PMID- 36259117 OWN - NLM STAT- MEDLINE DCOM- 20221020 LR - 20230118 IS - 1533-0338 (Electronic) IS - 1533-0346 (Print) IS - 1533-0338 (Linking) VI - 21 DP - 2022 Jan-Dec TI - Addition of Camrelizumab to Transarterial Chemoembolization in Hepatocellular Carcinoma With Untreatable Progression. PG - 15330338221131385 LID - 10.1177/15330338221131385 [doi] LID - 15330338221131385 AB - Purpose: The present retrospective study aimed to evaluate the efficacy and safety of camrelizumab addition to transarterial chemoembolization (TACE) in the treatment of hepatocellular carcinoma (HCC) with TACE-related untreatable progression (UP). Methods: Patients with HCC who received addition of camrelizumab due to UP after initial TACE treatment were enrolled at our institution between May 2019 and January 2021. Patients were assessed for tumor response, progression-free survival (PFS), and adverse events (AEs). Risk factors for PFS were evaluated with logistic regression analysis. Results: A total of 41 patients were included. The objective response rates (ORR) and disease control rates (DCR) were 24.4% and 61.0% at 2 to 3 months, and 12.2% and 58.5% at 6 months, respectively. The median PFS of the patients were 6 months (95% confidence interval [CI]: 3.8 months, 8.2 months). Of the 41 patients, 23 received camrelizumab combined with TACE (hereafter, camrelizumab-TACE) on whom 52 combined TACE procedures were performed, with a median of 2 procedures (range: 1-6) per patient. The remaining 18 patients received camrelizumab alone due to TACE contraindications. Multivariable analysis indicated that camrelizumab-TACE was an independent prognostic factor for PFS. Subgroup analysis showed a median PFS of 8 months in the camrelizumab-TACE group and 3 months in the camrelizumab monotherapy group (P < .001). No treatment-related mortalities occurred. Seventeen patients (41.5%) developed at least 1 type of AE after treatment with camrelizumab, with reactive cutaneous capillary endothelial proliferation (RCCEP) (n = 14, 34.1%) being the most common AE. Conclusion: Addition of camrelizumab to TACE offered an effective and safe treatment for HCC with UP. FAU - Ren, Yanqiao AU - Ren Y AUID- ORCID: 0000-0001-8086-4527 AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Liu, Ziyi AU - Liu Z AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Makamure, Joyman AU - Makamure J AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Kan, Xuefeng AU - Kan X AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Song, Songlin AU - Song S AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Liu, Yiming AU - Liu Y AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Qian, Kun AU - Qian K AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Zheng, Chuansheng AU - Zheng C AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. FAU - Liang, Bin AU - Liang B AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. AD - Hubei Provinve Key Laboratory of Molecular Imaging, Wuhan, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Technol Cancer Res Treat JT - Technology in cancer research & treatment JID - 101140941 RN - 73096E137E (camrelizumab) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/pathology MH - *Chemoembolization, Therapeutic/adverse effects/methods MH - *Liver Neoplasms/drug therapy MH - Retrospective Studies MH - Combined Modality Therapy PMC - PMC9583233 OTO - NOTNLM OT - adverse events OT - camrelizumab OT - progression-free survival OT - transarterial chemoembolization OT - untreatable progression COIS- The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article. EDAT- 2022/10/20 06:00 MHDA- 2022/10/21 06:00 PMCR- 2022/10/18 CRDT- 2022/10/19 02:23 PHST- 2022/10/19 02:23 [entrez] PHST- 2022/10/20 06:00 [pubmed] PHST- 2022/10/21 06:00 [medline] PHST- 2022/10/18 00:00 [pmc-release] AID - 10.1177_15330338221131385 [pii] AID - 10.1177/15330338221131385 [doi] PST - ppublish SO - Technol Cancer Res Treat. 2022 Jan-Dec;21:15330338221131385. doi: 10.1177/15330338221131385.