A Pilot Study of Anlotinib as a Combination Treatment in Advanced Nasopharyngeal Carcinoma

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AIMS: To investigate the short-term objective response and treatment toxicity of anlotinib as a combination treatment in patients with Recurrent or Metastatic Nasopharyngeal Carcinoma (RM-NPC).

METHODS: Patients with RM-NPC who received anlotinib as a combination treatment between March 2021 and July 2022 were retrospectively analyzed.The efficacy and safety of anlotinib as a combination treatment were analyzed.

RESULTS: A total of 17 patients with RM-NPC were included in this study. Of these patients, 2 (11.8%) had local recurrence, 4 (23.5%) had cervical lymph node recurrence, and 11 (64.9%) had distant failure. The most common metastatic site was the liver (47.1%), followed by the lung (23.5%) and bone (23.5%). Anlotinib was given as first-line treatment in 3 patients (17.6%), second lines treatment in 7 patients (41.2%), and third to six-lines treatment in 7 patients (41.2%). All patients received anlotinib combined with chemotherapy and/or immunotherapy. One patient achieved a complete response (5.9%), 7 patients had a partial response (41.2%), 5 patients had stable disease (29.4%), and 4 patients had progressive disease (23.5%). The overall disease control rate and the overall response rate were 76.5% and 47.1%, respectively. The median progression-free survival was 8.1 months, and the median overall survival was not reached. The incidence of grade 3 adverse events was 30%. No unexpected side effects or treatment-related death were observed.

CONCLUSION: Anlotinib, as a combination treatment, has a promising antitumor activity and a manageable safety profile in patients with RM-NPC. Our results add to the growing evidence that supports the benefits of combining antiangiogenic drugs in RM-NPC. Randomized controlled clinical trials investigating the evaluation of anlotinib are warranted.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

Current cancer drug targets - 24(2024), 3 vom: 14., Seite 319-327

Sprache:

Englisch

Beteiligte Personen:

Zhou, Rui [VerfasserIn]
Zhou, Ping [VerfasserIn]
Yu, Yi-Feng [VerfasserIn]
Lin, Qin [VerfasserIn]
Wu, San-Gang [VerfasserIn]

Links:

Volltext

Themen:

Anlotinib
Chemotherapy
Efficacy
Immunotherapy.
Indoles
Journal Article
Nasopharyngeal carcinoma
Quinolines
Safety

Anmerkungen:

Date Completed 05.04.2024

Date Revised 19.04.2024

published: Print

Citation Status MEDLINE

doi:

10.2174/1568009623666230810121918

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM36063351X