PMID- 35022908 OWN - NLM STAT- MEDLINE DCOM- 20220720 LR - 20240426 IS - 1432-0851 (Electronic) IS - 0340-7004 (Print) IS - 0340-7004 (Linking) VI - 71 IP - 8 DP - 2022 Aug TI - A real-world study of the efficacy and safety of anti-PD-1 antibodies plus lenvatinib in patients with advanced gallbladder cancer. PG - 1889-1896 LID - 10.1007/s00262-021-03121-0 [doi] AB - BACKGROUND: Anti-PD-1 antibodies plus lenvatinib therapeutic regimens have demonstrated a relatively high antitumor response in many solid cancers; however, the efficacy and safety of anti-PD-1 antibodies plus lenvatinib in patients with advanced gallbladder cancer (GBC) has not been reported. METHODS: Advanced GBC patients who received anti-PD-1 antibodies plus lenvatinib were retrospectively screened. Overall survival (OS), progression-free survival (PFS), objective response rate (ORR), disease control rate (DCR), clinical benefit rate (CBR), PD-L1 expression and safety were evaluated to identify efficacy biomarkers. RESULTS: A total of 31 GBC patients were included in this study. After a median follow-up of 8 months and 23 deaths were observed. The median PFS was 5.0 months (95% CI: 4.1-8.0 months), and the median OS was 11.3 months (95% CI: 7.5-20.9 months). Overall, the ORR was 32.3%, the DCR was 83.9%, and the CBR was 41.9%. Moreover, after treatment, 3 patients received conventional surgery, in which 1 patient achieved a pathological complete response. All patients (100%) experienced adverse events (AEs), and 58.1% of the patients experienced grade 3 AEs. The most commonly observed grade 3 AEs included fatigue (5/31, 16.1%), decreased appetite (5/31, 16.1%), hypertension (4/31, 12.9%) and bilirubin elevation (4/31, 12.9%). Subgroup analysis revealed that positive PD-L1 expression maybe associate with a longer PFS. CONCLUSION: Anti-PD-1 antibodies plus lenvatinib represent an effective and tolerable therapy for patients with advanced gallbladder cancer. CI - (c) 2021. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature. FAU - Zuo, Bangyou AU - Zuo B AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Yang, Xiaobo AU - Yang X AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Yang, Xu AU - Yang X AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Bian, Jin AU - Bian J AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Long, Junyu AU - Long J AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Wang, Dongxu AU - Wang D AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Ning, Cong AU - Ning C AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Wang, Yanyu AU - Wang Y AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Xun, Ziyu AU - Xun Z AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Wang, Yunchao AU - Wang Y AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Lu, Xin AU - Lu X AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Mao, Yilei AU - Mao Y AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. FAU - Sang, Xinting AU - Sang X AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. sangxt@pumch.cn. FAU - Zhao, Haitao AU - Zhao H AUID- ORCID: 0000-0002-3444-8044 AD - Department of Liver Surgery, State Key Laboratory of Complex Severe and Rare Diseases, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College (CAMS & PUMC), Beijing, 100730, China. ZhaoHT@pumch.cn. LA - eng GR - 2016YFE0107100/international science and technology cooperation programme/ GR - L172055/natural science foundation of beijing municipality/ GR - 7192158/natural science foundation of beijing municipality/ GR - 3332018032/fundamental research funds for central universities of the central south university/ PT - Journal Article DEP - 20220113 PL - Germany TA - Cancer Immunol Immunother JT - Cancer immunology, immunotherapy : CII JID - 8605732 RN - 0 (Antibodies, Monoclonal, Humanized) RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (B7-H1 Antigen) RN - 0 (Phenylurea Compounds) RN - 0 (Quinolines) RN - EE083865G2 (lenvatinib) SB - IM MH - Antibodies, Monoclonal, Humanized/therapeutic use MH - *Antineoplastic Agents, Immunological/therapeutic use MH - B7-H1 Antigen/metabolism MH - *Gallbladder Neoplasms/drug therapy MH - Humans MH - Phenylurea Compounds MH - Quinolines MH - Retrospective Studies PMC - PMC10991186 OTO - NOTNLM OT - Gallbladder cancer OT - Lenvatinib OT - PD-1 OT - PD-L1 expression COIS- The authors declare that they have no conflict of interest. EDAT- 2022/01/14 06:00 MHDA- 2022/07/22 06:00 PMCR- 2022/01/13 CRDT- 2022/01/13 06:20 PHST- 2021/07/16 00:00 [received] PHST- 2021/11/24 00:00 [accepted] PHST- 2022/01/14 06:00 [pubmed] PHST- 2022/07/22 06:00 [medline] PHST- 2022/01/13 06:20 [entrez] PHST- 2022/01/13 00:00 [pmc-release] AID - 10.1007/s00262-021-03121-0 [pii] AID - 3121 [pii] AID - 10.1007/s00262-021-03121-0 [doi] PST - ppublish SO - Cancer Immunol Immunother. 2022 Aug;71(8):1889-1896. doi: 10.1007/s00262-021-03121-0. Epub 2022 Jan 13.