PMID- 38074659 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20231211 IS - 2234-943X (Print) IS - 2234-943X (Electronic) IS - 2234-943X (Linking) VI - 13 DP - 2023 TI - Efficacy and safety of tyrosine kinase inhibitors plus PD-1 inhibitor in patients with transarterial chemoembolization- refractory hepatocellular carcinoma: a two-center retrospective study. PG - 1231359 LID - 10.3389/fonc.2023.1231359 [doi] LID - 1231359 AB - OBJECT: To investigate the efficacy and safety of tyrosine kinase inhibitors (TKIs: sorafenib and lenvatinib) plus PD-1 inhibitor (camrelizumab) versus TKIs alone in transarterial chemoembolization-refractory (TACE-refractory) hepatocellular carcinoma (HCC). MATERIALS AND METHODS: Data of TACE-refractory HCC patients treated with TACE+TKIs+PD-1 inhibitor (TACE+TKIs+PD-1group) (n=57) or TACE+TKIs (TACE+TKIs group) (n=50) from January 2019 to January 2022 were retrospectively collected and analyzed. The differences in overall survival (OS), progression-free survival (PFS), tumor responses (based on modified Response Evaluation Criteria in Solid Tumors) and adverse events (AEs) were compared between the two groups. Potential factors affecting OS and PFS were evaluated by univariate and multivariate analyses. RESULTS: Compared with the TKIs group, both PFS and OS were prolonged in the TACE+TKIs+PD-1 group (median PFS: 7 months vs. 5 months, P=0.007; median OS: 17 months vs. 11 months, P=0.002). In multivariate analysis, tumor size and treatment were independent prognostic factors for PFS and OS. The incidence and severity of AEs related to the treatment between the two groups showed no significant difference. CONCLUSION: The treatment of TACE combined with TKIs plus camrelizumab demonstrated promising efficacy and safety in TACE-refractory HCC. CI - Copyright (c) 2023 Gao, Lu and Xiong. FAU - Gao, Ya AU - Gao Y AD - Department of Gastroenterology, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Lu, Haohao AU - Lu H AD - Department of Radiology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. FAU - Xiong, Zhifan AU - Xiong Z AD - Department of Gastroenterology, Liyuan Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China. LA - eng PT - Journal Article DEP - 20231122 PL - Switzerland TA - Front Oncol JT - Frontiers in oncology JID - 101568867 PMC - PMC10702950 OTO - NOTNLM OT - PD-1 OT - TACE-refractory OT - camrelizumab OT - hepatocellular carcinoma OT - overall survival OT - tyrosine kinase inhibitor COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/12/11 06:45 MHDA- 2023/12/11 06:46 PMCR- 2023/01/01 CRDT- 2023/12/11 05:46 PHST- 2023/05/30 00:00 [received] PHST- 2023/11/03 00:00 [accepted] PHST- 2023/12/11 06:46 [medline] PHST- 2023/12/11 06:45 [pubmed] PHST- 2023/12/11 05:46 [entrez] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fonc.2023.1231359 [doi] PST - epublish SO - Front Oncol. 2023 Nov 22;13:1231359. doi: 10.3389/fonc.2023.1231359. eCollection 2023.