PMID- 37875427 OWN - NLM STAT- MEDLINE DCOM- 20231031 LR - 20231031 IS - 0253-3766 (Print) IS - 0253-3766 (Linking) VI - 45 IP - 10 DP - 2023 Oct 23 TI - [Efficacy and safety of Anlotinib in the treatment of advanced sarcoma]. PG - 904-910 LID - 10.3760/cma.j.cn112152-20210820-00632 [doi] AB - Objective: Patients with advanced sarcomas have a dismal prognosis with few effective therapies. The purpose of this study was to evaluate the efficacy and safety of anlotinib in the treatment of advanced sarcoma and to explore the relationship between adverse events (AEs) and efficacy. Methods: Data from 45 advanced sarcoma patients who received anlotinib monotherapy at Affiliated Cancer Hospital of Zhengzhou University between June 2018 and August 2021 were retrospectively analyzed. According to Response Evaluation Criteria In Solid Tumors (RECIST) Version 1.1, the objective remission rate (ORR) and disease control rate (DCR) were calculated, and the progression free survival (PFS) and treatment-related AEs were recorded and analyzed. Survival analysis was conducted using the Kaplan-Meier survival rates were compared using the Log rank test. Results: Forty patients were treated for more than 1.5 months and received efficacy evaluation. The ORR and DCR after 3 months were 7.5%(3/40) and 80.0%(32/40), respectively. The overall ORR was 2.5%(1/40), the total DCR was 27.5%(11/40), and the median progression-free survival (m-PFS) was 6.70 months; The m-PFS of alveolar soft tissue sarcoma (ASPS) was 10.27 months, which was significantly longer than that of other subtypes of sarcoma (P=0.048). In addition, the DCR of ASPS and synovial sarcoma (SS) was significantly better than that of osteosarcoma (P<0.05). The most common AEs were elevated thyroid stimulating hormone (17.8%, 8/45), anemia (15.6%, 7/45), fatigue (11.1%, 5/45). Five patients developed grade 3 AEs after treatment; The PFS of patients with hand-foot syndrome after treatment was significantly longer than that of patients without hand-foot syndrome (14.10 vs 6.00, P=0.024). Conclusions: The efficacy of anlotinib in the treatment of ASPS and SS is better than that of other subtypes. The PFS in the group with hand-foot syndrome was significantly longer than that of the group without hand-foot syndrome. FAU - Yan, Q AU - Yan Q AD - Department of Bone and Soft Tumor, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China. FAU - Yao, W T AU - Yao WT AD - Department of Bone and Soft Tumor, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China. FAU - Du, X H AU - Du XH AD - Department of Bone and Soft Tumor, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China. FAU - Guo, L Y AU - Guo LY AD - Department of Bone and Soft Tumor, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China. FAU - Fan, Y C AU - Fan YC AD - Department of Bone and Soft Tumor, Affiliated Cancer Hospital of Zhengzhou University, Henan Cancer Hospital, Zhengzhou 450003, China. LA - chi PT - English Abstract PT - Journal Article PL - China TA - Zhonghua Zhong Liu Za Zhi JT - Zhonghua zhong liu za zhi [Chinese journal of oncology] JID - 7910681 RN - 0 (anlotinib) SB - IM MH - Humans MH - *Hand-Foot Syndrome MH - Retrospective Studies MH - *Sarcoma/drug therapy MH - *Sarcoma, Synovial/drug therapy MH - *Soft Tissue Neoplasms MH - *Bone Neoplasms OTO - NOTNLM OT - Anlotinib OT - Efficacy OT - Osteosarcoma OT - Safety OT - Soft tissue sarcoma EDAT- 2023/10/25 00:42 MHDA- 2023/10/31 06:42 CRDT- 2023/10/24 22:42 PHST- 2023/10/31 06:42 [medline] PHST- 2023/10/25 00:42 [pubmed] PHST- 2023/10/24 22:42 [entrez] AID - 10.3760/cma.j.cn112152-20210820-00632 [doi] PST - ppublish SO - Zhonghua Zhong Liu Za Zhi. 2023 Oct 23;45(10):904-910. doi: 10.3760/cma.j.cn112152-20210820-00632.