Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma

Objective To analyze the efficacy and safety of PD-1 inhibitor combined with anlotinib on advanced neuroendocrine carcinoma. Methods We collected the data of patients with advanced neuroendocrine carcinoma who had failed the first-line standard chemotherapy and treated with PD-1 inhibitor combined w...

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Main Authors: YU Xuxu, LI Xiangke, YANG Minjie, CHEN Zhong, MAO Yinggang, SONG Lijie
Format: Article
Language:zho
Published: Magazine House of Cancer Research on Prevention and Treatment 2021-10-01
Series:Zhongliu Fangzhi Yanjiu
Subjects:
Online Access:http://html.rhhz.net/ZLFZYJ/html/8578.2021.21.0271.htm
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author YU Xuxu
LI Xiangke
YANG Minjie
CHEN Zhong
MAO Yinggang
SONG Lijie
author_facet YU Xuxu
LI Xiangke
YANG Minjie
CHEN Zhong
MAO Yinggang
SONG Lijie
author_sort YU Xuxu
collection DOAJ
description Objective To analyze the efficacy and safety of PD-1 inhibitor combined with anlotinib on advanced neuroendocrine carcinoma. Methods We collected the data of patients with advanced neuroendocrine carcinoma who had failed the first-line standard chemotherapy and treated with PD-1 inhibitor combined with anlotinib from the First Affiliated Hospital of Zhengzhou University. Results A total of 45 patients, including 24 males and 21 females, were included. The median age was 57 years old. The primary tumor sites were lung (23 cases, 51.1%), esophagus (8 cases, 17.8%), pancreas (7 cases, 15.6%) and rectum (7 cases, 15.6%). Eighteen cases (40%) had failed the first- and second-line treatments, and 27 cases (60%) had failed the third-line and above treatments. All patients received 2-15 cycles of treatment, 3 cases died due to disease progression, overall objective response rate was 11.1%, disease control rate was 53.5%, median progression-free survival was 5.8 months, and 10-month progression-free survival rate was 25.5%. Adverse events were mainly grade 1-2 myelosuppression and digestive tract reactions. Conclusion PD-1 combined with anlotinib show better efficacy and good tolerance on advanced neuroendocrine carcinoma. It can be used as a choice after the failure of standard first-line treatment of advanced neuroendocrine carcinoma.
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spelling doaj.art-186b970ee9bb445ab2de5a5302123faf2022-12-21T17:33:36ZzhoMagazine House of Cancer Research on Prevention and TreatmentZhongliu Fangzhi Yanjiu1000-85782021-10-01481097497810.3971/j.issn.1000-8578.2021.21.02718578.2021.21.0271Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine CarcinomaYU Xuxu0LI Xiangke1YANG Minjie2CHEN Zhong3MAO Yinggang4SONG Lijie5Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaDepartment of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, ChinaObjective To analyze the efficacy and safety of PD-1 inhibitor combined with anlotinib on advanced neuroendocrine carcinoma. Methods We collected the data of patients with advanced neuroendocrine carcinoma who had failed the first-line standard chemotherapy and treated with PD-1 inhibitor combined with anlotinib from the First Affiliated Hospital of Zhengzhou University. Results A total of 45 patients, including 24 males and 21 females, were included. The median age was 57 years old. The primary tumor sites were lung (23 cases, 51.1%), esophagus (8 cases, 17.8%), pancreas (7 cases, 15.6%) and rectum (7 cases, 15.6%). Eighteen cases (40%) had failed the first- and second-line treatments, and 27 cases (60%) had failed the third-line and above treatments. All patients received 2-15 cycles of treatment, 3 cases died due to disease progression, overall objective response rate was 11.1%, disease control rate was 53.5%, median progression-free survival was 5.8 months, and 10-month progression-free survival rate was 25.5%. Adverse events were mainly grade 1-2 myelosuppression and digestive tract reactions. Conclusion PD-1 combined with anlotinib show better efficacy and good tolerance on advanced neuroendocrine carcinoma. It can be used as a choice after the failure of standard first-line treatment of advanced neuroendocrine carcinoma.http://html.rhhz.net/ZLFZYJ/html/8578.2021.21.0271.htmimmune checkpoint inhibitorpd-1anlotinibneuroendocrine carcinoma
spellingShingle YU Xuxu
LI Xiangke
YANG Minjie
CHEN Zhong
MAO Yinggang
SONG Lijie
Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
Zhongliu Fangzhi Yanjiu
immune checkpoint inhibitor
pd-1
anlotinib
neuroendocrine carcinoma
title Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
title_full Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
title_fullStr Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
title_full_unstemmed Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
title_short Efficacy and Safety of PD-1 Inhibitor Combined with Anlotinib on Advanced Neuroendocrine Carcinoma
title_sort efficacy and safety of pd 1 inhibitor combined with anlotinib on advanced neuroendocrine carcinoma
topic immune checkpoint inhibitor
pd-1
anlotinib
neuroendocrine carcinoma
url http://html.rhhz.net/ZLFZYJ/html/8578.2021.21.0271.htm
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AT chenzhong efficacyandsafetyofpd1inhibitorcombinedwithanlotinibonadvancedneuroendocrinecarcinoma
AT maoyinggang efficacyandsafetyofpd1inhibitorcombinedwithanlotinibonadvancedneuroendocrinecarcinoma
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