PMID- 35740647 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 14 IP - 12 DP - 2022 Jun 16 TI - Real-World Data on Ramucirumab Therapy including Patients Who Experienced Two or More Systemic Treatments: A Multicenter Study. LID - 10.3390/cancers14122975 [doi] LID - 2975 AB - BACKGROUND: The present study aimed to clarify the efficacy and safety of ramucirumab in a real-world setting, including patients who experienced two or more systemic treatments or whose hepatic reserve was deteriorated. METHODS: In total, 79 patients with hepatocellular carcinoma (HCC) from 14 institutes throughout Japan were retrospectively analyzed. The response was evaluated using the Response Evaluation Criteria in Solid Tumors (RECIST) version 1.1, and AEs were recorded according to the Common Terminology Criteria for AEs (CTCAE) version 5.0. RESULTS: Median overall survival (OS) in the total cohort was 7.5 months (m). Median OS was 8.8 m in patients who were administered ramucirumab as a second-line treatment, while it was 7.3 m in third- or later-line treatment. Progression-free survival rates in the second- and third- or later-line therapies were 3.2 m and 3.2 m, respectively. The disease control rate (DCR) in the study was 43%. There were no statistically significant differences in DCR between the treatment courses. Regarding adverse events (AEs), the development of ascites was observed significantly more frequently in modified albumin-bilirubin (mALBI) 2b/3 patients than in mALBI 1/2a patients (54.5% vs. 25.0%, p = 0.03). CONCLUSIONS: Ramucirumab is useful as a second-line therapy and feasible as a third- or later-line treatment for HCC. FAU - Yasui, Yutaka AU - Yasui Y AUID- ORCID: 0000-0002-6117-4990 AD - Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. FAU - Kurosaki, Masayuki AU - Kurosaki M AUID- ORCID: 0000-0001-7016-8931 AD - Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. FAU - Tsuchiya, Kaoru AU - Tsuchiya K AUID- ORCID: 0000-0003-0436-5915 AD - Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. FAU - Hayakawa, Yuka AU - Hayakawa Y AD - Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. FAU - Hasebe, Chitomi AU - Hasebe C AD - Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa 070-8530, Japan. FAU - Abe, Masami AU - Abe M AD - Department of Gastroenterology, Japanese Red Cross Asahikawa Hospital, Asahikawa 070-8530, Japan. FAU - Ogawa, Chikara AU - Ogawa C AUID- ORCID: 0000-0002-4534-6692 AD - Department of Gastroenterology, Takamatsu Red Cross Hospital, Takamatsu 760-0017, Japan. FAU - Joko, Kouji AU - Joko K AD - Center for Liver-Biliary-Pancreatic Disease, Matsuyama Red Cross Hospital, Matsuyama 790-8524, Japan. FAU - Ochi, Hironori AU - Ochi H AD - Center for Liver-Biliary-Pancreatic Disease, Matsuyama Red Cross Hospital, Matsuyama 790-8524, Japan. FAU - Tada, Toshifumi AU - Tada T AD - Department of Gastroenterology, Japanese Red Cross Society Himeji Hospital, Himeji 670-8540, Japan. FAU - Nakamura, Shinichiro AU - Nakamura S AD - Department of Gastroenterology, Japanese Red Cross Society Himeji Hospital, Himeji 670-8540, Japan. FAU - Furuta, Koichiro AU - Furuta K AD - Department of Internal Medicine, Masuda Red Cross Hospital, Masuda 698-8501, Japan. FAU - Kimura, Hiroyuki AU - Kimura H AD - Department of Gastroenterology, Japanese Red Cross Kyoto Daiichi Hospital, Kyoto 605-0981, Japan. FAU - Tsuji, Keiji AU - Tsuji K AD - Department of Gastroenterology, Hiroshima Red Cross Hospital and Atomic-bomb Survivors Hospital, Hiroshima 730-8619, Japan. FAU - Kojima, Yuji AU - Kojima Y AD - Department of Gastroenterology, Japanese Red Cross Ise Hospital, Ise 516-8512, Japan. FAU - Akahane, Takehiro AU - Akahane T AD - Department of Gastroenterology, Ishinomaki Red Cross Hospital, Ishinomaki 986-8522, Japan. FAU - Tamada, Takashi AU - Tamada T AD - Department of Gastroenterology, Takatsuki Red Cross Hospital, Takatsuki 569-1096, Japan. FAU - Uchida, Yasushi AU - Uchida Y AD - Department of Gastroenterology, Matsue Red Cross Hospital, Matsue 690-8506, Japan. FAU - Kondo, Masahiko AU - Kondo M AD - Department of Gastroenterology, Otsu Red Cross Hospital, Otsu 520-8511, Japan. FAU - Mitsuda, Akeri AU - Mitsuda A AD - Department of Internal Medicine, Japanese Red Cross Tottori Hospital, Tottori 680-8517, Japan. FAU - Izumi, Namiki AU - Izumi N AD - Department of Gastroenterology and Hepatology, Musashino Red Cross Hospital, Tokyo 180-8610, Japan. CN - Japanese Red Cross Liver Study Group LA - eng GR - none/Miyakawa Memorial Research Foundation/ GR - none/Uehara Memorial Foundation/ GR - JP20fk0210067h0001/Japan Agency for Medical Research and Development/ PT - Journal Article DEP - 20220616 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC9221496 OTO - NOTNLM OT - hepatocellular carcinoma OT - molecularly targeted agents OT - ramucirumab COIS- Y.Y. received a grant from the Uehara Memorial Foundation and Miyakawa Memorial Research Foundation. Y.Y. received a speaker's bureau from Eli Lilly, Chugai, Eisai, and Takeda. M.K. (Masayuki Kurosaki) received speaker's bureau from Gilead, AbbVie, Bayer, Eli Lilly, Chugai, Eisai, and Otsuka. K.T. received speaker's bureau from Bayer, Chugai, Takeda, Eisai, and Eli Lilly. N.I. received speaker's bureau from Bayer, Chugai, Eli Lilly, Eisai, and Takeda. The funders had no role in the design of the study; in the collection, analyses, or interpretation of data; in the writing of the manuscript, or in the decision to publish the results. EDAT- 2022/06/25 06:00 MHDA- 2022/06/25 06:01 PMCR- 2022/06/16 CRDT- 2022/06/24 01:07 PHST- 2022/05/22 00:00 [received] PHST- 2022/06/11 00:00 [revised] PHST- 2022/06/14 00:00 [accepted] PHST- 2022/06/24 01:07 [entrez] PHST- 2022/06/25 06:00 [pubmed] PHST- 2022/06/25 06:01 [medline] PHST- 2022/06/16 00:00 [pmc-release] AID - cancers14122975 [pii] AID - cancers-14-02975 [pii] AID - 10.3390/cancers14122975 [doi] PST - epublish SO - Cancers (Basel). 2022 Jun 16;14(12):2975. doi: 10.3390/cancers14122975.