Systemic treatment of hepatocellular carcinoma: from sorafenib to combination therapies.

VEGFR2 combination therapies hepatocellular carcinoma immunotherapy tyrosine kinase inhibitor

Journal

Hepatic oncology
ISSN: 2045-0923
Titre abrégé: Hepat Oncol
Pays: England
ID NLM: 101629607

Informations de publication

Date de publication:
28 May 2020
Historique:
entrez: 11 7 2020
pubmed: 11 7 2020
medline: 11 7 2020
Statut: epublish

Résumé

For almost a decade, systemic therapy of advanced hepatocellular carcinoma (HCC) was limited to the tyrosine kinase inhibitor (TKI) sorafenib. Different agents including checkpoint inhibitors, TKIs and anti-VEGFR antibodies demonstrated efficacy in treatment. For the first time, the combination of atezolizumab and bevacizumab, a first-line treatment that is superior to the current standard was identified, potentially changing the way we treat HCC. In this review, we summarize current data on systemic treatment of patients with advanced HCC, focusing on combination therapies comprising immune checkpoint inhibitors, TKIs and locoregional therapies. We elucidate findings from recent trials and discuss such challenges as the lack of predictive biomarkers for identification of subgroups that will benefit from novel treatment strategies.

Identifiants

pubmed: 32647565
doi: 10.2217/hep-2020-0004
pmc: PMC7338920
doi:

Types de publication

Journal Article Review

Langues

eng

Pagination

HEP20

Informations de copyright

© 2020 Christoph Roderburg.

Déclaration de conflit d'intérêts

Financial & competing interests disclosure The authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties. No writing assistance was utilized in the production of this manuscript.

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Auteurs

Christoph Roderburg (C)

Department of Hepatology & Gastroenterology, Charité - University Medicine Berlin, Campus Virchow Klinikum & Charité Campus Mitte, Berlin, 13353, Germany.

Burcin Özdirik (B)

Department of Hepatology & Gastroenterology, Charité - University Medicine Berlin, Campus Virchow Klinikum & Charité Campus Mitte, Berlin, 13353, Germany.

Alexander Wree (A)

Department of Hepatology & Gastroenterology, Charité - University Medicine Berlin, Campus Virchow Klinikum & Charité Campus Mitte, Berlin, 13353, Germany.

Münevver Demir (M)

Department of Hepatology & Gastroenterology, Charité - University Medicine Berlin, Campus Virchow Klinikum & Charité Campus Mitte, Berlin, 13353, Germany.

Frank Tacke (F)

Department of Hepatology & Gastroenterology, Charité - University Medicine Berlin, Campus Virchow Klinikum & Charité Campus Mitte, Berlin, 13353, Germany.

Classifications MeSH