Xu LX, Yuan JJ, Xue R, Zhou J. Nab-paclitaxel plus capecitabine as first-line treatment for advanced biliary tract cancers: An open-label, non-randomized, phase II clinical trial. World J Gastroenterol 2024; 30(30): 3564-3573 [PMID: 39193574 DOI: 10.3748/wjg.v30.i30.3564]
Corresponding Author of This Article
Jun Zhou, MD, Chief Doctor, Department of Gastrointestinal Oncology, Key Laboratory of Carcinogenesis and Translational Research (Ministry of Education/Beijing), Peking University Cancer Hospital and Institute, No. 52 Fucheng Road, Haidian District, Beijing 100142, China. joelbmu@126.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Clinical Trials 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. Aug 14, 2024; 30(30): 3564-3573 Published online Aug 14, 2024. doi: 10.3748/wjg.v30.i30.3564
Table 1 Basic demographic characteristics, n (%)
Characteristic
Total (n = 44)
Age, years (median, IQR)
64.00 (35.00, 76.00)
Sex
Male
18 (40.91)
Female
26 (59.09)
ECOG performance
0
25 (56.82)
1
19 (43.18)
Tumor subtype
Gallbladder cancer
20 (45.45)
Intrahepatic cholangiocarcinoma
11 (25.00)
Extrahepatic cholangiocarcinoma
13 (29.55)
Number of metastatic sites
No metastasis
3 (6.82)
Single
21 (47.73)
Multiple
20 (45.45)
Metastatic sites
Liver
20 (45.45)
Lung
5 (11.36)
Peritoneum
9 (20.45)
Previous antitumor therapy
Radical resection
26 (59.09)
Adjuvant systemic therapy
7 (15.91)
Stage
III
1 (2.27)
IV
40 (90.91)
Uncertain
3 (6.82)
Baseline CA199
< 37 U/mL
16 (36.36)
≥ 37 U/mL
28 (63.64)
Table 2 Treatment response in patients, n (%)
Therapeutic response assessment
Evaluable patients (n = 43)
Objective response rate (95%CI)
10 (23.26) (11.80-38.60)
Complete response
2 (4.65)
Partial response
8 (18.60)
Stable disease
20 (46.51)
Progressive disease
13 (30.23)
Disease control rate (95%CI)
30 (69.77) (53.90-82.80)
Progression-free survival (95%CI, months)
4.4 (2.5-6.3)
Overall survival (95%CI, months)
14.1 (8.3-19.9)
Table 3 Treatment response in patients with gallbladder cancer, intrahepatic cholangiocarcinoma and extrahepatic cholangiocarcinoma
ORR
DCR
OS (95%CI)
PFS (95%CI)
GBC
25.00 (11.19-46.87)
70.00 (48.10-85.45)
8.5 (2.3-14.8)
4.1 (2.1-5.9)
ICC
18.18 (5.14-47.70)
72.73 (43.44-90.25)
11.2 (5.2-17.3)
5.3 (2.0-8.5)
ECC
25.00 (8.89-53.23)
66.67 (39.06-86.19)
15.6 (3.9-27.2)
5.1 (0.0-11.0)
Table 4 Adverse events occurring in ≥ 10% of the patients, n (%)
Adverse event
Grade 1-2
Grade 3-4
All grades
Alopecia
35 (79.50)
0 (0.00)
35 (79.50)
Leukopenia
22 (50.00)
2 (4.55)
24 (54.55)
Neutropenia
19 (43.18)
4 (9.09)
23 (52.27)
Liver dysfunction
18 (40.91)
0 (0.00)
18 (40.91)
Hyperbilirubinemia
16 (36.36)
2 (4.55)
18 (40.91)
Anemia
14 (31.81)
2 (4.55)
16 (36.36)
Neurotoxicity
10 (22.71)
2 (4.55)
12 (27.27)
ST-T abnormal change
9 (20.45)
0 (0.00)
9 (20.45)
Sinus tachycardia
6 (13.64)
0 (0.00)
6 (13.64)
Anorexia
5 (11.36)
0 (0.00)
5 (11.36)
Citation: Xu LX, Yuan JJ, Xue R, Zhou J. Nab-paclitaxel plus capecitabine as first-line treatment for advanced biliary tract cancers: An open-label, non-randomized, phase II clinical trial. World J Gastroenterol 2024; 30(30): 3564-3573