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Chinese Journal of Critical Care Medicine(Electronic Edition) ›› 2021, Vol. 14 ›› Issue (02): 127-132. doi: 10.3877/cma.j.issn.1674-6880.2021.02.006

Special Issue:

• Original Article • Previous Articles     Next Articles

Efficacy and safety of camrelizumab in patients with recurrent or advanced cervical cancer and endometrial cancer

Yuxin Zhang1, Hanmei Lou1, Xiaojuan Lyu1, Zhuomin Yin1, Xiaoxian Xu1, Li Li1, Juan Ni1,()   

  1. 1. Department of Gynecologic Tumor Radiotherapy, Institute of Basic Medicine and Cancer, Chinese Academy of Sciences, Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital), Hangzhou 310022, China
  • Received:2020-12-29 Online:2021-04-30 Published:2021-07-03
  • Contact: Juan Ni

Abstract:

Objective

To evaluate the efficacy and safety of programmed death-1 (PD-1) inhibitor (camrelizumab) in the treatment of patients with recurrent or advanced cervical cancer and endometrial cancer.

Methods

Thirty-one patients with recurrent or advanced cervical cancer and endometrial cancer who had received PD-1 inhibitor (camrelizumab) at the Cancer Hospital of the University of Chinese Academy of Sciences (Zhejiang Cancer Hospital) from August 2019 to July 2020 were collected. The primary end points were objective response rate (ORR) and disease control rate (DCR); the secondary end points were progression-free survival (PFS) and incidence of adverse reactions.

Results

Among the 31 patients, 24 had cervical cancer and 7 had endometrial cancer. Four patients were treated with immune monotherapy, while 27 were treated with combination immunotherapy. The ORR was 45.16% (14/31), and the DCR was 70.97% (22/31) in all patients. The follow-up time was 2.9 to 14.6 months, and the median PFS was not reached. The incidence of adverse reactions was 58.06% (18/31). The main adverse reactions were myelosuppression, reactive cutaneous capillary endothelial proliferation and thyroid dysfunction, and no adverse reactions of grade ≥ 3 in combination immunotherapy were observed.

Conclusion

The PD-1 inhibitor camrelizumab has certain efficacy and safety in the treatment of patients with recurrent or advanced cervical cancer and endometrial cancer.

Key words: Endometrial neoplasms, Uterine crvical neoplasms, Camrelizumab, Immunotherapy

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