PMID- 35096555 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220430 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 11 DP - 2021 TI - Safety and Efficacy of Transarterial Chemoembolization Combined With Immune Checkpoint Inhibitors and Tyrosine Kinase Inhibitors for Hepatocellular Carcinoma. PG - 657512 LID - 10.3389/fonc.2021.657512 [doi] LID - 657512 AB - PURPOSE: To explore the safety and efficacy of transarterial chemoembolization (TACE) in combination with immune checkpoint inhibitors (ICIs) and tyrosine kinase inhibitors (TKIs) for the treatment of unresectable hepatocellular carcinoma (uHCC). MATERIALS AND METHODS: From August 2019 to July 2020, patients who received TACE combined with ICIs and TKIs were retrospectively analyzed. Treatment-related adverse events (AEs) were recorded. The Kaplan-Meier method was used to estimate time to progression (TTP) and progression-free survival (PFS). RESULTS: In total, 31 patients with uHCC were included. Eleven patients were classified as BCLC-C. Nineteen patients had multiple lesions, and the cumulative targeted lesions were 69 mm (range, 21-170 mm) according to mRECIST. Twenty-nine (93%) patients experienced at least one AE during the treatment. Four (12.9%) patients developed AEs of higher grade (grade>/=3). The objective response rate (ORR) and disease control rate (DCR) were 64.5% and 77.4%, respectively. The median time to response was 7 weeks (range, 4-30 w), and the duration of response was 17.5 weeks (range, 2-46 w). From the first ICIs, TTP and PFS were 6.5 months (95% CI, 3.5-11) and 8.5 months (95% CI, 3.5-NE), respectively. CONCLUSIONS: TACE combined with ICIs and TKIs shows an acceptable safety profile and considerable efficacy in patients with HCC. CI - Copyright (c) 2022 Yang, Yang, Xiang, Zhong, Li, Shen, Zhang, Yin, Sun, Wang and Zhu. FAU - Yang, Fei AU - Yang F AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. AD - Department of Interventional Radiology, Affiliated Hospital of Jiangnan University, Wuxi, China. FAU - Yang, Jun AU - Yang J AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Xiang, Wei AU - Xiang W AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. AD - Department of Oncology Intervention, Taizhou Municipal Hospital, Taizhou, China. FAU - Zhong, Bin-Yan AU - Zhong BY AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Li, Wan-Ci AU - Li WC AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Shen, Jian AU - Shen J AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Zhang, Shuai AU - Zhang S AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Yin, Yu AU - Yin Y AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Sun, Hong-Peng AU - Sun HP AD - Department of Child Health, Jiangsu Key Laboratory of Preventive and Translational Medicine for Geriatric Diseases, School of Public Health, Soochow University, Suzhou, China. FAU - Wang, Wan-Sheng AU - Wang WS AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Zhu, Xiao-Li AU - Zhu XL AD - Department of Interventional Radiology, The First Affiliated Hospital of Soochow University, Suzhou, China. LA - eng PT - Journal Article DEP - 20220113 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC8792047 OTO - NOTNLM OT - TACE OT - hepatocellular carcinoma OT - immune checkpoint inhibitors OT - immunotherapy OT - targeted therapy OT - tyrosine kinase inhibitors COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2022/02/01 06:00 MHDA- 2022/02/01 06:01 PMCR- 2021/01/01 CRDT- 2022/01/31 05:59 PHST- 2021/01/23 00:00 [received] PHST- 2021/12/20 00:00 [accepted] PHST- 2022/01/31 05:59 [entrez] PHST- 2022/02/01 06:00 [pubmed] PHST- 2022/02/01 06:01 [medline] PHST- 2021/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2021.657512 [doi] PST - epublish SO - Front Oncol. 2022 Jan 13;11:657512. doi: 10.3389/fonc.2021.657512. eCollection 2021.