[1]张学贤,丁雨寒,李 威,等.经导管动脉化疗栓塞联合仑伐替尼及卡瑞利珠单抗治疗中晚期肝细胞癌临床效果[J].介入放射学杂志,2024,33(01):57-62.
 ZHANG Xuexian,DING Yuhan,LI Wei,et al.Clinical efficacy of transcatheter arterial chemoembolization combined with lenvatinib and camrelizumab in the treatment of advanced hepatocellular carcinoma[J].journal interventional radiology,2024,33(01):57-62.
点击复制

经导管动脉化疗栓塞联合仑伐替尼及卡瑞利珠单抗治疗中晚期肝细胞癌临床效果()

PDF下载中关闭

分享到:

《介入放射学杂志》[ISSN:1008-794X/CN:31-1796/R]

卷:
33
期数:
2024年01
页码:
57-62
栏目:
临床研究
出版日期:
2024-01-31

文章信息/Info

Title:
Clinical efficacy of transcatheter arterial chemoembolization combined with lenvatinib and camrelizumab in the treatment of advanced hepatocellular carcinoma
作者:
张学贤 丁雨寒 李 威 李庆伟 张 君 段 丹 李永乐 龙 健杨继东 张成龙 吴 鹏 孙慧娟 吴 耕
Author(s):
ZHANG Xuexian DING Yuhan LI Wei LI Qingwei ZHANG Jun DUAN Dan LI Yongle LONG Jian YANG Jidong ZHANG Chenglong WU Peng SUN Huijuan WU Geng.
Department of Vascular Intervention, Jingmen Municipal People’s Hospital, Jingmen, Hubei Province 448000, China
关键词:
【关键词】 经导管动脉化疗栓塞术 仑伐替尼 卡瑞利珠单抗 肝细胞癌 疗效 安全性
文献标志码:
A
摘要:
【摘要】 目的 评价经导管动脉化疗栓塞术(TACE)联合仑伐替尼及卡瑞利珠单抗治疗中晚期肝细胞癌(HCC)的安全性和有效性。方法 回顾性分析2020年4月至2021年12月在荆门市人民医院接受TACE联合仑伐替尼及卡瑞利珠单抗三联治疗或TACE联合仑伐替尼两联治疗的63例中晚期HCC患者临床资料,其中三联治疗组30例,两联治疗组33例。评估记录患者治疗后肿瘤反应、无疾病进展生存期(PFS)、总生存期(OS)及药物不良反应发生率。结果 两组患者中位随访期为14个月(4~26个月)。在肿瘤反应方面,三联治疗组与两联治疗组相比,显示出更高的客观缓解率(ORR)(83.3%比57.6%,P=0.026)、疾病控制率(DCR)(93.3%比69.7%,P=0.039),可显著延长中位PFS(8.0个月比5.0个月,P<0.01)、中位OS(24.0个月比12.0个月,P=0.004)。两组患者药物不良反应发生率差异无统计学意义(均P>0.05)。 结论 TACE联合仑伐替尼及卡瑞利珠单抗治疗中晚期HCC安全有效。

参考文献/References:

[1] Wei G, Yang J. Advances in the treatment of hepatocellular carcinoma using drug- eluting beads[J]. J Interv Med, 2020,3:122- 127.
[2] 冯超凡,胡继红,张学贤,等. DEB- TACE联合MWA及阿帕替尼治疗巨块型肝癌的临床疗效[J]. 介入放射学杂志, 2022,31:254- 258.
[3] 黄景铮,蔡明岳,黄文薮,等.经动脉化疗栓塞联合仑伐替尼及程序性死亡受体1抑制剂治疗不可切除中晚期肝癌的临床疗效分析[J]. 中华放射学杂志, 2022, 56:879- 885.
[4] Sun B, Zhang L, Sun T, et al. Safety and efficacy of lenvatinib combined with camrelizumab plus transcatheter arterial chemo-embolization for unresectable hepatocellular carcinoma: a two- center retrospective study[J]. Front Oncol, 2022, 12: 982948.
[5] Zhang JX, Chen YX, Zhou CG, et al. Transarterial chemoem-bolization combined with lenvatinib versus transarterial chemo-embolization combined with sorafenib for unresectable hepatocellular carcinoma: a comparative retrospective study[J]. Hepatol Res, 2022, 52: 794- 803.
[6] Sho T, Morikawa K, Kubo A, et al. Prospect of lenvatinib for unresectable hepatocellular carcinoma in the new era of systemic chemotherapy[J]. World J Gastrointest Oncol, 2021, 13: 2076- 2087.
[7] Ren Y, Guo Y, Chen L, et al. Efficacy of drug- eluting beads transarterial chemoembolization plus camrelizumab compared with conventional transarterial chemoembolization plus camrelizumab for unresectable hepatocellular carcinoma[J]. Cancer Control,2022, 29:10732748221076806.
[8] Lencioni R, Llovet JM. Modified RECIST(mRECIST) assessment for hepatocellular carcinoma[J]. Semin Liver Dis, 2010, 30:52- 60.
[9] Shi Q, Liu J, Li T, et al. Comparison of DEB- TACE and cTACE for the initial treatment of unresectable hepatocellular carcinoma beyond up- to- seven criteria: a single- center propensity score matching analysis[J]. Clin Res Hepatol Gastroenterol, 2022, 46: 101893.
[10] Hatanaka T,Naganuma A,Kakizaki S.Lenvatinib for hepatocellular carcinoma: a literature review[J]. Pharmaceuticals(Basel), 2021, 14: 36.
[11] Peng Z, Fan W, Zhu B, et al. Lenvatinib combined with transarterial chemoembolization as first- line treatment for advanced hepatocellular carcinoma: a phase Ⅲ, randomized clinical trial (LAUNCH)[J]. J Clin Oncol, 2023, 41: 117- 127.
[12] Keenan BP, Fong L, Kelley RK. Immunotherapy in hepatocellular carcinoma: the complex interface between inflammation, fibrosis, and the immune response[J]. J Immunother Cancer, 2019, 7: 267.
[13] El- Khoueiry AB, Sangro B, Yau T, et al. Nivolumab in patients with advanced hepatocellular carcinoma(CheckMate 040): an open- label, non- comparative, phase 1/2 dose escalation and expansion trial[J]. Lancet, 2017, 389: 2492- 2502.
[14] Zhu AX, Finn RS, Edeline JLN, et al. Pembrolizumab in patients with advanced hepatocellular carcinoma previously treated with sorafenib(KEYNOTE- 224): a non- randomised, open- label phase 2 trial[J]. Lancet Oncol, 2018, 19: 940- 952.
[15] Shigeta K, Matsui A, Kikuchi H, et al. Regorafenib combined with PD1 blockade increases CD8 T- cell infiltration by inducing CXCL10 expression in hepatocellular carcinoma[J]. J Immunother Cancer, 2020, 8: e001435.
[16] Kuroda H, Oikawa T, Ninomiya M, et al. Objective response by mRECIST to initial lenvatinib therapy is an independent factor contributing to deep response in hepatocellular carcinoma treated with lenvatinib- transcatheter arterial chemoembolization sequential therapy[J]. Liver Cancer, 2022, 11: 383- 396.
[17] Xia D, Bai W, Wang E, et al. Lenvatinib with or without concurrent drug- eluting beads transarterial chemoembolization in patients with unresectable, advanced hepatocellular carcinoma: a real- world, multicenter, retrospective study[J]. Liver Cancer, 2022, 11: 368- 382.
[18] Fan W, Zhu B, Yue S, et al. Idarubicin- loaded DEB- TACE plus lenvatinib versus lenvatinib for patients with advanced hepatocellular carcinoma: a propensity score- matching analysis[J]. Cancer Med, 2023, 12: 61- 72.
[19] 苏 珂,徐尧阳,郭 露,等. 肝动脉化疗栓塞联合卡瑞利珠单抗治疗中晚期肝细胞癌的疗效分析[J]. 介入放射学杂志, 2022, 31:865- 870.
[20] 于士龙,刘东辉,王 储,等. TACE联合卡瑞利珠单抗治疗中晚期肝细胞癌[J]. 中国介入影像与治疗学, 2022, 19:391- 395.
[21] Zhang JX, Chen P, Liu S, et al. Safety and efficacy of transarterial chemoembolization and immune checkpoint inhibition with camrelizumab for treatment of unresectable hepatocellular carcinoma[J]. J Hepatocell Carcinoma, 2022, 9: 265- 272.
[22] Li Q, Cao M, Yuan G, et al. Lenvatinib plus camrelizumab vs. lenvatinib monotherapy as first- line treatment for unresectable hepatocellular carcinoma: a multicenter retrospective cohort study[J]. Front Oncol, 2022, 12: 809709.
[23] 黄 剑,葛乃建,徐 伟,等. TACE联合卡瑞利珠单抗及甲磺酸阿帕替尼治疗晚期肝细胞癌16例[J]. 介入放射学杂志, 2021,30:774- 779.
[24] Zhang JX, Chen YX, Zhou CG, et al. Efficacy and safety of the combination of transarterial chemoembolization with camre-lizumab plus apatinib for advanced hepatocellular carcinoma: a retrospective study of 38 patients from a single center[J]. Can J Gastroenterol Hepatol, 2022, 2022: 7982118.

相似文献/References:

[1]陈昆山,张 靖,申 刚,等.经导管动脉化疗栓塞在中晚期肝胚细胞瘤术前的临床应用[J].介入放射学杂志,2016,(03):220.
 CHEN Kun- shan,ZHANG Jing,SHEN Gang,et al.Clinical application of preoperative transcatheter arterial chemoembolization in treating advanced hepatoblastomas[J].journal interventional radiology,2016,(01):220.
[2]张 雯,周永杰,颜志平.再论精细TACE[J].介入放射学杂志,2021,30(10):971.
 ZHANG Wen,ZHOU Yongjie,YAN Zhiping..Further discussion on the precision TACE therapy[J].journal interventional radiology,2021,30(01):971.
[3]吕 玲,邹 威,陈晓明.仑伐替尼治疗中晚期肝癌的研究进展[J].介入放射学杂志,2022,31(11):1128.
 LV Ling,ZOU Wei,CHEN Xiaoming..Research progress in lenvatinib for the treatment of mid-to-advanced hepatocellular carcinoma[J].journal interventional radiology,2022,31(01):1128.
[4]姜小庆,黄 鹏,胡 波,等.动脉栓塞药物洗脱微球的研究进展[J].介入放射学杂志,2023,32(10):1034.
 JIANG Xiaoqing,HUANG Peng,HU Bo,et al.Research progress in drug-eluting beads used for transarterial chemoembolization[J].journal interventional radiology,2023,32(01):1034.
[5]余 磊,邹春峰,苏孙欢,等.经导管动脉化疗栓塞术治疗局部复发乳腺癌的疗效与安全性[J].介入放射学杂志,2024,33(03):280.
 YU Lei,ZOU Chunfeng,SU Sunhuan,et al.Efficacy and safety of transcatheter arterial chemoembolization for the treatment of locally recurrent breast cancer[J].journal interventional radiology,2024,33(01):280.
[6]刁崚峰,汪琛栋,冷 斌,等.FOLFOX-HAIC联合仑伐替尼和免疫检查点抑制剂治疗TACE抵抗后肝细胞癌的疗效及安全性分析[J].介入放射学杂志,2024,33(06):610.
 DIAO Lingfeng,WANG Chendong,LENG Bin,et al.FOLFOX- HAIC combined with lenvatinib and immune checkpoint inhibitors for hepatocellular carcinoma after the occurrence of TACE refractoriness: analysis of efficacy and safety[J].journal interventional radiology,2024,33(01):610.

备注/Memo

备注/Memo:
(收稿日期:2022- 11- 03)
(本文编辑:谷 珂)
更新日期/Last Update: 2024-01-30