Clinical study of camrelizumab combined with docetaxel and carboplatin as a neoadjuvant treatment for locally advanced oesophageal squamous cell carcinoma
Herein, we aimed to evaluate the efficacy and safety of camrelizumab combined with docetaxel and carboplatin as a neoadjuvant treatment for locally advanced oesophageal squamous cell carcinoma (OSCC). Fifty-one patients with OSCC, treated from July 2020 to October 2022, were analyzed. Of them, 41 patients underwent surgery 4-8 weeks after undergoing two cycles of camrelizumab (200 mg IV Q3W) combined with docetaxel (75 mg/m2 IV Q3W) and carboplatin (area under the curve = 5-6 IV Q3W). The primary endpoint was the pathological complete response rate. All 51 patients (100%) experienced treatment-related grades 1-2 adverse events, and 2 patients (3.9%) experienced grade 4 events (including elevated alanine transaminase/aspartate transferase levels and Guillain-Barre syndrome). Fifty patients were evaluated for the treatment efficacy. Of them, 13 achieved complete response, and the objective response rate was 74%. Only 41 patients underwent surgical treatment. The pathological complete response rate was 17.1%, the major pathological response rate was 63.4%, and the R0 resection rate was 100%. Approximately 22% of the patients had tumor regression grades 0. Eight patients (19.5%) developed surgery-related complications. The median follow-up time was 18 months (range: 3-29 months). Four patients experienced disease progression, while four died. The median disease-free survival and overall survival were not reached. Camrelizumab combined with docetaxel and carboplatin is an effective and safe neoadjuvant treatment for locally advanced OSCC. This regimen may afford a potential strategy to treat patients with locally advanced OSCC.
基金:
Program for Innovative Research Team in Science and Technology; Department of Finance of Hebei Province [2022016]; Medical Health Science and Technology Project of Hebei Provincial Health Commission [20230781]
第一作者机构:[1]Hebei Med Univ, Hosp 4, Dept Thorac Surg, 12 Jiankang Rd, Shijiazhuang 050011, Hebei, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Hebei Med Univ, Hosp 4, Dept Thorac Surg, 12 Jiankang Rd, Shijiazhuang 050011, Hebei, Peoples R China[*1]DepartmentofThoracicSurgery,TheFourthHospitalofHebeiMedicalUniversity,No.12JiankangRd,Changan,Shijiazhuang,Hebei050011,China.
推荐引用方式(GB/T 7714):
Zhang Guo-Liang,Zhu Qi-Kun,Ma Tian-You,et al.Clinical study of camrelizumab combined with docetaxel and carboplatin as a neoadjuvant treatment for locally advanced oesophageal squamous cell carcinoma[J].DISEASES OF THE ESOPHAGUS.2024,37(4):doi:10.1093/dote/doad073.
APA:
Zhang, Guo-Liang,Zhu, Qi-Kun,Ma, Tian-You,Weng, Chen-Gang,Zhang, Dan-Dan...&Wang, Rui.(2024).Clinical study of camrelizumab combined with docetaxel and carboplatin as a neoadjuvant treatment for locally advanced oesophageal squamous cell carcinoma.DISEASES OF THE ESOPHAGUS,37,(4)
MLA:
Zhang, Guo-Liang,et al."Clinical study of camrelizumab combined with docetaxel and carboplatin as a neoadjuvant treatment for locally advanced oesophageal squamous cell carcinoma".DISEASES OF THE ESOPHAGUS 37..4(2024)