PMID- 31856933 OWN - NLM STAT- MEDLINE DCOM- 20201119 LR - 20210217 IS - 1555-3906 (Electronic) IS - 0965-0407 (Print) IS - 0965-0407 (Linking) VI - 28 IP - 3 DP - 2020 May 29 TI - The Comprehensive Analysis of Efficacy and Safety of CalliSpheres((R)) Drug-Eluting Beads Transarterial Chemoembolization in 367 Liver Cancer Patients: A Multiple-Center, Cohort Study. PG - 249-271 LID - 10.3727/096504019X15766663541105 [doi] AB - This study aimed to investigate the efficacy, safety, and prognostic factors of drug-eluting beads transarterial chemoembolization (DEB-TACE) in treating Chinese patients with liver cancer. A total of 367 liver cancer patients from 24 medical centers were consecutively enrolled in this multiple-center, prospective cohort study, including 275 hepatocellular carcinoma (HCC) cases, 37 intrahepatic cholangiocarcinoma (ICC) cases, and 55 secondary liver cancer cases. All the patients received CalliSpheres((R)) DEB-TACE treatment. Treatment response, overall survival (OS), change of liver function, and adverse events (AEs) were assessed. DEB-TACE treatment achieved 19.9% complete response (CR) and 79.6% objective response rate (ORR), with mean OS of 384 days [95% confidence interval (CI): 375-393 days]. CR and ORR were both higher in HCC patients compared with primary ICC patients and secondary liver cancer patients, while no difference was discovered in OS. Portal vein invasion was an independent risk factor for CR, while portal vein invasion, previous conventional TACE (cTACE) treatment, and abnormal blood creatinine (BCr) were independent risk factors for ORR. In addition, largest nodule size >/=5.0 cm, abnormal albumin (ALB), and abnormal total bilirubin (TBIL) independently correlated with unfavorable OS. Most liver function indexes were recovered to baseline levels at 1-3 months after DEB-TACE. Common AEs were pain, fever, vomiting, and nausea; most of them were at mild grade. CalliSpheres((R)) DEB-TACE is efficient and well tolerated in Chinese liver cancer patients. Portal vein invasion, previous cTACE treatment, largest nodule size, abnormal BCr, ALB, and TBIL correlate with worse prognosis independently. FAU - Peng, Zhiyi AU - Peng Z AD - Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang UniversityHangzhouChina. FAU - Cao, Guohong AU - Cao G AD - Department of Radiology, Shulan (Hangzhou) Hospital, Zhejiang University International HospitalHangzhouChina. FAU - Hou, Qinming AU - Hou Q AD - Department of Radiology, Xixi Hospital of Hangzhou, Hangzhou 6th People's HospitalHangzhouChina. FAU - Li, Ling AU - Li L AD - Department of Liver Oncology, Ningbo No. 2 HospitalNingboChina. FAU - Ying, Shihong AU - Ying S AD - Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang UniversityHangzhouChina. FAU - Sun, Junhui AU - Sun J AD - Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang UniversityHangzhouChina. FAU - Zhou, Guanhui AU - Zhou G AD - Hepatobiliary and Pancreatic Interventional Treatment Center, Division of Hepatobiliary and Pancreatic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang UniversityHangzhouChina. FAU - Zhou, Jian AU - Zhou J AD - Department of Radiology, Hangzhou Cancer HospitalHangzhouChina. FAU - Zhang, Xin AU - Zhang X AD - Department of Radiology, The First Affiliated Hospital, College of Medicine, Zhejiang UniversityHangzhouChina. FAU - Ji, Wenbin AU - Ji W AD - Department of Radiology, Taizhou Hospital of Zhejiang ProvinceLinhaiChina. FAU - Yu, Zhihai AU - Yu Z AD - Department of Vascular and Interventional Radiology, The Affiliated Hospital of Medical College of Ningbo UniversityNingboChina. FAU - Li, Tiefeng AU - Li T AD - Department of Radiology, Beilun District People's Hospital of NingboNingboChina. FAU - Zhu, Dedong AU - Zhu D AD - Department of Liver Oncology, Ningbo No. 2 HospitalNingboChina. FAU - Hu, Wenhao AU - Hu W AD - Department of Intervention, The First Affiliated Hospital of Wenzhou Medical UniversityWenzhouChina. FAU - Ji, Jiansong AU - Ji J AD - Department of Radiology, Lishui Central Hospital, Lishui Hospital of Zhejiang University, The Fifth Affiliated Hospital of Wenzhou Medical UniversityLishuiChina. FAU - Du, Haijun AU - Du H AD - Department of Intervention, Dongyang People's HospitalDongyangChina. FAU - Shi, Changsheng AU - Shi C AD - Department of Intervention, The Third Affiliated Hospital of Wenzhou Medical UniversityRuianChina. FAU - Guo, Xiaohua AU - Guo X AD - Department of Intervention, Jinhua Central HospitalJinhuaChina. FAU - Fang, Jian AU - Fang J AD - Department of Hepatobiliary Surgery, Quzhou People's HospitalQuzhouChina. FAU - Han, Jun AU - Han J AD - Department of Intervention, Jiaxing First HospitalJiaxingChina. FAU - Gu, Wenjiang AU - Gu W AD - Department of Intervention, Jiaxing Second HospitalJiaxingChina. FAU - Xie, Xiaoxi AU - Xie X AD - Interventional Center, Xinchang People's HospitalShaoxingChina. FAU - Sun, Zhichao AU - Sun Z AD - Department of Radiology, The First Affiliated Hospital of Zhejiang Chinese Medical UniversityHangzhouChina. FAU - Xu, Huanhai AU - Xu H AD - Division of Digestive Endoscopy, Yueqing City People's HospitalYueqingChina. FAU - Wu, Xia AU - Wu X AD - Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University College of MedicineHangzhouChina. FAU - Hu, Tingyang AU - Hu T AD - Department of Intervention, Zhejiang Provincial People's HospitalHangzhouChina. FAU - Huang, Jing AU - Huang J AD - Department of Hepatobiliary Surgery, Ningbo Medical Center, Lihuili Eastern HospitalNingboChina. FAU - Hu, Hongjie AU - Hu H AD - Department of Radiology, Sir Run Run Shaw Hospital, Zhejiang University College of MedicineHangzhouChina. FAU - Zheng, Jiaping AU - Zheng J AD - Department of Intervention, Zhejiang Cancer HospitalHangzhouChina. FAU - Luo, Jun AU - Luo J AD - Department of Intervention, Zhejiang Cancer HospitalHangzhouChina. FAU - Chen, Yutang AU - Chen Y AD - Department of Intervention, Zhejiang Cancer HospitalHangzhouChina. FAU - Yu, Wenqiang AU - Yu W AD - Department of Intervention, Zhejiang Provincial People's HospitalHangzhouChina. FAU - Shao, Guoliang AU - Shao G AD - Department of Intervention, Zhejiang Cancer HospitalHangzhouChina. LA - eng PT - Journal Article PT - Multicenter Study DEP - 20191219 PL - United States TA - Oncol Res JT - Oncology research JID - 9208097 RN - 0 (Antineoplastic Agents) SB - IM MH - Adult MH - Aged MH - Antineoplastic Agents/*administration & dosage/adverse effects MH - Carcinoma, Hepatocellular/diagnosis/mortality/*therapy MH - Chemoembolization, Therapeutic/adverse effects/*methods MH - Cohort Studies MH - Female MH - Humans MH - Liver Neoplasms/diagnosis/mortality/*therapy MH - Male MH - Middle Aged MH - Prognosis MH - Treatment Outcome PMC - PMC7851534 COIS- The authors declare no conflicts of interest. EDAT- 2019/12/21 06:00 MHDA- 2020/11/20 06:00 PMCR- 2020/05/29 CRDT- 2019/12/21 06:00 PHST- 2019/12/21 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2019/12/21 06:00 [entrez] PHST- 2020/05/29 00:00 [pmc-release] AID - OR1410 [pii] AID - 10.3727/096504019X15766663541105 [doi] PST - ppublish SO - Oncol Res. 2020 May 29;28(3):249-271. doi: 10.3727/096504019X15766663541105. Epub 2019 Dec 19.