Evidence map›Paper›PMID 41222736›Full record

Trial reportCancer immunology, immunotherapy : CII2025

Efficacy and safety of low-molecular-weight heparin or rivaroxaban combined with immunotherapy and chemotherapy in the treatment of advanced nonsmall cell lung cancer: a prospective, randomized, controlled clinical study.

Hongchuan Zhang, Junfeng Li, Guangjin Yuan, Shengyuan Huang, Xuemei Li

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Cancer immunology, immunotherapy : CII, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Hemostasis at the edge between physiology and cancer.Internal and emergency medicine · 2026
    Review
  2. Article
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

5 authors.

Hongchuan ZhangDepartment of Oncology, Dianjiang People's Hospital of Chongqing, Chongqing, 408300, China.
Junfeng LiDepartment of Oncology, Dianjiang People's Hospital of Chongqing, Chongqing, 408300, China.
Guangjin YuanDepartment of Oncology, Dianjiang People's Hospital of Chongqing, Chongqing, 408300, China.
Shengyuan HuangDepartment of Cardiothoracic Surgery, Dianjiang People's Hospital of Chongqing, Chongqing, 408300, China.
Xuemei LiDepartment of Ultrasound, Dianjiang People's Hospital of Chongqing, No. 116, Beijie Street, Guixi Subdistrict, Dianjiang County, Chongqing, 408300, China. meihua566363@163.com.

Funding

Dianjiang County Bureau of Science and Technology djkjxm2022shmskjcxyw006Natural Science Foundation of Chongqing-Chongqing Science and Technology Development Foundation CSTB2024NSCQ- KJFZMSX0035the Chongqing Science and Health Joint Medical Research Project 2023MSXM072
6 · The paper itself

Abstract

objectiveThis study aimed to observe and compare the efficacy and safety of different anticoagulants combined with immunotherapy and chemotherapy for advanced nonsmall cell lung cancer (NSCLC).

methodsIn this prospective, randomized, controlled clinical trial, treatment-naïve subjects with stage

resultsIn this study, 143 patients were enrolled, including 46 in the control group, 48 in the LMWH group, and 49 in the rivaroxaban group. The median PFS of the control, LMWH, and rivaroxaban groups was 8.5 months (95%CI: 7.6-9.4), 8.6 months (95% CI: 8.1-9.1), and 11.2 months (95% CI: 9.4-13.0), respectively. Kaplan-Meier curve analysis showed no significant difference in PFS between the LMWH and control groups (HR = 1.041, 95% CI: 0.676-1.604; P = 0.852). The rivaroxaban group had significantly higher PFS than the control (HR = 0.766, 95% CI: 0.623-0.967; P = 0.021) and LMWH groups (HR = 0.582, 95% CI: 0.376-0.901; P = 0.013). No significant differences were observed in the ORR, complete response, partial response, DCR, or stable disease among the three groups (all P > 0.05).

conclusionsRivaroxaban combined with immune checkpoint inhibitors and chemotherapy has potential advantages in NSCLC treatment. It may enhance the antitumor efficacy by regulating immune functions, thereby prolonging the PFS of patients.

trial registrationTrial Registration: ChiCTR2500106653.

Indexed as

Antineoplastic Combined Chemotherapy ProtocolsCarcinoma, Non-Small-Cell LungHeparin, Low-Molecular-WeightImmunotherapyLung NeoplasmsRivaroxabanAdultAgedFemaleHumansMaleMiddle AgedNeoplasm StagingProspective StudiesTreatment OutcomeHeparin, Low-Molecular-WeightRivaroxabanChemotherapyImmunotherapyLow-molecular-weight heparinNonsmall cell lung cancerRivaroxaban

Identifiers

PMID41222736
PMCPMC12612447

What Socratic holds

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Registered trials

None linked

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.