PMID- 33574700 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220420 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 13 DP - 2021 TI - Efficacy and Safety of Anlotinib Combined with Liposomal Doxorubicin Followed by Anlotinib Maintenance in Metastatic Soft Tissue Sarcomas. PG - 1009-1016 LID - 10.2147/CMAR.S286322 [doi] AB - PURPOSE: Anlotinib is a novel tyrosine kinase inhibitor with promising anti-tumor activity in patients with advanced soft tissue sarcomas (STS) in China. Liposomal doxorubicin monotherapy showed an encouraging effect on this disease. The aim of this study was to evaluate the efficacy and safety of anlotinib combined with liposomal doxorubicin followed by anlotinib maintenance in patients with metastatic STS. PATIENTS AND METHODS: This is a multicenter, retrospective, observational study. We reviewed 27 patients with metastatic STS from July 2018 to December 2019, who were treated with anlotinib combined with liposomal doxorubicin followed by anlotinib maintenance in the absence of the tumor progression or intolerable adverse events (AEs). RESULTS: Of the 27 patients included, 2 patients had complete response (CR), 9 patients obtained partial response (PR), 11 patients achieved stable disease (SD). The objective response rate was 40.7%, the disease control rate was 81.5%, and the median progression-free survival (PFS) was 7 months (95% CI, 5.3-8.1 months). The progression-free rate (PFR) at 3 and 6 months was 81.5% and 59.3%, respectively. Most AEs were mild and acceptable. The most frequent grade 3/4 AEs were leukopenia (33.3%), febrile neutropenia (7.4%), and anemia (7.4%). No deaths related to the treatment were reported. CONCLUSION: This study shows that anlotinib combined with liposomal doxorubicin followed by anlotinib maintenance is effective in patients with metastatic STS, and most AEs of this combined therapy are mild and acceptable. Further investigation on its efficacy is warranted. CI - (c) 2021 Liu et al. FAU - Liu, Zhiyong AU - Liu Z AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan, People's Republic of China. FAU - Yao, Weitao AU - Yao W AD - Department of Orthopedics, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan, People's Republic of China. FAU - Zhao, Yao AU - Zhao Y AD - Department of Orthopedics, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, People's Republic of China. FAU - Liu, Oufei AU - Liu O AD - Department of Oncology, The Fifth Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, 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, People's Republic of China. FAU - Ge, Hong AU - Ge H AD - Department of Radiation Oncology, The Affiliated Cancer Hospital of Zhengzhou University and Henan Cancer Hospital, Zhengzhou, Henan, People's Republic of China. LA - eng PT - Journal Article DEP - 20210204 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC7871875 OTO - NOTNLM OT - anlotinib OT - efficacy OT - liposomal doxorubicin OT - safety OT - soft tissue sarcomas COIS- The authors report no conflicts of interest in this work. EDAT- 2021/02/13 06:00 MHDA- 2021/02/13 06:01 PMCR- 2021/02/04 CRDT- 2021/02/12 06:07 PHST- 2020/10/12 00:00 [received] PHST- 2021/01/05 00:00 [accepted] PHST- 2021/02/12 06:07 [entrez] PHST- 2021/02/13 06:00 [pubmed] PHST- 2021/02/13 06:01 [medline] PHST- 2021/02/04 00:00 [pmc-release] AID - 286322 [pii] AID - 10.2147/CMAR.S286322 [doi] PST - epublish SO - Cancer Manag Res. 2021 Feb 4;13:1009-1016. doi: 10.2147/CMAR.S286322. eCollection 2021.