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经动脉化疗栓塞联合仑伐替尼序贯卡瑞利珠单抗综合治疗晚期肝细胞癌患者

Comprehensive Treatment of Trans-Arterial Chemoembolization Plus Lenvatinib Followed by Camrelizumab for Advanced Hepatocellular Carcinoma Patients.

作者信息

Liu Juanfang, Li Zhen, Zhang Wenguang, Lu Huibin, Sun Zhanguo, Wang Guozheng, Han Xinwei

机构信息

Department of Interventional Radiology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.

出版信息

Front Pharmacol. 2021 Oct 18;12:709060. doi: 10.3389/fphar.2021.709060. eCollection 2021.

Abstract

This study aimed to report the efficacy and safety of -arterial chemoembolization (TACE) plus lenvatinib and camrelizumab in patients with advanced hepatocellular carcinoma (HCC). This retrospective study enrolled 22 patients with advanced HCC from March 2018 to December 2019. All the patients received comprehensive treatment with TACE plus lenvatinib followed by camrelizumab. Overall survival (OS) and progression-free survival (PFS) were calculated and analysed using the Kaplan-Meier method and log-rank test. Treatment response and adverse events (AEs) were also evaluated. The objective response rate (ORR) and disease control rate (DCR) for the whole cohort were 68.2 and 100% at the first month and 72.7 and 95.5% at the third month, respectively. The median OS was 24 months (95% CI, 20.323-27.677 months), and the median PFS was 11.4 months (95% CI, 8.846-13.954 months). The majority of treatment-related adverse reactions were mild or moderate, except for 4 that developed to grade 3-4 (3 reactions of grade 3, 1 reaction of grade 4). No deaths or other serious adverse reactions occurred. -arterial chemoembolization plus lenvatinib and camrelizumab shows good results incontrolling tumour progression and prolonging median OS in patients with advanced HCC.

摘要

本研究旨在报告经动脉化疗栓塞术(TACE)联合乐伐替尼和卡瑞利珠单抗治疗晚期肝细胞癌(HCC)患者的疗效和安全性。这项回顾性研究纳入了2018年3月至2019年12月期间的22例晚期HCC患者。所有患者均接受了TACE联合乐伐替尼的综合治疗,随后使用卡瑞利珠单抗。采用Kaplan-Meier法和对数秩检验计算并分析总生存期(OS)和无进展生存期(PFS)。还评估了治疗反应和不良事件(AE)。整个队列的客观缓解率(ORR)和疾病控制率(DCR)在第一个月分别为68.2%和100%,在第三个月分别为72.7%和95.5%。中位OS为24个月(95%CI,20.323 - 27.677个月),中位PFS为11.4个月(95%CI,8.846 - 13.954个月)。除4例发展为3 - 4级外(3级反应3例,4级反应1例),大多数与治疗相关的不良反应为轻度或中度。未发生死亡或其他严重不良反应。经动脉化疗栓塞术联合乐伐替尼和卡瑞利珠单抗在控制晚期HCC患者的肿瘤进展和延长中位OS方面显示出良好的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/8558352/883ffe1c16cc/fphar-12-709060-g001.jpg

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