PMID- 37675621 OWN - NLM STAT- MEDLINE DCOM- 20231027 LR - 20231028 IS - 1759-7714 (Electronic) IS - 1759-7706 (Print) IS - 1759-7706 (Linking) VI - 14 IP - 30 DP - 2023 Oct TI - Effectiveness and safety of human type 5 recombinant adenovirus (H101) in malignant tumor with malignant pleural effusion and ascites: A multicenter, observational, real-world study. PG - 3051-3057 LID - 10.1111/1759-7714.15101 [doi] AB - BACKGROUND: The aim of this study was to analyze the effectiveness and safety of H101 in Chinese patients with malignant pleural effusion and ascites (MPE/MA) in the real world. METHODS: This multicenter, observational, real-world study recruited patients with MPE/MA caused by malignant tumor receiving H101-containing treatment between January 2020 and June 2022. Effectiveness was evaluated by overall remission rate (ORR), and safety was evaluated based on adverse events (AEs). Subgroup analysis was performed on patients grouped according to tumor type, the volume of MPE and MA, and dosage of H101. RESULTS: A total of 643 eligible patients were enrolled, and 467 received H101 monotherapy and 176 received H101 combined with chemotherapy. The ORR of total patients was60.3% with 388 case of PR. In the H101 monotherapy group, the decrease of MPE or MA was achieved in 282 (60.4%, PR) patients, 176 (37.7%, NC) patients showed no change in volume of MPE or MA, and nine (1.9%, PD) patients showed an increase, yielding an ORR of 60.4% (282/467). The ORR for the combination therapy group was 60.2% (106/176), with 106 cases of PR, 69 cases of NC and one case of PD. Subgroup analyses based on tumor type, volume of MPE and MA, and dosage of H101 all showed high ORR, approximately 60%. The main AEs associated with H101-containing regimens were fever, nausea and vomiting. No serious AEs occurred in both groups. CONCLUSION: Encouraging clinical benefits and manageable toxicity of H101 against MPE/MA were preliminarily observed in the real-world clinical setting, indicating that the H101-containing regimen is reliable, safe, and feasible, providing a novel and effective option for the treatment of this disease. CI - (c) 2023 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. FAU - Wang, Baocheng AU - Wang B AUID- ORCID: 0009-0000-5635-5837 AD - Department of Oncology, No. 960 Hospital of PLA, Jinan, People's Republic of China. FAU - Zhong, Chen AU - Zhong C AD - Department of Oncology, No. 960 Hospital of PLA, Jinan, People's Republic of China. FAU - Liao, Zijun AU - Liao Z AD - Department of Medical Oncology, Shaanxi Provincial Cancer Hospital, Taiyuan, People's Republic of China. FAU - Wang, Haitao AU - Wang H AD - Department of Oncology, The Second Hospital of Tianjin Medical University, Tianjin, People's Republic of China. FAU - Cai, Xiuyu AU - Cai X AD - Department of General Internal Medicine, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China. FAU - Zhang, Yanbing AU - Zhang Y AD - Department of Medical Oncology, Shaanxi Provincial Cancer Hospital, Taiyuan, People's Republic of China. FAU - Wang, Jun AU - Wang J AUID- ORCID: 0000-0003-3941-2507 AD - Department of Oncology, The First Affiliated Hospital of Shandong First Medical University and Shandong Provincial Qianfoshan Hospital, Jinan, People's Republic of China. FAU - Wang, Tianxiao AU - Wang T AD - Hepatobiliary Pancreatic Center, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Beijing, People's Republic of China. FAU - Yao, Hongtao AU - Yao H AD - Department of Medical Affairs, Guangdong Techpool Bio-pharma Co., Ltd., Guangzhou, People's Republic of China. LA - eng PT - Journal Article PT - Multicenter Study PT - Observational Study DEP - 20230907 PL - Singapore TA - Thorac Cancer JT - Thoracic cancer JID - 101531441 SB - IM MH - Humans MH - *Pleural Effusion, Malignant/pathology MH - *Adenoviruses, Human MH - Ascites/drug therapy/etiology MH - Combined Modality Therapy MH - *Pleural Effusion PMC - PMC10599969 OTO - NOTNLM OT - human type 5 recombinant adenovirus OT - malignant ascites OT - malignant pleural effusion OT - malignant serous effusion OT - real-world COIS- The authors declare that they have no conflict of interest. EDAT- 2023/09/07 06:42 MHDA- 2023/10/27 06:43 PMCR- 2023/09/07 CRDT- 2023/09/07 05:35 PHST- 2023/08/24 00:00 [revised] PHST- 2023/07/07 00:00 [received] PHST- 2023/08/25 00:00 [accepted] PHST- 2023/10/27 06:43 [medline] PHST- 2023/09/07 06:42 [pubmed] PHST- 2023/09/07 05:35 [entrez] PHST- 2023/09/07 00:00 [pmc-release] AID - TCA15101 [pii] AID - 10.1111/1759-7714.15101 [doi] PST - ppublish SO - Thorac Cancer. 2023 Oct;14(30):3051-3057. doi: 10.1111/1759-7714.15101. Epub 2023 Sep 7.