Long-term follow-up of tislelizumab combined with anlotinib in a single patient with metastatic type B3 thymoma: a case report - Report - MDSpire
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Extended Observation of Tislelizumab and Anlotinib Combination Therapy in a Patient with Metastatic Type B3 Thymoma: A Case Study

  • By

  • Ting Jiang

  • Chen Gao

  • Fangmi Ding

  • Shuyi Chen

  • Qunwei Chen

  • August 19, 2026

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Clinical Report: Extended Observation of Tislelizumab and Anlotinib Therapy

Overview

This case study reports on a 52-year-old woman with metastatic type B3 thymoma who achieved over 30 months of progression-free survival following treatment with tislelizumab and anlotinib after failing first-line chemotherapy. The combination therapy demonstrated antitumor activity.

Background

Thymoma is a rare malignancy with limited effective treatment options, particularly for advanced stages like type B3 thymoma, which is associated with poor prognosis. Current standard therapies often fail, highlighting the need for novel treatment strategies. Immune checkpoint inhibitors and multi-target tyrosine kinase inhibitors have shown promise in other cancers, but their efficacy in thymoma remains unclear.

Data Highlights

No numerical data or trial data provided in the article.

Key Findings

  • A 52-year-old woman with metastatic type B3 thymoma was treated with tislelizumab and anlotinib.
  • The patient had an objective response after failing first-line platinum-based chemotherapy.
  • She achieved over 30 months of progression-free survival.
  • The treatment was associated with manageable toxicity.
  • The findings are based on a single case report.

Clinical Implications

The case suggests that the combination of tislelizumab and anlotinib may be a treatment option for patients with metastatic type B3 thymoma after standard treatments fail. However, the reliance on a single case highlights the need for larger studies.

Conclusion

The combination therapy of tislelizumab and anlotinib shows activity in treating metastatic type B3 thymoma, but further research is essential to confirm its effectiveness.

Related Resources & Content

  1. The ASCO Post, RATIONALE 208: ‘Durable Clinical Activity’ Reported With Tislelizumab in Advanced Liver Cancer, 2021 -- Durable Clinical Activity Reported With Tislelizumab in Advanced Liver Cancer
  2. Blood Cancer Journal, Combination of Glofitamab and Tislelizumab in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma: A Pilot Study at a Single Institution, 2025 -- Combination of Glofitamab and Tislelizumab in Patients with Relapsed/Refractory Diffuse Large B-Cell Lymphoma
  3. The ASCO Post, Tislelizumab With Induction Chemotherapy and Concurrent Chemoradiotherapy in Locally Advanced Esophageal Cancer, 2026 -- Tislelizumab With Induction Chemotherapy and Concurrent Chemoradiotherapy in Locally Advanced Esophageal Cancer
  4. Systemic therapy for advanced thymic epithelial tumors: a narrative review of current evidence and perspectives - Tone - Mediastinum, 2026 -- Systemic therapy for advanced thymic epithelial tumors: a narrative review of current evidence and perspectives
  5. the asco post — RATIONALE 208: ‘Durable Clinical Activity’ Reported With Tislelizumab in Advanced Liver Cancer
  6. Systemic therapy for advanced thymic epithelial tumors: a narrative review of current evidence and perspectives - Tone - Mediastinum
  7. Lenvatinib in patients with advanced or metastatic thymic carcinoma (REMORA): a multicentre, phase 2 trial - PubMed

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