Wang HC, Huang X, Chen J, Li Y, Cong Y, Qu BL, Feng SQ, Liu F. Long-term efficacy and predictors of pembrolizumab-based regimens in patients with advanced esophageal cancer in the real world. World J Gastroenterol 2023; 29(41): 5641-5656 [PMID: 38077159 DOI: 10.3748/wjg.v29.i41.5641]
Corresponding Author of This Article
Fang Liu, MD, Chief Physician, Department of Radiotherapy, The First Medical Center of Chinese PLA General Hospital, No. 28 Fuxing Road, Haidian District, Beijing 100853, China. liufangfsq@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Retrospective Study
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastroenterol. Nov 7, 2023; 29(41): 5641-5656 Published online Nov 7, 2023. doi: 10.3748/wjg.v29.i41.5641
Table 1 Patient baseline characteristics (n = 55)
Characteristics
n (%)
Age (yr)
Median
61
Range
44-74
Sex
Male
43 (78.2)
Female
12 (21.8)
Tumor location
Upper esophagus
19 (34.5)
Middle esophagus
25 (45.5)
Lower esophagus
11 (20)
Clinical stage
II
10 (18.2)
III
19 (34.5)
IV
26 (47.3)
Subgroups
Chemoradiotherapy plus pembrolizumab (group A)
21 (38.2)
Neoadjuvant therapy plus surgery (group B)
20 (36.4)
Chemotherapy plus pembrolizumab (group C)
14 (25.5)
Table 2 Summary of overall survival
All patients (n = 55)
Group A (n = 20)
Group B (n = 21)
Group C (n = 14)
Patients with event
16 (29.1%)
8 (40.0%)
4 (19.0%)
4 (28.6%)
Patients without event
39 (70.9%)
12 (60.0%)
17 (81.0%)
10 (71.4%)
Time to event (mo)
Median
-
-
-
-
95%CI
27.0, -
9.0, -
27.0, -
12.0, -
25% and 75%-ile
15.50, -
10.50, -
27.00, -
12.50, -
Min-max
0.5-39
5-26
2.6-39
0.5-35
12 mo probability (95%CI)
78.8 (65.1-87.7)
65.0 (40.3-81.5)
95.0 (69.5-99.3)
75.0 (40.8-91.2)
18 mo probability (95%CI)
72.7 (58.3-82.9)
60.0 (35.7-77.6)
89.7 (64.8-97.3)
66.7 (33.7-86.0)
Table 3 Summary of progression-free survival
Group A (n = 20)
Group C (n = 14)
Patients with event
11 (55.0%)
4 (28.6%)
Patients without event
9 (45.0%)
10 (71.4%)
Time to event (mo)
Median
17
-
95%CI
8.0, -
9.0, -
25% and 75%-ile
8.50, -
12.0, -
Min-max
5-26
0.5-35
12 mo probability (95%CI)
55.0 (31.3-73.5)
67.7 (34.9-86.5)
18 mo probability (95%CI)
50.0 (27.1-69.2)
67.7 (34.9-86.5)
Table 4 Summary of disease-free survival
Group B (n = 21)
Patients with event
7 (33.3%)
Patients without event
14 (66.7%)
Time to event (mo)
Median
-
95%CI
5.0, -
25% and 75%-ile
17.50, -
Min-max
2.6-27
12 mo probability (95%CI)
85.0 (60.4-94.9)
18 mo probability (95%CI)
75.0 (50.0-88.7)
Table 5 Patterns of recurrence and immune maintenance therapy
Patterns of recurrence
Immune maintenance therapy
Local
Distant organ
Group A (20)
4 (20%)
1 (5%)
10 (50%)
Group B (21)
2 (9%)
5 (24%)
3 (14.3%)
Group C (14)
2 (14.3%)
4 (28.6%)
7 (50%)
Citation: Wang HC, Huang X, Chen J, Li Y, Cong Y, Qu BL, Feng SQ, Liu F. Long-term efficacy and predictors of pembrolizumab-based regimens in patients with advanced esophageal cancer in the real world. World J Gastroenterol 2023; 29(41): 5641-5656