PMID- 32158266 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220413 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 12 DP - 2020 TI - Safety and Efficacy of PD-1 Inhibitors Plus Chemotherapy in Advanced Soft Tissue Sarcomas: A Retrospective Study. PG - 1339-1346 LID - 10.2147/CMAR.S237300 [doi] AB - PURPOSE: Programmed cell death 1 (PD-1) inhibitors are ineffective as monotherapy for the treatment of soft tissue sarcomas (STS). However, increasing evidence shows that the combination of PD-1 inhibitors and chemotherapy is efficacious and safe for many types of malignancies, including STS. This study aimed to assess the safety and efficacy of doxorubicin chemotherapy plus PD-1 inhibitor in the treatment of metastatic STS. PATIENTS AND METHODS: We retrospectively reviewed 21 patients with metastatic STS who received doxorubicin chemotherapy plus a PD-1 inhibitor between November 2017 and October 2018. RESULTS: The objective response rate was 47.6%, the disease control rate was 71.40%, and the median progression-free survival was 6 months (95% CI, 2-8 months). The average change in target lesion diameter from baseline was -25.15 +/- 41.61. Majority of the patients experienced grade 1/2 adverse events (AEs), the grade 3/4 AEs were few. The most common grade 3/4 AEs were as follows: leukopenia (23.8%) and anemia (19.0%). Immune-related AEs were common and included hypothyroidism (14.3%) and pneumonitiss (9.5%). No drug related deaths occurred. CONCLUSION: This study provides preliminary evidence that the combination of doxorubicin chemotherapy and PD-1 inhibitor for advanced STS is safe and effective. We plan to conduct randomized clinical trials to confirm and characterize the activity of the chemotherapy-immunotherapy combinations in the treatment of sarcomas. CI - (c) 2020 Tian et al. FAU - Tian, Zhichao AU - Tian Z AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Yang, Yonghao AU - Yang Y AD - Department of Immunotherapy, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Yang, Jinpo AU - Yang J AD - Department of Medical Oncology, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Zhang, Peng AU - Zhang P AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Zhang, Fan AU - Zhang F AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Du, Xinhui AU - Du X AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Li, Chao AU - Li C AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. FAU - Wang, Jiaqiang AU - Wang J AUID- ORCID: 0000-0002-4978-1501 AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan Province 450008, People's Republic of China. LA - eng PT - Journal Article DEP - 20200224 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC7047982 OTO - NOTNLM OT - camrelizumab OT - doxorubicin OT - immunotherapy OT - pembrolizumab COIS- The authors report no conflicts of interest in this work. EDAT- 2020/03/12 06:00 MHDA- 2020/03/12 06:01 PMCR- 2020/02/24 CRDT- 2020/03/12 06:00 PHST- 2019/11/04 00:00 [received] PHST- 2020/02/14 00:00 [accepted] PHST- 2020/03/12 06:00 [entrez] PHST- 2020/03/12 06:00 [pubmed] PHST- 2020/03/12 06:01 [medline] PHST- 2020/02/24 00:00 [pmc-release] AID - 237300 [pii] AID - 10.2147/CMAR.S237300 [doi] PST - epublish SO - Cancer Manag Res. 2020 Feb 24;12:1339-1346. doi: 10.2147/CMAR.S237300. eCollection 2020.