Preoperative Combination Therapy with Camrelizumab, Paclitaxel, and Nedaplatin for Unresectable Advanced Esophageal Squamous Cell Carcinoma: Results from a Phase 2 Trial - Report - MDSpire

Preoperative Combination Therapy with Camrelizumab, Paclitaxel, and Nedaplatin for Unresectable Advanced Esophageal Squamous Cell Carcinoma: Results from a Phase 2 Trial

  • By

  • Jinhong Zhu

  • Jinfeng Zhang

  • Xiaodong Ling

  • Changhong Wang

  • Yingnan Yang

  • Yangzhong Xin

  • Hao Jiang

  • Hao Liang

  • Luquan Zhang

  • Xionghai Qin

  • Jingle Lei

  • Chengyuan Fang

  • Xinxin Yang

  • Yuning Wang

  • Wei Meng

  • Xiaoyuan Wang

  • Hongxue Meng

  • Jianqun Ma

  • December 28, 2025

  • 0 min

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Clinical Report: Preoperative Combination Therapy for Unresectable ESCC

Overview

This phase 2 trial evaluates the efficacy and safety of preoperative camrelizumab combined with paclitaxel and nedaplatin in patients with unresectable advanced esophageal squamous cell carcinoma (ESCC). The findings suggest promising conversion rates and survival benefits, highlighting the potential of this regimen as a viable treatment option.

Background

Esophageal cancer, particularly esophageal squamous cell carcinoma (ESCC), is associated with high mortality and late-stage diagnosis, often rendering it unresectable at presentation. Current treatment strategies for unresectable ESCC, including chemoradiotherapy, have limited efficacy and high toxicity. The exploration of preoperative immunotherapy combined with chemotherapy aims to improve conversion rates to surgical resection, potentially enhancing survival outcomes.

Data Highlights

No numerical data available in the provided context.

Key Findings

  • Camrelizumab, a PD-1 inhibitor, combined with chemotherapy shows potential as a conversion therapy for unresectable ESCC.
  • The trial aims to assess the safety profile and conversion efficacy of this regimen.
  • Previous studies indicate that neoadjuvant immunotherapy can enhance pathological response rates without increasing surgical complications.
  • Conversion surgery after induction therapy may significantly improve survival in patients with anatomical constraints.
  • Current evidence supports the use of PD-1 inhibitors in advanced ESCC treatment regimens.

Clinical Implications

The findings from this trial may inform clinical practice by providing a new treatment option for patients with unresectable ESCC, potentially leading to improved surgical outcomes. Clinicians should consider the integration of immunotherapy in the neoadjuvant setting for eligible patients.

Conclusion

The study underscores the importance of investigating combination therapies in unresectable ESCC, with the potential to enhance conversion rates and improve patient survival. Further research is warranted to validate these findings and optimize treatment protocols.

References

  1. Preoperative conversion therapy of camrelizumab combined with paclitaxel and nedaplatin for unresectable advanced esophageal squamous cell carcinoma: a phase 2 study, PMC, 2023 -- Preoperative conversion therapy of camrelizumab combined with paclitaxel and nedaplatin for unresectable advanced esophageal squamous cell carcinoma: a phase 2 study
  2. ESMO Clinical Practice Guideline interim update on the treatment of locally advanced oesophageal and oesophagogastric junction adenocarcinoma and metastatic squamous-cell carcinoma - PMC, 2025 -- ESMO Clinical Practice Guideline interim update on the treatment of locally advanced oesophageal and oesophagogastric junction adenocarcinoma and metastatic squamous-cell carcinoma
  3. Gastric Cancer — Phase 2 Trial of Neoadjuvant Camrelizumab, Trastuzumab, and Chemotherapy in Patients with HER2-Positive Gastric or Gastroesophageal Junction Adenocarcinoma: A Single-Arm Study
  4. the asco post — Ezabenlimab, Induction Chemotherapy, and Adaptive Chemoradiotherapy in Stage III Squamous Cell Anal Carcinoma
  5. The ASCO Post — Clinical Trials Actively Recruiting Patients With Esophageal Cancer
  6. The ASCO Post — Locally Advanced Esophageal Cancer Outcomes Improved With Neoadjuvant Therapy
  7. Neoadjuvant chemotherapy with or without camrelizumab in resectable esophageal squamous cell carcinoma: the randomized phase 3 ESCORT-NEO/NCCES01 trial | Nature Medicine
  8. Clinical Trials Actively Recruiting Patients With Esophageal Cancer
  9. ESMO Clinical Practice Guideline interim update on the treatment of locally advanced oesophageal and oesophagogastric junction adenocarcinoma and metastatic squamous-cell carcinoma - PMC
  10. Preoperative conversion therapy of camrelizumab combined with paclitaxel and nedaplatin for unresectable advanced esophageal squamous cell carcinoma: a phase 2 study - PMC

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