PD-1 Inhibitors Plus Capecitabine as Maintenance Therapy for Advanced Intrahepatic Cholangiocarcinoma: A Case Report and Review of Literature

Front Immunol. 2021 Dec 24:12:799822. doi: 10.3389/fimmu.2021.799822. eCollection 2021.

Abstract

Intrahepatic cholangiocarcinoma (iCCA) is the second most common primary liver cancer with a poor prognosis. Recently, an immunotherapy strategy represented by programmed cell death 1 (PD-1) inhibitors has been applied to the systemic treatment of advanced iCCA. However, immunotherapy combined with chemotherapy as first-line maintenance therapy was rarely reported. Our report presented an advanced iCCA patient who had a dramatic response to the PD-1 inhibitor sintilimab combined with gemcitabine plus cisplatin as the first-line therapy and sintilimab combined with capecitabine as maintenance therapy, yielding an ongoing progression-free survival of 16 months.

Keywords: biomarker (BM); capecitabine; immunotherapy; intrahepatic cholangiocarcinoma (iCCA); maintenance therapy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • Antibodies, Monoclonal, Humanized / administration & dosage*
  • Antineoplastic Combined Chemotherapy Protocols / therapeutic use
  • Bile Duct Neoplasms / drug therapy*
  • Capecitabine / administration & dosage*
  • Cholangiocarcinoma / drug therapy*
  • Humans
  • Immune Checkpoint Inhibitors / administration & dosage*
  • Maintenance Chemotherapy / methods*
  • Male
  • Middle Aged

Substances

  • Antibodies, Monoclonal, Humanized
  • Immune Checkpoint Inhibitors
  • Capecitabine
  • sintilimab