Evidence map›Paper›PMID 42703297›Full record

ArticleJournal of gastrointestinal oncology2026

Efficacy and safety of sintilimab-based neoadjuvant regimens in patients with resectable gastric or gastroesophageal junction adenocarcinoma: a single-arm systematic review and meta-analysis.

Tingting Nan, Siheng Lian, Xiaohong Wu, Ruina Cai, Yumei Cai, Yonglong Su, Xiaoyun Ye, Yuhong Huang, Jinbao Wei, Ruping Ni

Abstract read
In one paragraph

Article in Journal of gastrointestinal oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the 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.

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

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

10 authors.

Tingting Nan *Department of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Siheng Lian *Department of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Xiaohong WuDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Ruina CaiDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Yumei CaiDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Yonglong SuDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Xiaoyun YeDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Yuhong HuangDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Jinbao WeiDepartment of Pharmacy, Xiamen Medical College Affiliated Haicang Hospital, Xiamen, China.
Ruping NiDepartment of Clinical Pharmacy, Nanping First Hospital Affiliated to Fujian Medical University, Nanping, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Neoadjuvant immunotherapy has emerged as a research focus in the management of resectable gastric and gastroesophageal junction (G/GEJ) cancer. Sintilimab, a fully human anti-programmed death receptor-1 (PD-1) monoclonal antibody with high PD-1 affinity, demonstrates favorable antitumor activity, safety, accessibility, and cost-effectiveness, highlighting its potential in neoadjuvant settings. This single-arm meta-analysis aimed to provide pooled estimates of efficacy and safety by aggregating the rates of tumor response, R0 resection, survival, and toxicity of neoadjuvant sintilimab-based regimens in resectable G/GEJ adenocarcinoma. Methods: Original articles describing the safety and efficacy of sintilimab-based regimens for the neoadjuvant treatment of G/GEJ adenocarcinoma, published up to August 19, 2025, were retrieved from the Embase, PubMed/MEDLINE, Web of Science, and Cochrane Central Register of Controlled Trials. STATA 16.0 was employed for data analysis. Results: A total of 693 patients from 13 studies were included. Neoadjuvant sintilimab plus chemotherapy achieved pooled pathologic complete response (pCR) and major pathologic response (MPR) rates of 24% and 50%, respectively. Subgroup analyses showed higher pCR and MPR in prospective Conclusions: The pooled results indicate that the sintilimab-based neoadjuvant regimen offers promising efficacy and tolerability in G/GEJ adenocarcinoma. Subgroup analyses suggest higher pathological response in patients with PD-L1 CPS≥5 or MSI-H/dMMR. However, these exploratory findings require randomized controlled trials (RCTs) validation.

Indexed as

gastric adenocarcinomagastroesophageal junction adenocarcinoma (GEJ adenocarcinoma)neoadjuvant immunotherapySintilimab

Identifiers

PMID42703297
PMCPMC13546526

What Socratic holds

Textmetadata
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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.