Efficacy and safety of pembrolizumab combined with albumin-bound paclitaxel and nedaplatin for advanced esophageal squamous cell carcinoma

Immunotherapy. 2024 Mar;16(5):305-317. doi: 10.2217/imt-2023-0188. Epub 2024 Jan 10.

Abstract

Objective: This research aimed to assess the efficacy and safety of pembrolizumab (PBL) combined with albumin-bound paclitaxel (ab-Pac) and nedaplatin (NDP) for advanced esophageal squamous cell carcinoma (ESCC). Methods: A total of 47 ESCC patients were administered PBL or NDP on day 1 and ab-Pac on days 1 and 8, every 21 days for one cycle. Tumor and toxicities were evaluated every two cycles and every cycle, respectively. Results: The objective response rate was 68.1% and the disease control rate was 100%. The median follow-up was 16.7 months; median progression-free and overall survival were 12.6 and 19.9 months, respectively. Conclusion: The combination of PBL with ab-Pac and NDP proved to be an effective and safe treatment regimen for advanced ESCC.

Keywords: ESCC; NDP; PBL; ab-Pac; albumin-bound paclitaxel; esophageal squamous cell carcinoma; immunotherapy; nedaplatin; pembrolizumab.

MeSH terms

  • Albumin-Bound Paclitaxel / therapeutic use
  • Antibodies, Monoclonal, Humanized*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Esophageal Neoplasms* / drug therapy
  • Esophageal Neoplasms* / pathology
  • Esophageal Squamous Cell Carcinoma* / drug therapy
  • Humans
  • Organoplatinum Compounds*
  • Paclitaxel / therapeutic use
  • Treatment Outcome

Substances

  • Albumin-Bound Paclitaxel
  • nedaplatin
  • pembrolizumab
  • Paclitaxel
  • Organoplatinum Compounds
  • Antibodies, Monoclonal, Humanized