PMID- 34941058 OWN - NLM STAT- MEDLINE DCOM- 20220217 LR - 20230103 IS - 1536-5964 (Electronic) IS - 0025-7974 (Print) IS - 0025-7974 (Linking) VI - 100 IP - 51 DP - 2021 Dec 23 TI - Effect and safety of anlotinib combined with S-1 for recurrent or metastatic esophageal cancer patients who refused or were intolerant to intravenous chemotherapy. PG - e28126 LID - 10.1097/MD.0000000000028126 [doi] LID - e28126 AB - This study aimed to evaluate the effect and safety of anlotinib combined with S-1 in the treatment of recurrent or metastatic esophageal cancer patients who refused or were intolerant to intravenous chemotherapy.This study retrospectively reviewed 22 recurrent or metastatic esophageal cancer patients who refused or were intolerant to intravenous chemotherapy between June 1, 2018 and February 28, 2019. All patients did not previously receive anlotinib or S-1.Of 22 patients, 20 patients had squamous cell cancer. Seventeen patients received at least 2 cycles of anlotinib plus S-1. The objective response rate (ORR) was 35.3%, and the disease control rate (DCR) was 82.4%. The median progression-free survival (PFS) was 3.5 months, and median overall survival (OS) was 5.2 months. In the first-line treatment subgroup, the ORR was 50%, the DCR was 80%, the median PFS was 4.5 months, and the median OS was 5.8 months. In the second-line and above treatment subgroup, the ORR was 14.3%, the DCR was 85.7%, the median PFS was 3.0 months, and the median OS was 3.7 months. The main adverse events (AEs) of anlotinib combined with S-1 were fatigue (58.8%), hypertension (47.1%), hemoptysis (29.4%), anemia (29.4%), nausea (23.5%), liver function damage (23.5%), albuminuria (17.6%), abdominal pain (17.6%), leukopenia (17.6%), neutropenia (11.8%), fever (11.8%), and hand-foot syndrome (11.8%). Grade 3 AEs included nausea (5.9%) and hypertension (5.9%), and no grade 4 or more AEs were reported.Anlotinib combined with S-1 achieved promising disease control and satisfactory survival with tolerable safety in recurrent metastatic esophageal cancer who refused or were intolerant to intravenous chemotherapy. CI - Copyright (c) 2021 the Author(s). Published by Wolters Kluwer Health, Inc. FAU - Cai, Jing AU - Cai J AD - The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China. FAU - Zhou, Shan AU - Zhou S AD - Medical College of Nanchang University, Nanchang, Jiangxi Province, China. FAU - Luo, Yuxi AU - Luo Y AD - Medical College of Nanchang University, Nanchang, Jiangxi Province, China. FAU - Liu, Anwen AU - Liu A AUID- ORCID: 0000-0001-5279-1068 AD - The Second Affiliated Hospital of Nanchang University, Nanchang, Jiangxi Province, China. LA - eng PT - Journal Article PL - United States TA - Medicine (Baltimore) JT - Medicine JID - 2985248R RN - 0 (Antimetabolites, Antineoplastic) RN - 0 (Drug Combinations) RN - 0 (Indoles) RN - 0 (Quinolines) RN - 0 (anlotinib) RN - 150863-82-4 (S 1 (combination)) RN - 1548R74NSZ (Tegafur) RN - 5VT6420TIG (Oxonic Acid) SB - IM MH - Antimetabolites, Antineoplastic/*therapeutic use MH - Drug Combinations MH - Esophageal Neoplasms/*drug therapy/pathology MH - Humans MH - Indoles/administration & dosage/*therapeutic use MH - Neoplasm Recurrence, Local MH - Neoplasms, Squamous Cell/*drug therapy/*pathology MH - Oxonic Acid/*therapeutic use MH - Quinolines/administration & dosage/*therapeutic use MH - Retrospective Studies MH - Tegafur/*therapeutic use MH - Treatment Outcome PMC - PMC8702052 COIS- The authors report no conflicts of interest. EDAT- 2021/12/24 06:00 MHDA- 2022/02/19 06:00 PMCR- 2021/12/23 CRDT- 2021/12/23 14:07 PHST- 2021/05/04 00:00 [received] PHST- 2021/11/15 00:00 [accepted] PHST- 2021/12/23 14:07 [entrez] PHST- 2021/12/24 06:00 [pubmed] PHST- 2022/02/19 06:00 [medline] PHST- 2021/12/23 00:00 [pmc-release] AID - 00005792-202112230-00034 [pii] AID - MD-D-21-03405 [pii] AID - 10.1097/MD.0000000000028126 [doi] PST - ppublish SO - Medicine (Baltimore). 2021 Dec 23;100(51):e28126. doi: 10.1097/MD.0000000000028126.