[Apatinib as Salvage Therapy for Heavily Pretreated SCLC]

Fangfang Li1, Haitao Tao2

  • 1Department of State Guest, Institute of Health Management, the Chinese PLA General Hospital, Beijing 100853, China.

Insights

Apatinib, an anti-angiogenic drug, showed partial response in advanced small cell lung cancer (SCLC) after chemotherapy failure. This targeted therapy offers potential for difficult-to-treat SCLC cases.

Area of Science:

  • Oncology
  • Pharmacology

Background:

  • Small cell lung cancer (SCLC) is highly malignant with limited treatment options post-chemotherapy and radiotherapy failure.
  • Antiangiogenic therapy, targeting tumor vascularization, presents a potential strategy for advanced SCLC.

Observation:

  • A patient with advanced SCLC and Gilbert syndrome received apatinib after four prior chemotherapy lines.
  • Apatinib, a VEGFR-2 inhibitor, was administered as a salvage treatment option.

Findings:

  • The patient achieved a partial response (RECIST 1.1) after one month of apatinib treatment.
  • Progression-free survival (PFS) was 5 months.
  • Apatinib was generally well-tolerated, with the main adverse event being recurrent grade 3 hyperbilirubinemia due to Gilbert syndrome.

Implications:

  • Apatinib demonstrates potential efficacy as a salvage therapy for advanced SCLC, even in patients with underlying bilirubin metabolism disorders.
  • Further clinical investigation of apatinib for advanced SCLC is warranted to explore its therapeutic role.

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