy
/ Gastric cancer
/ Humanities and Social Sciences
/ Humans
/ multidisciplinary
/ Neoadjuvant Therapy
/ Neoplasms, Second Primary
/ Paclitaxel
/ Patients
/ PD-1 protein
/ Prospective Studies
/ Science
/ Science (multidisciplinary)
/ Stomach Neoplasms - drug therapy
/ Survival
/ Tumor cells
2024
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Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial
Journal Article
Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial
2024
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Overview
Prospective evidence regarding the combination of programmed cell death (PD)−1 and angiogenesis inhibitors in treating locally advanced gastric cancer (LAGC) is limited. In this multicenter, randomized, phase 2 trial (NCT04195828), patients with gastric adenocarcinoma (clinical T2-4N + M0) were randomly assigned (1:1) to receive neoadjuvant camrelizumab and apatinib combined with nab-paclitaxel plus S-1 (CA-SAP) or chemotherapy SAP alone (SAP) for 3 cycles. The primary endpoint was the major pathological response (MPR), defined as <10% residual tumor cells in resection specimens. Secondary endpoints included R0 resection rate, radiologic response, safety, overall survival, and progression-free survival. The modified intention-to-treat population was analyzed (CA-SAP [
n
= 51] versus SAP [
n
= 53]). The trial has met pre-specified endpoints. CA-SAP was associated with a significantly higher MPR rate (33.3%) than SAP (17.0%,
P
= 0.044). The CA-SAP group had a significantly higher objective response rate (66.0% versus 43.4%,
P
= 0.017) and R0 resection rate (94.1% versus 81.1%,
P
= 0.042) than the SAP group. Nonsurgical grade 3-4 adverse events were observed in 17 patients (33.3%) in the CA-SAP group and 14 (26.4%) in the SAP group. Survival results were not reported due to immature data. Camrelizumab and apatinib combined with chemotherapy as a neoadjuvant regimen was tolerable and associated with favorable responses for LAGC.
Neoadjuvant treatment represents a therapeutic option for locally advanced gastric cancer (LAGC). Here the authors report the results of a randomized phase 2 trial of camrelizumab (anti-PD1) and apatinib (anti-VEGFR2) combined with nab-paclitaxel plus S-1 versus chemotherapy alone as neoadjuvant treatment for LAGC.
Publisher
Nature Publishing Group UK,Nature Publishing Group,Nature Portfolio
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