Publications by authors named "Rui Hua Xu"

Gastric cancer is one of the most common malignancies with poor prognosis. The use of organoids to simulate gastric cancer has rapidly developed over the past several years. Patient-derived gastric cancer organoids serve as in vitro models that closely mimics donor characteristics, offering new opportunities for both basic and applied research.

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This phase 2/3 trial (NCT04856787) assessed the efficacy and safety of SHR-1701, a bifunctional protein targeting PD-L1 and TGF-β, in combination with BP102 (a bevacizumab biosimilar) and XELOX (capecitabine plus oxaliplatin) as a first-line treatment for unresectable metastatic colorectal cancer (mCRC). In this phase 2 study, a total of 62 patients with untreated, histologically confirmed colorectal adenocarcinoma and no prior systemic therapy for metastatic disease were enrolled. Patients received SHR-1701 (30 mg/kg), bevacizumab (7.

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  • There is a clinical need to improve the effectiveness and safety of current anti-PD-1/PD-L1 cancer immunotherapy, leading to the study of IBI318, a novel bispecific antibody targeting PD-1 and PD-L1 in patients with advanced tumors.
  • The clinical trial consisted of two phases: Phase Ia focused on dose escalation to find the optimal dosage, while Phase Ib evaluated safety and efficacy in patients with non-small cell lung cancer and nasopharyngeal carcinoma.
  • Results showed that IBI318 had a good safety profile with an objective response rate of 15.5% overall, and higher rates in treatment-naïve patients: 45.5% for NSCLC and 30.0% for
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Colorectal adenomas (CRAs) represent precancerous lesions that precede the development of colorectal cancer (CRC). Regular monitoring of CRAs can hinder the progression into carcinoma. To explore the utility of tissue DNA and circulating cell-free DNA (cfDNA) in early diagnosis of CRC, we retrospectively sequenced paired tissue and plasma samples from 85 patients with conventional CRAs.

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Early detection is warranted to improve prognosis of gastric cancer (GC) but remains challenging. Liquid biopsy combined with machine learning will provide new insights into diagnostic strategies of GC. Lipid metabolism reprogramming plays a crucial role in the initiation and development of tumors.

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Background: Peritoneal metastasis is the most common metastasis pattern of gastric cancer. Patients with gastric cancer peritoneal metastasis (GCPM) have a poor prognosis and respond poorly to conventional treatments. Recently, immune checkpoint blockade (ICB) has demonstrated favourable efficacy in the treatment of GCPM.

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  • The study investigates the effects of the PD-1 inhibitor toripalimab combined with chemoradiotherapy on patients with advanced nasopharyngeal carcinoma, particularly those with high EBV DNA levels, to see if it reduces recurrence risk compared to placebo.* -
  • Conducted at Sun Yat-sen University Cancer Centre in China, 150 eligible patients were randomly assigned to receive either toripalimab or a placebo before and after chemoradiotherapy, focusing on the 2-year progression-free survival rate as the main outcome measure.* -
  • Initial findings suggest that most of the participants were male (77%), and by the latest follow-up, the median progression-free survival period was approximately 37.8 months,
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RNA methylation is an important regulatory process to determine immune cell function but how it affects the anti-tumor activity of CD8 T cells is not fully understood. Here we show that the N-methyladenosine (mA) RNA reader YTHDF2 is highly expressed in early effector or effector-like CD8 T cells. We find that YTHDF2 facilitates nascent RNA synthesis, and mA recognition is fundamental for this distinctively nuclear function of the protein, which also reinforces its autoregulation at the RNA level.

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As the most abundant post-transcriptional modification in eukaryotes, N-methyladenosine (mA) plays a crucial role in cancer cell proliferation, invasion and chemoresistance. However, its specific effects on chemosensitivity to oxaliplatin-based regimens and the impact of these drugs on mA methylation levels in colorectal cancer (CRC) remain largely unexplored. In this study, we demonstrated that the mA methyltransferase Wilms tumor 1-associating protein (WTAP) weakens oxaliplatin chemosensitivity in HCT116 and DLD1 cells.

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  • Patients with polymerase epsilon/polymerase delta mutations showed some positive responses to toripalimab, an immune checkpoint inhibitor, with a 21.4% overall response rate and a 57.1% disease control rate in a small clinical trial.
  • * The trial included 15 patients with advanced solid tumors, out of which 14 were evaluated, revealing differing response rates based on the type of mutation — 66.7% for exonuclease domain mutations compared to 9.1% for non-exonuclease domain mutations.
  • * The presence of PBRM1 gene mutations correlated with a high response rate (75.0%), indicating that more research is needed to better understand how different mutations affect the effectiveness of
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Neoadjuvant chemoradiotherapy (NACRT) was the standard treatment for patients with locally advanced rectal cancer (LARC) with proficient mismatch repair (pMMR) proteins. In this randomized phase 2 trial (ClinicalTrial.gov: NCT04304209), 134 pMMR LARC patients were randomly (1:1) assigned to receive NACRT or NACRT and the programmed cell death protein 1 (PD-1) antibody sintilimab.

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Colorectal cancer (CRC) ranks as the third most common cancer and the second leading cause of cancer-related deaths. According to clinical diagnosis and treatment, liver metastasis occurs in approximately 50 % of CRC patients, indicating a poor prognosis. The unique immune tolerance of the liver fosters an immunosuppressive tumor microenvironment (TME).

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Background: Limited data exist for global prevalence of claudin 18 isoform 2 (CLDN18.2) positivity and association of CLDN18.2 status with clinical and tumor characteristics in patients with locally advanced (LA) unresectable or metastatic gastric or gastroesophageal junction (mG/GEJ) adenocarcinoma.

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Background: The interim analysis of the randomized phase 3 ESCORT-1st study demonstrated significantly longer overall survival (OS) and progression-free survival (PFS) for camrelizumab-chemotherapy than placebo-chemotherapy in untreated advanced/metastatic esophageal squamous cell carcinoma (ESCC). Here, we present the final analysis of this study and investigate potential indicators associated with OS.

Methods: Patients were randomized 1:1 to receive camrelizumab (200 mg) or placebo, both in combination with up to six cycles of paclitaxel (175 mg/m) and cisplatin (75 mg/m).

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  • * A phase 2 trial involving 114 patients compared serplulimab plus HLX04 and XELOX to a placebo with bevacizumab and XELOX, focusing on progression-free survival (PFS) and safety.
  • * Results showed that the serplulimab group had a longer median PFS (17.2 months) compared to the placebo group (10.7 months), indicating potential benefits from the immunotherapy treatment.
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What Is This Summary About?: This is a summary of two articles. The first article is about a clinical trial called SPOTLIGHT and it was published in the medical journal in in April of 2023. The second article is about a clinical trial called GLOW and it was published in the medical journal in July of 2023.

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  • * In this phase III trial, 480 eligible patients were randomly assigned to receive either the combination therapy or standard care options, with the primary focus on overall survival (OS).
  • * The results showed that the combination did not significantly improve median OS compared to standard care (9.8 months vs. 9.3 months), and although more patients on the combination experienced severe adverse events, there were no new safety issues identified.
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  • * Results showed a significant improvement in progression-free survival (PFS) for those receiving fruquintinib (5.6 months) compared to the placebo group (2.7 months), but overall survival (OS) was not significantly different between the two groups (9.6 months vs. 8.4 months).
  • * The most common serious side effects of the treatment included neutropenia, leukopenia, and anemia, suggesting that while fruquintinib can extend
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  • The study aimed to assess the effectiveness and safety of tislelizumab combined with chemotherapy for advanced gastric cancer compared to a placebo with chemotherapy.
  • Conducted from December 2018 to February 2023 across multiple continents, it involved 1,657 adult patients with specific cancer types who had not previously undergone systemic treatment.
  • Results indicated that patients receiving tislelizumab plus chemotherapy experienced significant improvements in overall survival compared to those on placebo and chemotherapy.
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  • A clinical trial was conducted to compare the effectiveness and safety of two treatments—cetuximab plus FOLFOXIRI (triplet therapy) and cetuximab plus FOLFOX (doublet therapy)—in RAS/BRAF wild-type colorectal cancer patients who had unresectable liver metastases.
  • The study enrolled 146 patients across seven medical centers in China between April 2018 and December 2022, assessing their objective response rate and other outcomes such as tumor response and survival.
  • Results showed that the response rates were similar between the two treatment groups (84.7% for triplet vs. 79.7% for doublet), indicating no significant difference in efficacy, and the trial also monitored
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As one of the world's most populous countries, China bears a heavy burden and a broad spectrum of cancers, including unique types, providing a unique environment for drug research and development. In recent years, China has leapt forward in oncology drug development and clinical trials, presenting new opportunities and challenges.

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Background: Gastric cardia adenocarcinoma (GCA) is classified as Siewert type II adenocarcinoma at the esophagogastric junction in Western countries. The majority of GCA patients do not exhibit early warning symptoms, leading to over 90% of diagnoses at an advanced stage, resulting in a grim prognosis, with less than a 20% 5-year survival rate.

Method: Metabolic features of 276 GCA and 588 healthy controls were characterized through a widely-targeted metabolomics by UPLC-MS/MS analysis.

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  • - The CAPability-01 trial studied the effectiveness of combining the PD-1 antibody sintilimab with the HDAC inhibitor chidamide, with or without the VEGF antibody bevacizumab, in patients who have advanced colorectal cancer resistant to chemotherapy.
  • - Results showed that the combination therapy (triplet arm) significantly improved progression-free survival and overall response rates compared to the dual therapy (doublet arm), indicating increased treatment efficacy.
  • - Patients experienced various adverse side effects, with two treatment-related deaths reported; however, the analysis suggested the triplet therapy led to enhanced immune activity in the tumor environment.
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Objective: This study was designed to assess the efficacy and safety of cadonilimab monotherapy, a first-in-class, bi-specific PD-1/CTLA-4 antibody, in patients with previously treated recurrent or metastatic nasopharyngeal carcinoma (R/M-NPC).

Patients And Methods: This multicenter, open-label, single-arm, phase II clinical trial enrolled patients with R/M-NPC who had failed first-line platinum-based chemotherapy and second-line single agent or combined chemotherapy, and immunotherapy-naive. Patients received cadonilimab for 6 mg/kg once every 2 weeks (Q2W).

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