Figure 2 Figure 2A: Overall progression-free survival (PFS) for patients with advanced biliary tract cancer treated with apatinib monotherapy as a second-line regimen. The median PFS was 8 months.
Figure 2B: Progression-free survival (PFS) for patients with advanced cholangiocarcinoma (CC) and gallbladder carcinoma (GBC) treated with apatinib monotherapy as a second-line regimen. The median PFS in GBC group was 2.5 months and in CC group was 8 months, p=0.052

Figure 3 Images of a 65-year-old male patient with cholangiocarcinoma after treatment with apatinib monotherapy. Contrast-enhanced CT at baseline (A) showed an approximately 6.5*4 cm cholangiocarcinoma. CT images at 1 month (B) and 2.5 months (C) after baseline showed the tumor shrunk to 4.6*3.5 cm and 3.2*2 cm, respectively.

Category

Definition

Complete response (CR)

Complete disappearance of all target lesions

Partial response (PR)

≥30 % decrease in tumor diameter from baseline

Stable disease (SD)

Small changes that do not meet the above criteria

Progressive disease (PD)

>20% increase in tumor diameter from baseline

Table 1: Four response categories.

Characteristics

Number of patients

Sex

Male

14

Female

4

 

Age (years)

Median

55

40-50

4

50-60

9

60-70

5

Metastatic site

From cholangiocarcino ma

Liver

2

Retroperitoneal node

5

Lungs

3

Supraclavicular lymph node

2

From gallbladder cancer

Liver

2

Gallbladder (locally advanced)

4

Initial treatment/ recurrence

Initial treatment

10

Post-surgery Recurrence

8

Gemcitabine (first-line medicine) therapy

Monotherapy

3

Gemcitabine-cisplatin

15

Initial dosage of apatinib (mg)

500

12

250 (dosage reduced from 500 within the first 10 days)

6

Table 2: Patient characteristics

Adverse events

Total, n%

Grade

G1-G2

G3

Hypertension

11 (61%)

7

4

Diarrhea

6 (33%)

5

1

Hand-foot syndrome

5 (28%)

4

1

Proteinuria

8 (44%)

7

1

Fatigue

13 (72%)

11

2

Liver dysfunction

2 (11%)

2

-

Anemia

2 (11%)

3

-

Neutropenia

2 (11%)

2

-

Thrombocytopenia

1(6%)

1

-

Table 3: Treatment-related adverse events: