Clinical Edge Journal Scan

HIAC vs TACE: The better initial therapy for infiltrative HCC?


 

Key clinical point: As initial treatment, hepatic arterial infusion chemotherapy (HAIC) effectuates a greater survival and radiological response than transarterial chemoembolization (TACE) among patients with infiltrative hepatocellular carcinoma (HCC).

Main finding: HIAC vs TACE led to a longer median overall survival ( 13.3 months vs 10.8 months; P = .043) and progression-free survival (7.8 months vs 4.0 months; P = .035) along with higher objective response (34.8% vs 11.8%; P = .001) and disease control (54.3% vs 36.8%; P = .028) rates.

Study details: Findings are from a retrospective real-world study including 160 adult patients with large infiltrative HCCs who underwent either HAIC (n=92) or TACE (n=68) as initial treatment.

Disclosures: The authors declared receiving no financial assistance for the study and having no potential conflict of interests.

Source: An C et al. Front Oncol. 2021 Dec 16. doi: 10.3389/fonc.2021.747496 .

Recommended Reading

TARE may substitute surgical resection for initial treatment of large single nodular HCC
Federal Practitioner
Meta-analysis favors ICIs over standard care in unresectable HCC
Federal Practitioner
HCC: Percutaneous radiofrequency ablation outcomes not associated with NAFLD or MS
Federal Practitioner
mTORi-based immunosuppression prolongs post-liver transplant survival in HCC
Federal Practitioner
Clinical Edge Journal Scan Commentary: HCC January 2022
Federal Practitioner
ABO blood group system may dictate the outcome of liver transplantation in HCC
Federal Practitioner
Surgery vs radiofrequency ablation: Achieving better recurrence-free survival in small HCC
Federal Practitioner
Persistent and incident body fatness is strongly associated with HCC development
Federal Practitioner
HCC: AFP <500 ng/mL at liver transplant even in patients with moderately elevated AFP may mend posttransplant outcomes
Federal Practitioner
mRECIST objective response and early tumor shrinkage predict survival in sorafenib-treated HCC
Federal Practitioner