PMID- 33760397 OWN - NLM STAT- MEDLINE DCOM- 20211207 LR - 20211214 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 12 IP - 9 DP - 2021 May TI - SHR-1316, an anti-PD-L1 antibody, plus chemotherapy as the first-line treatment for advanced esophageal squamous cell carcinoma: A multicentre, phase 2 study. PG - 1373-1381 LID - 10.1111/1759-7714.13913 [doi] AB - BACKGROUND: This multicentre, open-label study evaluated the efficacy and safety of antiprogrammed death ligand 1 antibody SHR-1316 plus liposomal irinotecan and 5-fluorouracil as the first-line treatment for patients with advanced esophageal squamous cell carcinoma (ESCC). METHODS: Eligible patients received SHR-1316 (10 mg/kg), liposomal irinotecan (60 mg/m(2) for the first cycle, 80 mg/m(2) thereafter), and 5-fluorouracil (2400 mg/m(2) ) every 14 days until disease progression, intolerable toxicity or withdrawal of consent. The primary endpoint was progression-free survival (PFS). Secondary endpoints were objective response rate (ORR), disease control rate (DCR), overall survival (OS), and safety. RESULTS: We enrolled 23 patients between 11 March 2019 and 31 May 2019. The median follow-up duration was 15.2 months (95% CI 14.2-16.2). The median PFS was 8.5 months (95% CI 1.2-15.8), and ORR and DCR were 52.2% (95% CI 30.1-74.3) and 73.9% (95% CI 54.5-93.3), respectively. The median OS was 11.6 months (95% CI 6.7-16.6). The most common treatment-related grade 3-4 adverse events (AEs) were neutropenia (17.4%), nausea (13.0%), and anorexia (13.0%). Treatment-related serious AEs occurred in two patients. No treatment-related deaths occurred. CONCLUSIONS: SHR-1316 plus liposomal irinotecan and 5-fluorouracil has a promising efficacy and manageable safety profile, and could be a new first-line treatment approach for patients with unresectable locally advanced or distant metastatic ESCC. CI - (c) 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Mu, Lan AU - Mu L AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Song, Yan AU - Song Y AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Zhao, Kuaile AU - Zhao K AD - Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai, China. AD - Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, China. FAU - Liu, Ying AU - Liu Y AD - Department of Medical Oncology of Henan Cancer Hospital, Zhengzhou University Affiliated Cancer Hospital, Zhengzhou, China. FAU - Fan, Qingxia AU - Fan Q AD - Department of Oncology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, China. FAU - Wang, Xi AU - Wang X AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Li, Qun AU - Li Q AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. FAU - Wang, Xiaopeng AU - Wang X AD - Department of Clinical Medicine, Jiangsu Hengrui Medicine Co. Ltd, Lianyungang, China. FAU - Huang, Jing AU - Huang J AUID- ORCID: 0000-0002-2167-8385 AD - Department of Medical Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China. AD - National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital & Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't DEP - 20210324 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 RN - 0 (Antibodies, Monoclonal) SB - IM MH - Adolescent MH - Adult MH - Aged MH - Antibodies, Monoclonal/pharmacology/*therapeutic use MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology/*therapeutic use MH - Esophageal Squamous Cell Carcinoma/*drug therapy/mortality/pathology MH - Female MH - Humans MH - Male MH - Middle Aged MH - Progression-Free Survival MH - Prospective Studies MH - Young Adult PMC - PMC8088918 OTO - NOTNLM OT - anti-PD-L1 antibody OT - chemotherapy OT - esophageal squamous cell carcinoma OT - liposomal irinotecan COIS- Xiaopeng Wang is an employee of Jiangsu Hengrui Medicine Co. Ltd. The other authors declare no competing interests. EDAT- 2021/03/25 06:00 MHDA- 2021/12/15 06:00 PMCR- 2021/05/01 CRDT- 2021/03/24 13:15 PHST- 2021/02/14 00:00 [revised] PHST- 2021/01/29 00:00 [received] PHST- 2021/02/14 00:00 [accepted] PHST- 2021/03/25 06:00 [pubmed] PHST- 2021/12/15 06:00 [medline] PHST- 2021/03/24 13:15 [entrez] PHST- 2021/05/01 00:00 [pmc-release] AID - TCA13913 [pii] AID - 10.1111/1759-7714.13913 [doi] PST - ppublish SO - Thorac Cancer. 2021 May;12(9):1373-1381. doi: 10.1111/1759-7714.13913. Epub 2021 Mar 24.