Atezolizumab plus Bevacizumab as a downstaging therapy for liver transplantation in Hepatocellular carcinoma with portal vein thrombosis: The first report.

Downstaging Hepatocellular carcinoma Immunotherapy Liver cancer Liver transplantation

Journal

American journal of transplantation : official journal of the American Society of Transplantation and the American Society of Transplant Surgeons
ISSN: 1600-6143
Titre abrégé: Am J Transplant
Pays: United States
ID NLM: 100968638

Informations de publication

Date de publication:
12 Jan 2024
Historique:
received: 10 07 2023
revised: 06 01 2024
accepted: 08 01 2024
medline: 15 1 2024
pubmed: 15 1 2024
entrez: 14 1 2024
Statut: aheadofprint

Résumé

Atezolizumab plus bevacizumab is the preferred first-line regimen for patients with advanced Hepatocellular carcinoma (HCC). Limited data have shown promising results with the use of immune checkpoint inhibitors like nivolumab to downstage these patients for liver transplantation. Here, we describe the first case of successful downstaging with atezolizumab plus bevacizumab in a patient with Multifocal HCC and main portal vein tumoral thrombosis (PVTT) followed by ABO-incompatible live donor liver transplantation (LDLT). This illustrated case highlights that atezolizumab plus bevacizumab therapy may be a potential bridging tool for curative liver transplantation.

Identifiants

pubmed: 38219868
pii: S1600-6135(24)00072-8
doi: 10.1016/j.ajt.2024.01.007
pii:
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier Inc.

Auteurs

Pramod Kumar (P)

Hepatologist and Liver transplant physician. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India. Electronic address: dapramod@gmail.com.

Pradeep Krishna (P)

Department of HPB and Liver transplantation surgery. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Ravindra Nidoni (R)

Department of HPB and Liver transplantation surgery. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Adarsh C K (A)

Department of Gastroenterology. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Arun M (A)

Department of Liver transplantation anesthesia. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Aashish Shetty (A)

Department of Liver transplantation anesthesia. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Mathangi J (M)

Head of the department. Department of Radiation oncology. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Sandhya V (S)

Department of Pathology. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Mahesh Gopasetty (M)

Department of HPB and Liver transplantation surgery. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Venugopal B (V)

Department of HPB and Liver transplantation surgery. BGS Gleneagles Global Hospital. Bengaluru, Karnataka, India.

Classifications MeSH