Clinical Edge Journal Scan

Unresectable HCC: Atezolizumab+bevacizumab more effective in patients with good liver function


 

Key clinical point: Patients with unresectable hepatocellular carcinoma (uHCC) and modified albumin-bilirubin (mALBI) grade 1 or 2a show better therapeutic response to atezolizumab plus bevacizumab (ATE+BEV) treatment than those with uHCC and mALBI grade 2b or 3.

Major finding: Patients with mALBI grade 1+2a vs mALBI grade 2b+3 had a significantly higher objective response rate (26.2% vs 3.4%; P = .02) and longer median progression-free survival (10.5 vs 3.0 months; hazard ratio 2.086; P < .01) with ATE+BEV.

Study details: This retrospective observational study included 71 patients who received ATE+BEV for uHCC and had an mALBI grade of 1+2a (n = 42) or 2b+3 (n = 29).

Disclosures: No source of funding was reported. The authors declared no conflicts of interest.

Source: Tomonari T et al. Initial therapeutic results of atezolizumab plus bevacizumab for unresectable advanced hepatocellular carcinoma and the importance of hepatic functional reserve. Cancer Med. 2022 (Aug 14). Doi: 10.1002/cam4.5145

Recommended Reading

Recurrent HCC: Adjuvant sorafenib after RFA offers survival benefit over RFA alone
Federal Practitioner
Better survival among children vs adults with HCC likely attributed to more aggressive surgical management
Federal Practitioner
HCC: Effective local tumor control with “no-touch” radiofrequency ablation
Federal Practitioner
Advanced HCC with PVTT: Sorafenib+TACE more efficacious when combined with an immune checkpoint inhibitor and radiotherapy
Federal Practitioner
Repeating TACE yields a survival benefit in intermediate-stage HCC
Federal Practitioner
Commentary: Appropriate Downstaging and TACE in HCC, September 2022
Federal Practitioner
Sintilimab plus IBI305: A promising treatment option for advanced HCC
Federal Practitioner
CP-A to CP-B progression after lenvatinib initiation in HCC should not halt therapy
Federal Practitioner
Transradial vs transfemoral access for TACE improves patient satisfaction in HCC
Federal Practitioner
Advanced HCC with macroscopic PVTT: Hepatectomy offers better survival than sorafenib
Federal Practitioner