Neoadjuvant famitinib and camrelizumab, a new combined therapy allowing surgical resection of the primary site for anaplastic thyroid carcinoma

Cancer Rep (Hoboken). 2023 Jan;6(1):e1770. doi: 10.1002/cnr2.1770. Epub 2022 Dec 19.

Abstract

Background: Anaplastic thyroid cancer (ATC) is considered the most lethal thyroid cancer, with an overall 5-year survival rate below 10%. The FDA approved a BRAF/MEK inhibitor combination for the treatment of patients with BRAF-mutated ATC. However, effective therapeutic options for patients with wild-type BRAF are lacking.

Case: In our phase II study, patients having advanced/metastatic solid ATCs were treated with famitinib and camrelizumab, a combination therapy involving a multi-targeted kinase inhibitor and an anti-PD-1 antibody. We report a case of a patient with locally advanced unresectable ATC who underwent this combination therapy, allowing us to perform complete surgical resection followed by post-operative radiation therapy.

Conclision: To the best of our knowledge, this is the first report describing the use of famitinib and camrelizumab as a neoadjuvant treatment for ATC with wild-type BRAF. Clinical trial for a novel neoadjuvant approach for ATC are currently open for enrollment.

Keywords: anaplastic thyroid cancer; camrelizumab; famitinib; radiation therapy; surgery.

Publication types

  • Clinical Trial, Phase II
  • Case Reports

MeSH terms

  • Humans
  • Neoadjuvant Therapy
  • Protein Kinase Inhibitors / therapeutic use
  • Proto-Oncogene Proteins B-raf / genetics
  • Proto-Oncogene Proteins B-raf / therapeutic use
  • Thyroid Carcinoma, Anaplastic* / diagnosis
  • Thyroid Carcinoma, Anaplastic* / drug therapy
  • Thyroid Carcinoma, Anaplastic* / genetics
  • Thyroid Neoplasms* / drug therapy
  • Thyroid Neoplasms* / genetics
  • Thyroid Neoplasms* / surgery

Substances

  • camrelizumab
  • famitinib
  • Proto-Oncogene Proteins B-raf
  • Protein Kinase Inhibitors