Rationale and Objectives
To explore the safety and efficacy of drug-eluting bead transarterial chemoembolization
(DEB-TACE) loaded with oxaliplatin for stage III-IV non-small-cell lung cancer (NSCLC).
Materials and Methods
From October 2018 to May 2021, a total of 31 patients with stage III-IV NSCLC received
DEB-TACE loaded with oxaliplatin. Demographic characteristics, adverse events (AEs),
and treatment responses were collected. Overall survival (OS) and progression-free
survival (PFS) were calculated using the Kaplan–Meier method.
Results
All 31 patients successfully received DEB-TACE loaded with oxaliplatin. No procedure-related
severe adverse events occurred. Hemoptysis symptoms presented in 8 patients but disappeared
within 1-3 days. After DEB-TACE for 1, 2, and 6 months, the objective response rate
(ORR) was 42%, 35%, and 26%, while the disease control rate (DCR) was 90%, 84% and
61%, respectively. The median PFS was 7 months (range 1-31 months), and the PFS rates
at 3, 6, and 12 months were 87%, 71% and 29%, respectively. The median OS was 11 months
(range 1-31 months), with OS rates of 87%, 77%, and 39% at 3, 6, and 12 months, respectively.
Conclusion
Oxaliplatin-loaded DEB-TACE is a feasible, safe, and effective treatment for patients
with advanced refractory non-small-cell lung cancer.
Key Words
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Article info
Publication history
Published online: February 14, 2022
Accepted:
January 18,
2022
Received in revised form:
January 17,
2022
Received:
November 28,
2021
Identification
Copyright
© 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.