PMID- 35645118 OWN - NLM STAT- MEDLINE DCOM- 20220603 LR - 20220603 IS - 1998-4138 (Electronic) IS - 1998-4138 (Linking) VI - 18 IP - 2 DP - 2022 Apr TI - Camrelizumab (SHR-1210) with carboplatin and albumin-binding paclitaxel in patients with metastatic or recurrent cervical cancer: An open-label, phase 2 trial. PG - 482-487 LID - 10.4103/jcrt.jcrt_1851_21 [doi] AB - AIMS: This study evaluates the safety and preliminary antitumor efficacy of camrelizumab with albumin-binding paclitaxel and cisplatin as first-line therapy for patients with recurrent or metastatic cervical carcinoma. METHODS AND MATERIAL: In this phase 2, open-label, prospective study, 35 patients with recurrent or metastatic cervical carcinoma with no previous systemic chemotherapy were included. The patients were treated with a maximum of six cycles of camrelizumab on day 1, albumin-binding paclitaxel, and carboplatin on day 2, every 3 weeks, followed by camrelizumab once every 3 weeks. The primary outcomes were objective response rate (ORR) and disease control rate (DCR). Secondary outcomes were duration of response (DoR) and safety. Furthermore, 27 patients were included in the per-protocol set for efficacy analysis, whereas for the safety analysis, all patients were included. RESULTS: The median follow-up was 4.53 months, and the complete response, partial response, and stable disease were also achieved in 4 (14.81%), 6 (22.22%), and 13 (48.15%) patients. The ORR and DCR were 40.00% (95% confidence interval: 21.13-61.33%) and 92.00% (73.97-99.01%), respectively. The median DoR was 6.70 months. In addition, the most common adverse events (AEs) were reactive cutaneous capillary endothelial proliferation (RCCEP) (23, 65.71%), gastrointestinal reaction (8, 22.86%), and fever (8, 22.86%). Grade 3 AEs included 5 (14.29%) myelosuppression, and grade 4 AEs included 1 (2.86%) RCCEP and 1 (2.86%) bladder inflammation. CONCLUSIONS: Combination therapy of camrelizumab and albumin-bound paclitaxel and carboplatin shows promising efficacy and manageable toxicities in patients with recurrent or metastatic cervical cancer. FAU - Zhang, Xiaoling AU - Zhang X AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Chen, Jinlong AU - Chen J AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Liu, Naifu AU - Liu N AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Wang, Qian AU - Wang Q AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Wu, Qian AU - Wu Q AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Gao, Fufeng AU - Gao F AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Sang, Yingchun AU - Sang Y AD - Department of Gynecologic Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, Shandong, People's Republic of China. FAU - Wang, Ping AU - Wang P AD - Department of Gynecology, People's Hospital of Zouping City, Binzhou, Shandong, People's Republic of China. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PL - India TA - J Cancer Res Ther JT - Journal of cancer research and therapeutics JID - 101249598 RN - 0 (Albumin-Bound Paclitaxel) RN - 0 (Albumins) RN - 0 (Antibodies, Monoclonal, Humanized) RN - 73096E137E (camrelizumab) RN - BG3F62OND5 (Carboplatin) RN - P88XT4IS4D (Paclitaxel) SB - IM MH - *Albumin-Bound Paclitaxel MH - Albumins MH - Antibodies, Monoclonal, Humanized MH - Antineoplastic Combined Chemotherapy Protocols/adverse effects MH - Carboplatin MH - Chronic Disease MH - Female MH - Humans MH - Paclitaxel/therapeutic use MH - Prospective Studies MH - *Uterine Cervical Neoplasms/pathology OTO - NOTNLM OT - Albumin-bound paclitaxel OT - camrelizumab (shr-1210) OT - carboplatin OT - cervical cancer OT - prospective study COIS- None EDAT- 2022/06/02 06:00 MHDA- 2022/06/07 06:00 CRDT- 2022/06/01 11:05 PHST- 2022/06/01 11:05 [entrez] PHST- 2022/06/02 06:00 [pubmed] PHST- 2022/06/07 06:00 [medline] AID - JCanResTher_2022_18_2_482_345533 [pii] AID - 10.4103/jcrt.jcrt_1851_21 [doi] PST - ppublish SO - J Cancer Res Ther. 2022 Apr;18(2):482-487. doi: 10.4103/jcrt.jcrt_1851_21.