Evidence map›Paper›PMID 41014160›Full record

Trial reportThe oncologist2025

Efficacy and safety of Rh-endostatin in the treatment of radiation pneumonitis in non-small cell lung cancer.

Guangpeng Chen, Jianbo Zhu, Chunli Jian, Xu Chen, Kai Niu, Qiao Yang, Shu Tang, Si Qin, Yongdong Feng, Lijiao Xie and 2 more

Registry-linked trialAbstract readClinical Trial, Phase IIRandomized Controlled Trial
In one paragraph

Trial report in The oncologist, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03796364 (Clinical Study of Endostatin in Improving Radiation Pneumonia and Fibrosis), 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.

NCT03796364 phase2completednot on this map

Clinical Study of Endostatin in Improving Radiation Pneumonia and Fibrosis

TypeinterventionalSponsorXinqiao Hospital of ChongqingRan2018 to 2020Enrolled126ConditionsRadiation Pneumonitis, EndostatinArmsEndostar, standard SRILI treatment
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

12 authors.

Guangpeng ChenDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Jianbo ZhuDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Chunli JianDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Xu ChenDepartment of Medical Affairs, Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Kai NiuDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Qiao YangDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Shu TangDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Si QinDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Yongdong FengDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Lijiao XieDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Wenlei ZhuoDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.
Jianguo SunDepartment of Oncology , Xinqiao Hospital, Army Medical University, Chongqing 400037, China.ORCID 0000-0002-4855-3689

Funding

Chongqing Medical Leading Talent YXLJ202405Clinical Research Special Project of Xinqiao Hospital 2024F014National Natural Science Foundation of China 81972858National Natural Science Foundation of China 82172670Noncommunicable Chronic Diseases-National Science and Technology Major 2023ZD0502100Technology Innovation and Application Development Project of Chongqing 2023DBXM002
6 · The paper itself

Abstract

backgroundRadiation pneumonitis (RP) is a common adverse event related to thoracic radiotherapy in patients with non-small cell lung cancer (NSCLC). The treatment of RP needs to be improved.

methodsNSCLC patients with grade 2 or higher RP were enrolled and randomly assigned into 2 groups: recombinant human endostatin (Rh-endostatin) group (Rh-endostatin + glucocorticoid) and control group (glucocorticoid only). The primary endpoint was RP relapse rate.

resultsA total of 40 patients were included. The relapse rate of RP was significantly lower in Rh-endostatin group (15% vs 45%, P = .038). Though the remission rate of RP was similar in the two groups, the combined therapy significantly reduced the interval from RP treatment to RP remission (0.92 vs 1.47 months, P = .048). The RP mortality rate was 5% and 35% in the Rh-endostatin group and control group, respectively (P = .044). The incidence of pulmonary fibrosis was numerically lower in Rh-endostatin group (25% vs 45%, P = .185). The circulating lymphocyte levels in Rh-endostatin group significantly increased after treatment, when compared to the control group. The median progression-free survival was 7.8 and 6.0 months, respectively (hazard ratio [HR]: 0.95, 95% confidence interval [CI]: 0.40-2.23, P = .910). The median overall survival was 16.0 and 7.7 months in two groups, respectively (HR: 0.56, 95%CI: 0.27-1.16, P = .119). There was no significant difference between the two groups in adverse events.

conclusionThis prospective randomized study provides evidence that the combination of Rh-endostatin and glucocorticoids can reduce RP relapse rates and promote remission without increasing adverse events in advanced NSCLC patients. DISCUSSION: This Discussion can take one of two forms: 350 words and two salient graphics, such as a table, schema, waterfall plot, image or graph; or 450 words with a single salient graphic. This discussion is part of the Abstract and as such needs to be distinct from the extended Discussion at the end of the paper. Citation of references should be done in the extended Discussion at the end of the CTR; references (up to 5) should be cited in the Author Summary only if absolutely necessary.ClinicalTrials.gov Identifier: NCT03796364. CLINICALTRIALS.GOV IDENTIFIER: NCT03796364.

Indexed as

Carcinoma, Non-Small-Cell LungEndostatinsLung NeoplasmsRadiation PneumonitisAdultAgedFemaleHumansMaleMiddle AgedRecombinant ProteinsEndostatinsRecombinant Proteinsnon–small cell lung cancerradiation pneumonitisradiotherapyrelapseRh-endostatin

Identifiers

PMID41014160
PMCPMC12620006

What Socratic holds

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LicenceCC BY-NC
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Registered trials

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 Socratic graph.