PMID- 35844026 OWN - NLM STAT- MEDLINE DCOM- 20221122 LR - 20221122 IS - 2095-0225 (Electronic) IS - 2095-0217 (Linking) VI - 16 IP - 5 DP - 2022 Oct TI - Anlotinib as third- or further-line therapy for short-term relapsed small-cell lung cancer: subgroup analysis of a randomized phase 2 study (ALTER1202). PG - 766-772 LID - 10.1007/s11684-021-0916-8 [doi] AB - Patients with small-cell lung cancer (SCLC) relapse within months after completing previous therapies. This study aimed to investigate the efficacy and safety of anlotinib as third- or further-line therapy in patients with short-term relapsed SCLC from ALTER1202. Patients with short-term relapsed SCLC (disease progression within 3 months after completing ⩾ two lines of chemotherapy) in the anlotinib (n = 67) and placebo (n = 34) groups were analyzed. The primary endpoint was progression-free survival (PFS). The secondary endpoints included overall survival, objective response rate (ORR), disease control rate, and safety. Anlotinib significantly improved median PFS/OS (4.0 vs. 0.7 months, P < 0.0001)/(7.3 vs. 4.4 months, P = 0.006) compared with placebo. The ORR was 4.5%/2.9% in the anlotinib/placebo group (P = 1.000). The DCR in the anlotinib group was higher than that in the placebo group (73.1% vs. 11.8%, P < 0.001). The most common adverse events (AEs) were hypertension (38.8%), loss of appetite (28.4%), and fatigue (22.4%) in the anlotinib group and gammaglutamyl transpeptidase elevation (20.6%) in the placebo group. No grade 5 AEs occurred. For patients with short-term relapsed SCLC, third- or further-line anlotinib treatment was associated with improved survival benefit. Further studies are warranted in this regard. CI - (c) 2022. Higher Education Press. FAU - Shi, Jianhua AU - Shi J AD - Department of Medical Oncology, Linyi Cancer Hospital, Linyi, 276002, China. FAU - Cheng, Ying AU - Cheng Y AD - Department of Thoracic Medical Oncology, Jilin Cancer Hospital, Changchun, 130012, China. jl.cheng@163.com. FAU - Wang, Qiming AU - Wang Q AD - Department of Internal Medicine, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou, 450003, China. FAU - Li, Kai AU - Li K AD - Department of Pulmonary Oncology, Tianjin Medical University Cancer Institute and Hospital, Tianjin, 300060, China. FAU - Wu, Lin AU - Wu L AD - Department of Thoracic Medical Oncology, The Affiliated Cancer Hospital of Xiangya School of Medicine, Central South University (Hunan Cancer Hospital), Changsha, 410031, China. FAU - Han, Baohui AU - Han B AD - Department of Respiratory Medicine, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, China. FAU - Chen, Gongyan AU - Chen G AD - Department of Respiratory Medicine, Harbin Medical University Cancer Hospital, Harbin, 150081, China. FAU - He, Jianxing AU - He J AD - Department of Thoracic Surgery, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, 510120, China. FAU - Wang, Jie AU - Wang J AD - National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, 100021, China. FAU - Qin, Haifeng AU - Qin H AD - Department of Pulmonary Oncology, The Fifth Medical Centre of Chinese PLA General Hospital, Beijing, 100039, China. FAU - Li, Xiaoling AU - Li X AD - Department of Medical Oncology, Liaoning Cancer Hospital, Shenyang, 110042, China. LA - eng PT - Clinical Trial, Phase II PT - Journal Article PT - Randomized Controlled Trial DEP - 20220716 PL - China TA - Front Med JT - Frontiers of medicine JID - 101549428 RN - 0 (anlotinib) RN - 0 (Quinolines) SB - IM MH - Humans MH - *Lung Neoplasms/drug therapy MH - Treatment Outcome MH - Neoplasm Recurrence, Local/drug therapy/chemically induced MH - *Quinolines/adverse effects OTO - NOTNLM OT - anlotinib OT - chemotherapy OT - short-term relapsed OT - small-cell lung cancer EDAT- 2022/07/18 06:00 MHDA- 2022/11/23 06:00 CRDT- 2022/07/17 23:20 PHST- 2021/08/11 00:00 [received] PHST- 2021/12/21 00:00 [accepted] PHST- 2022/07/18 06:00 [pubmed] PHST- 2022/11/23 06:00 [medline] PHST- 2022/07/17 23:20 [entrez] AID - 10.1007/s11684-021-0916-8 [pii] AID - 10.1007/s11684-021-0916-8 [doi] PST - ppublish SO - Front Med. 2022 Oct;16(5):766-772. doi: 10.1007/s11684-021-0916-8. Epub 2022 Jul 16.