Table 3 Efficacy analysis in the modified intention-to-treat population

From: Neoadjuvant camrelizumab and apatinib combined with chemotherapy versus chemotherapy alone for locally advanced gastric cancer: a multicenter randomized phase 2 trial

Variable

CA-SAP group (n = 51)

SAP group (n = 53)

P value

FDR-adjusted P value

Pathological response

TRG 0 (Complete)

8 (15.7)

3 (5.7)

 

TRG 1 (Subtotal)

9 (17.6)

6 (11.3)

 

TRG 2 (Partial)

10 (19.6)

21 (39.6)

 

TRG 3 (Minimal or none)

22 (43.1)

19 (35.8)

 

No gastrectomy

2 (3.9)

4 (7.5)

 

Major pathological response rate (%, 95% CI)

33.3 (19.9–46.7)

17.0 (6.5–27.4)

0.044

0.080

Complete response rate (%, 95% CI)

15.7 (5.4–26.0)

5.7 (0–12.1)

0.089

0.118

Radiologic response

CR

3 (5.9)

0 (0.0)

  

PR

30 (58.8)

23 (43.4)

  

SD

16 (31.4)

28 (52.8)

  

PD

1 (2.0)

2 (3.7)

  

Unidentified

1 (2.0)

0 (0.0)

  

Objective response rate (%, 95% CI)

66.0 (52.4–79.6)

43.4 (29.2–57.6)

0.017

0.080

Disease control rate (%, 95% CI)

96.1 (90.6–100)

96.2 (90.0–100)

0.677

0.677

Tumor downstaging

cT stage

Pre-treatment

Post-treatment

Pre-treatment

Post-treatment

T1

0 (0.0)

1 (2.0)

0 (0.0)

0 (0.0)

T2

0 (0.0)

10 (19.6)

0 (0.0)

5 (9.4)

T3

5 (9.8)

17 (33.3)

8 (15.1)

19 (35.8)

T4

46 (90.2)

22 (43.1)

45 (84.9)

29 (54.7)

Unidentified

0 (0.0)

1 (2.0)

0 (0.0)

0 (0.0)

T downstaging (%)

27 (52.9)

17 (32.1)

0.025

0.080

cN stage

Pre-treatment

Post-treatment

Pre-treatment

Post-treatment

N0

0 (0.0)

13 (25.5)

0 (0.0)

9 (17.0)

N+

51 (100.0)

36 (70.6)

53 (100.0)

44 (83.0)

Unidentified

0 (0.0)

1 (2.0)

0 (0.0)

0 (0.0)

N downstaging (%)

13 (25.5)

9 (17.0)

0.206

0.229

Surgical Fingdings

R0 resection rate (%, 95% CI)

94.1 (87.4–100)

81.1 (70.2–92.0)

0.042

0.080

  1. Data are No. (%). Because of rounding, not all percentages add up to 100%. P values were one-sided for efficacy analyses in Fisher’s exact test and adjusted by controlling for the false discovery rate (FDR) using the Benjamini–Hochberg procedure.
  2. CA-SAP camrelizumab, apatinib, nab-paclitaxel, and S-1, SAP nab-paclitaxel and S-1, TRG tumor regression grade, CI confidence interval, CR complete response, PR partial response, SD stable disease, PD progressive disease.