Wang L, Diao YZ, Ma XF, Luo YS, Guo QJ, Chen XQ. Clinical evaluation of sintilimab in conjunction with bevacizumab for advanced colorectal cancer with microsatellite stable-type after failure of first-line therapy. World J Gastrointest Surg 2024; 16(10): 3277-3287 [PMID: 39575283 DOI: 10.4240/wjgs.v16.i10.3277]
Corresponding Author of This Article
Xiao-Qian Chen, Attending Doctor, Department of Gastrointestinal Oncology Surgery, Affiliated Hospital of Qinghai University, No. 29 Tongren Road, West District, Xining 810000, Qinghai Province, China. cxq925@163.com
Research Domain of This Article
Oncology
Article-Type of This Article
Randomized Controlled Trial
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 Gastrointest Surg. Oct 27, 2024; 16(10): 3277-3287 Published online Oct 27, 2024. doi: 10.4240/wjgs.v16.i10.3277
Table 1 Comparison of baseline data between the two groups, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
Gender
1.000
Male
36 (60.00)
30 (60.00)
Female
24 (40.00)
20 (40.00)
Age (years)
62.23 ± 7.49
61.20 ± 7.74
0.480
Clinical stage
0.366
Stage III
8 (13.30)
4 (8.00)
Stage IV
52 (86.70)
46 (92.00)
Stage IV
0.532
Hepatic metastases
48 (80.00)
43 (86.00)
Bone metastases
3 (5.00)
1 (1.66)
Pulmonary metastasis
1 (1.66)
1 (1.66)
Brain metastases
0 (0.00)
1 (1.66)
Degree of differentiation
0.091
Low differentiation
30 (50.00)
35 (70.00)
Moderate differentiation
22 (36.70)
10 (20.00)
High differentiation
8 (13.30)
5 (10.00)
BMI (kg/m2)
20.58 ± 2.03
20.17 ± 1.65
0.256
Colon tumor
36 (60.00)
25 (50.00)
0.293
Rectal tumor
24 (40.00)
25 (50.00)
Table 2 Pre-treatment and post-treatment positive expression rates of cluster of differentiation 8 (+) T lymphocytes, tumor-associated macrophages, and cancer-associated fibroblasts in experimental participants and controls, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
CD8 (+) T lymphocytes
Pre-treatment
6 (10.00)
10 (20.00)
0.139
Post-treatment
30 (50.00)
15 (30.00)
0.033
TAMs
Pre-treatment
46 (76.70)
40 (80.00)
0.673
Post-treatment
14 (23.30)
30 (60.00)
0.001
CAFs
Pre-treatment
42 (70.00)
35 (70.00)
1.000
Post-treatment
14 (23.30)
25 (50.00)
0.003
Table 3 Therapeutic outcomes of the experimental participants and controls, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
CR
0
0
-
PR
16
5
0.023
SD
12
10
1.000
PD
32
35
0.073
ORR
16 (26.70)
5 (10.00)
0.023
DCR
28 (46.70)
15 (30.00)
0.073
PFS (months, mean ± SD)
5.04 ± 1.83
4.69 ± 1.30
0.247
mPFS (months)
5
4
-
Table 4 The incidence of drug-associated adverse events in experimental and control participants, n (%)
Characteristic
Experimental group (n = 60)
Control group (n = 50)
P value
Hypertension
3 (5.00)
0 (0.00)
0.054
I
2 (3.30)
0 (0.00)
II
1 (1.70)
0 (0.00)
Proteinuria
4 (6.70)
5 (10.00)
0.526
I
2 (3.35)
3 (6.00)
II
2 (3.35)
2 (4.00)
Gastrointestinal perforation
0 (0.00)
0 (0.00)
-
I
0 (0.00)
0 (0.00)
II
0 (0.00)
0 (0.00)
Bleeding
1 (1.70)
0 (0.00)
0.269
I
1 (1.70)
0 (0.00)
II
0 (0.00)
0 (0.00)
Arterial thrombosis
0 (0.00)
0 (0.00)
-
I
0 (0.00)
0 (0.00)
II
0 (0.00)
0 (0.00)
Thrombocytopenia
7 (11.70)
5 (10.00)
0.780
I
3 (5.00)
3 (6.00)
II
4 (6.70)
2 (4.00)
Pneumonia, nephritis, hepatitis, and endocrine disorders
0 (0.00)
0 (0.00)
-
I
0 (0.00)
0 (0.00)
II
0 (0.00)
0 (0.00)
Diarrhea and enteritis
3 (5.00)
2 (4.00)
0.801
I
2 (3.30)
2 (4.00)
II
1 (1.70)
0 (0.00)
Number of cases
18
12
0.525
I
10
8
II
8
4
Citation: Wang L, Diao YZ, Ma XF, Luo YS, Guo QJ, Chen XQ. Clinical evaluation of sintilimab in conjunction with bevacizumab for advanced colorectal cancer with microsatellite stable-type after failure of first-line therapy. World J Gastrointest Surg 2024; 16(10): 3277-3287