Primary Treatment with Molecular-Targeted Agents for Hepatocellular Carcinoma: A Propensity Score-matching Analysis.


Journal

Hepatology communications
ISSN: 2471-254X
Titre abrégé: Hepatol Commun
Pays: United States
ID NLM: 101695860

Informations de publication

Date de publication:
Aug 2020
Historique:
received: 02 03 2020
revised: 13 04 2020
accepted: 28 04 2020
entrez: 9 8 2020
pubmed: 9 8 2020
medline: 9 8 2020
Statut: epublish

Résumé

Sorafenib and lenvatinib, as molecular-targeted agents, constitute effective primary treatment options for advanced hepatocellular carcinoma (HCC). However, the choice of optimal primary treatment agent remains controversial. Here, we aimed to assess the respective outcomes between these agents as primary treatment in patients with advanced HCC through use of propensity score-matching analysis (PSMA). We enrolled 670 consecutive patients who were diagnosed with advanced HCC and received sorafenib (n = 524) or lenvatinib (n = 146) as the primary treatment among 18 participating institutions between May 2009 and October 2019. To reduce confounding, we used PSMA regarding seven variables related to advanced HCC prognosis, resulting in the selection of 292 patients (n = 146 for each agent). Following PSMA, no significant difference was observed in the outcome of overall survival time between patients treated with sorafenib or lenvatinib (median survival time 15.3 or 14.9 months, respectively;

Identifiants

pubmed: 32766480
doi: 10.1002/hep4.1535
pii: HEP41535
pmc: PMC7395064
doi:

Types de publication

Journal Article

Langues

eng

Pagination

1218-1228

Informations de copyright

© 2020 The Authors. Hepatology Communications published by Wiley Periodicals LLC on behalf of American Association for the Study of Liver Diseases.

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Auteurs

Masahito Nakano (M)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Ryoko Kuromatsu (R)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Takashi Niizeki (T)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Shusuke Okamura (S)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Hideki Iwamoto (H)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Shigeo Shimose (S)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Tomotake Shirono (T)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Yu Noda (Y)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Naoki Kamachi (N)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Hironori Koga (H)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Takuji Torimura (T)

Division of Gastroenterology Department of Medicine Kurume University School of Medicine Kurume Japan.

Classifications MeSH