Neoadjuvant Radiotherapy with Camrelizumab as a Chemotherapy-Sparing Strategy for Resectable Locally Advanced Esophageal Squamous Cell Carcinoma: Results from a Phase II Trial (ESOCORT-NIRT) - Summary - MDSpire

Neoadjuvant Radiotherapy with Camrelizumab as a Chemotherapy-Sparing Strategy for Resectable Locally Advanced Esophageal Squamous Cell Carcinoma: Results from a Phase II Trial (ESOCORT-NIRT)

  • By

  • Maohui Chen

  • Yizhou Huang

  • Shuliang Zhang

  • Cheng Chen

  • Taidui Zeng

  • Hongmu Li

  • Zhenyuan Yang

  • Chuanquan Lin

  • Wei Li

  • Benhua Xu

  • Chun Chen

  • Bin Zheng

  • March 9, 2026

  • 0 min

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Objective:

To evaluate the safety and efficacy of neoadjuvant camrelizumab plus concurrent radiotherapy as a chemotherapy-sparing approach in patients with locally advanced esophageal squamous cell carcinoma, focusing on primary endpoints of major pathological response and safety.

Key Findings:
  • High rates of major pathological response (MPR) and R0 resection were achieved (specific percentages to be included).
  • Very low rates of high-grade toxicity (specific percentages to be included) were observed.
  • Postoperative complications were generally mild.
Interpretation:

The study suggests that neoadjuvant camrelizumab plus radiotherapy can be an effective alternative to traditional chemotherapy-based regimens, particularly for patients unable to tolerate chemotherapy, highlighting its potential role in clinical practice.

Limitations:
  • Small sample size of 25 patients limits generalizability.
  • Single-arm design may introduce bias, particularly in patient selection.
Conclusion:

Neoadjuvant camrelizumab combined with radiotherapy shows promise as a chemotherapy-sparing strategy for locally advanced ESCC, warranting further investigation in larger trials.

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