[1]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):610-615.
 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(06):610-615.
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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()

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

卷:
33
期数:
2024年06
页码:
610-615
栏目:
肿瘤介入
出版日期:
2024-06-20

文章信息/Info

Title:
FOLFOX- HAIC combined with lenvatinib and immune checkpoint inhibitors for hepatocellular carcinoma after the occurrence of TACE refractoriness: analysis of efficacy and safety
作者:
刁崚峰 汪琛栋 冷 斌 尤 然 郁泽宇 徐清宇 尹国文
Author(s):
DIAO Lingfeng WANG Chendong LENG Bin YOU Ran YU Zeyu XU Qingyu YIN Guowen.
Xuzhou Medical University, Xuzhou, Jiangsu Province 221004, China; Department of Interventional Therapy, Jiangsu Provincial Cancer Hospital (Jiangsu Provincial Institute of Cancer Research, Affiliated Cancer Hospital of Nanjing Medical University), Nanjing, Jiangsu Province 210009, China
关键词:
【关键词】 肝细胞癌 TACE抵抗 肝动脉灌注化疗 仑伐替尼 免疫检查点抑制剂
文献标志码:
A
摘要:

【摘要】 目的 评价FOLFOX(fluorouracil and leucovorin and oxaliplatin)方案肝动脉灌注化疗(hepatic artery infusion chemotherapy,HAIC)联合仑伐替尼(lenvatinib,LEN)和免疫检查点抑制剂(immune checkpoint inhibitors,ICIs)在经动脉化疗栓塞术(transcatheter arterial chemoembolization,TACE)抵抗后肝细胞癌(hepatocellular carcinoma,HCC)患者中的疗效及安全性。方法 回顾分析2019年1月至2022年12月江苏省肿瘤医院54例HCC患者TACE抵抗后接受FOLFOX-HAIC联合LEN和ICIs的临床资料,采用改良实体瘤疗效评价标准(modified response evaluation criteria in solid tumors,mRECIST)统计分析临床疗效,常见不良事件通用术语标准5.0版(common terminology criteria for adverse events version 5.0,CTCAE 5.0)记录和评估治疗相关不良事件(treatment related adverse events,TRAEs),主要研究终点为无进展生存期(progression free survival,PFS)和总生存期(overall survival,OS),次要研究终点为客观缓解率(objective response rate,ORR),疾病控制率(disease control rate,DCR)和安全性。结果 中位无进展生存期(mPFS)为11.7个月(95%CI:8.124~15.276),中位总生存期(mOS)23.1个月(95%CI:19.508~26.692),ORR 46.3%,DCR 87.0%。各级最常见TRAEs是丙氨酸转氨酶升高(51.9%),最常见3/4级TRAEs是高血压(9.3%),未观察到与治疗相关死亡事件的发生。结论 FOLFOX-HAIC联合LEN和ICIs治疗TACE抵抗后HCC患者安全、有效。

 

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备注/Memo

备注/Memo:

(收稿日期:2023- 09- 08)

(本文编辑:茹 实)

更新日期/Last Update: 2024-06-20