PMID- 35968352 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220816 IS - 2156-6976 (Print) IS - 2156-6976 (Electronic) IS - 2156-6976 (Linking) VI - 12 IP - 7 DP - 2022 TI - Different interventional time of hepatic arterial infusion with PD-1 inhibitor for advanced biliary tract cancer: a multicenter retrospective study. PG - 3455-3463 AB - This study investigated the efficacy and safety of hepatic artery infusion chemotherapy (HAIC) combined with PD-1 immunotherapy for advanced biliary tract cancer (BTC) and evaluated the optimal timing of HAIC. A total of 36 unresectable BTC patients treated with HAIC and PD-1 inhibitors between September 2019 and July 2021 were included in this study. Overall survival (OS), progression-free survival (PFS), tumor response, and adverse events (AEs) were investigated. Overall, 52.8% patients with advanced BTC were in stage IV, 23 patients who progressed after receiving PD-1 inhibitor had undergone HAIC, and 23 patients have received 2 or more lines of therapy. The median OS was 8.8 months (range: 4.0-24.0 months), and the median PFS was 3.7 months. The objective response rate and disease control rate were 11.5% and 76.9%, respectively. In the subgroup analysis, patients who treated with HAIC early without progression after immunotherapy were associated with a trend toward better OS (median 13.0 vs. 7.6 months; P = 0.004) and PFS (median 7.9 vs. 3.6 months; P = 0.09) compared to with HAIC with progression after PD-1 treatment. No treatment-related deaths occurred. A total of 44.4% of the patients experienced grade 3 or 4 AEs. We conclude that the combination of HAIC and PD-1 inhibitors is safe and effective. Early HAIC combined with immunotherapy can effectively prolong the overall survival of patients with advanced BTC. CI - AJCR Copyright (c) 2022. FAU - Zhang, Ting AU - Zhang T AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Yang, Xu AU - Yang X AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Yang, Xiaobo AU - Yang X AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Zheng, Kanglian AU - Zheng K AD - Department of Interventional Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute Beijing, China. FAU - Wang, Yanyu AU - Wang Y AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Wang, Yunchao AU - Wang Y AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Sang, Xinting AU - Sang X AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Lu, Xin AU - Lu X AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Xu, Yiyao AU - Xu Y AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. FAU - Wang, Xiaodong AU - Wang X AD - Department of Interventional Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education), Peking University Cancer Hospital & Institute Beijing, China. FAU - Zhao, Haitao AU - Zhao H AD - Department of Liver Surgery, Peking Union Medical College Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College (CAMS & PUMC) Beijing, China. LA - eng PT - Journal Article DEP - 20220715 PL - United States TA - Am J Cancer Res JT - American journal of cancer research JID - 101549944 PMC - PMC9360239 OTO - NOTNLM OT - Biliary tract cancer OT - PD-1 inhibitor OT - combination therapy OT - hepatic arterial infusion chemotherapy OT - interventional time of HAIC COIS- None. EDAT- 2022/08/16 06:00 MHDA- 2022/08/16 06:01 PMCR- 2022/07/15 CRDT- 2022/08/15 04:13 PHST- 2022/02/21 00:00 [received] PHST- 2022/06/26 00:00 [accepted] PHST- 2022/08/15 04:13 [entrez] PHST- 2022/08/16 06:00 [pubmed] PHST- 2022/08/16 06:01 [medline] PHST- 2022/07/15 00:00 [pmc-release] PST - epublish SO - Am J Cancer Res. 2022 Jul 15;12(7):3455-3463. eCollection 2022.