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Anlotinib monotherapy in recurrent or metastatic nasopharyngeal carcinoma: a multicenter case-series analysis Cover

Anlotinib monotherapy in recurrent or metastatic nasopharyngeal carcinoma: a multicenter case-series analysis

Open Access
|Dec 2025

Figures & Tables

FIGURE 1.

Treatment efficacy of anlotinib in patients with recurrent or metastatic nasopharyngeal carcinoma. (A) Waterfall plot shows the maximum change in target lesion diameter relative to baseline in each patient, following RECIST criteria, Version 1.1. (B) Swimmer’s plot shows the duration of response for each patient.
Treatment efficacy of anlotinib in patients with recurrent or metastatic nasopharyngeal carcinoma. (A) Waterfall plot shows the maximum change in target lesion diameter relative to baseline in each patient, following RECIST criteria, Version 1.1. (B) Swimmer’s plot shows the duration of response for each patient.

FIGURE 2.

Survival curves for the 30 patients under anlotinib monotherapy in this study. (A) Progression-free survival and (B) overall survival.
Survival curves for the 30 patients under anlotinib monotherapy in this study. (A) Progression-free survival and (B) overall survival.

Most common adverse reactions due to anlotinib treatment (incidence > 5%)

Adverse reactionAll gradesGrade 1Grade 2Grade 3Grade 4
n (%)
Hand-foot syndrome15 (50.0)6 (20.0)5 (16.7)4 (13.3)0
Hypertension12 (40.0)8 (26.7)3 (10.0)1 (3.3)0
Oral mucositis11 (36.7)5 (16.7)2 (6.7)4 (13.3)0
Hypothyroidism9 (30.0)7 (23.3)2 (6.7)00
Fatigue8 (26.7)5 (16.7)3 (10.0)00
Proteinuria5 (16.7)5 (16.7)000
Positive urinary occult blood4 (13.3)4 (13.3)000
Leukopenia3 (10.0)3 (10.0)000
Nasal bleeding3 (10.0)003 (10.0)0
Arthralgia2 (6.7)01 (3.3)1 (3.3)0

Baseline characteristics of 30 patients with recurrent or metastatic nasopharyngeal carcinoma treated with anlotinib monotherapy

CharacteristicsNo. of patients (%)
Age (years)
 Median (55)
 Range (35–76)
Sex
 Male25 (83.3)
 Female5 (16.6)
ECOG status
 0-124 (80.0)
 26 (20.0)
Disease stagea at diagnosis
 Stage II2 (6.7)
 Stage III9 (30.0)
 Stage IV19 (63.3)
Disease status when starting anlotinib therapy
 Local recurrence10 (33.3)
 Metastatic diseaseb13 (43.3)
 Both7 (23.3)
Metastatic sites
 Liver11 (36.7)
 Lung10 (33.3)
 Bone10 (33.3)
 Distant lymph node8 (26.7)
Number of prior systemic therapy lines
08 (26.7)
113 (43.3)
≥ 29 (30.0)
Platinum-refractory diseasec
Yes16 (53.3)
No14 (46.7)
Anlotinib starting dose
12 mg21 (70.0)
10 mg9 (30.0)
RT for recurrent/metastatic lesions
Yes3 (10.0)
No27 (90.0)
Surgical treatment for recurrent lesions
Yes2 (6.7)
No28 (93.3)
Immunotherapy before anlotinib
Yes3 (10.0)
No27 (90.0)
DOI: https://doi.org/10.2478/raon-2025-0059 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 617 - 623
Submitted on: Jul 21, 2025
Accepted on: Aug 15, 2025
Published on: Dec 16, 2025
Published by: Association of Radiology and Oncology
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2025 Guan-Jie Qin, Yi-Xin Su, Yong Liang, Bin Zhang, Yu-Fei Pan, Jian-Xun Lu, Yue-Yun Xie, Jin-Xuan Dai, Ke-Quan Chen, Feng-Fei Qin, Hui-Yun Yang, Xiang-Yun Kong, Yuan Xie, Xiao-Lan Ruan, Yun-Yan Mo, Ru-Yun Zhang, Jian Zhang, Wei Jiang, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution 4.0 License.