PMID- 37345608 OWN - NLM STAT- MEDLINE DCOM- 20230623 LR - 20230625 IS - 1842-1121 (Electronic) IS - 1841-8724 (Linking) VI - 32 IP - 2 DP - 2023 Jun 22 TI - Transarterial Chemoembolization plus Apatinib with or without Camrelizumab for the Treatment of Advanced HBV-related Hepatocellular Carcinoma. PG - 182-189 LID - 10.15403/jgld-4667 [doi] AB - AIMS: To compare the effectiveness and safety of transarterial chemoembolization (TACE) combined with apatinib plus camrelizumab (TACE+AC) versus TACE combined with apatinib alone (TACE+A) for patients with advanced HBV-related hepatocellular carcinoma (HBV-HCC). METHODS: The clinical data of patients with HBV-HCC who received either TACE+AC or TACE+A treatment were retrospectively analyzed. Overall survival (OS), progression-free survival (PFS), objective response rate (ORR), disease control rate (DCR), and adverse events (AEs) were compared between the two groups. Multivariate Cox proportional hazards model regression analysis was used to identify the independent prognostic factors of OS. RESULTS: Between March 2019 to January 2022, 76 patients were assigned to the TACE+AC group (n = 37) and the TACE+A group (n=39). The median OS and PFS in the TACE+AC group were significantly longer than those in the TACE+A group (OS, 15.4 vs. 11.3 months; p=0.008; PFS, 7.4 vs. 5.1 months; p=0.001) and the ORR and DCR in the TACE + AC group were significantly greater than those in the TACE+A group (ORR, 43.2% vs. 20.5%; p=0.033; DCR, 67.6% vs. 43.6%; p=0.036). There was no significant difference in the incidence of grade >/=3 AEs between the two groups (p=0.483). Multivariate regression analysis identified the treatment modalities, AFP level, and extrahepatic metastasis as independent prognostic factors (p<0.05). CONCLUSION: TACE+AC significantly improved the clinical outcomes of patients with HBV-HCC and elicited relatively controllable AEs. FAU - Liu, Haonan AU - Liu H AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. . why974300@163.com. FAU - Yu, Qianqian AU - Yu Q AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. 913472366@qq.com. FAU - Gu, Ting AU - Gu T AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. 1257422312@qq.com. FAU - Qu, Pengfei AU - Qu P AD - Department of Gastroenterology, The Second Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. qupengfei1678@163.com. FAU - Ma, Xiao AU - Ma X AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. 1764112529@qq.com. FAU - Zhou, Shuang AU - Zhou S AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. 1500972766@qq.com. FAU - Lu, Tong AU - Lu T AD - Department of Gastroenterology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. lutong334@163.com. FAU - Pan, Di AU - Pan D AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. pd666@163.com. FAU - Han, Zhengxiang AU - Han Z AD - Department of Oncology, The Affiliated Hospital of Xuzhou Medical University, Jiangsu, China. cnhzxyq@163.com. LA - eng PT - Journal Article DEP - 20230622 PL - Romania TA - J Gastrointestin Liver Dis JT - Journal of gastrointestinal and liver diseases : JGLD JID - 101272825 RN - 5S371K6132 (apatinib) RN - 73096E137E (camrelizumab) SB - IM MH - Humans MH - *Carcinoma, Hepatocellular/pathology MH - *Liver Neoplasms/pathology MH - Hepatitis B virus MH - Retrospective Studies MH - *Chemoembolization, Therapeutic/adverse effects MH - Combined Modality Therapy EDAT- 2023/06/22 06:42 MHDA- 2023/06/23 06:42 CRDT- 2023/06/22 05:43 PHST- 2022/10/17 00:00 [received] PHST- 2023/03/19 00:00 [accepted] PHST- 2023/06/23 06:42 [medline] PHST- 2023/06/22 06:42 [pubmed] PHST- 2023/06/22 05:43 [entrez] AID - 10.15403/jgld-4667 [doi] PST - epublish SO - J Gastrointestin Liver Dis. 2023 Jun 22;32(2):182-189. doi: 10.15403/jgld-4667.