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Metastatic sites of baseline as predictors in recurrent or metastatic nasopharyngeal carinoma treated with PD-L1 inhibitor: a secondary analysis of multicenter, single-arm, phase II study (KL-A167)

Study Overview

This study examines how the location of metastatic sites affects the treatment outcomes of recurrent or metastatic nasopharyngeal carcinoma (R/M NPC) patients receiving a PD-L1 inhibitor called KL-A167.

Key Findings

  • Patient Demographics: 153 patients were studied, with an average age of 47 years; 81% were male.
  • Metastatic Sites: Most patients had distant metastasis, with many having more than two sites, including the liver, lung, lymph nodes, and bones.
  • Survival Rates: Patients without liver metastasis had significantly better outcomes:
    • Progress-Free Survival (PFS): 144 days vs. 72 days for those with liver metastasis.
    • Overall Survival (OS): 730 days vs. 305 days for those with liver metastasis.
  • Prognostic Value: Liver metastasis was identified as a critical factor affecting survival, indicating a need for alternative treatments for these patients.

Practical Solutions

Our findings highlight the importance of considering metastatic sites when planning treatment for R/M NPC patients. Specifically:

  • Patients with liver metastasis may require more effective treatment options.
  • Further research is needed to explore tailored therapies for this group.

Enhancing Clinical Practice

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  • Streamlining Operations: Our mobile apps facilitate scheduling, treatment monitoring, and telemedicine, improving patient care management.
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