Clinical Edge Journal Scan

Baseline DCP levels and NLR predict survival in patients receiving atezolizumab+bevacizumab for advanced HCC


 

Key clinical point: Baseline des-gamma-carboxy prothrombin (DCP) levels and neutrophil-to-lymphocyte ratio (NLR) may serve as predictive biomarkers of survival in patients with advanced hepatocellular carcinoma (HCC) receiving atezolizumab plus bevacizumab (ATE+BEV) therapy.

Major finding: Multivariate analysis revealed that a DCP level of ≥186 mAU/mL and an NLR of ≥2.5 independently predict overall survival (adjusted hazard ratio [aHR] 5.102; P < .001; and aHR 3.584; P = .001, respectively) and progression-free survival (aHR 2.311; P = .002; and aHR 1.938; P = .012, respectively).

Study details: The data come from a real-world observational study that included 121 patients with advanced HCC who received ≥1 cycle of ATE+BEV treatment.

Disclosures: This study was sponsored by a National Research Foundation of Korea grant funded by the Korea government. Some authors declared receiving honoraria or research grants from various sources.

Source: Chon YE, Cheon J, et al. Predictive biomarkers of survival in patients with advanced hepatocellular carcinoma receiving atezolizumab plus bevacizumab treatment. Cancer Med. 2022 (Aug 23). Doi: 10.1002/cam4.5161

Recommended Reading

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
Unresectable HCC: Atezolizumab+bevacizumab more effective in patients with good liver function
Federal Practitioner
Postoperative adjuvant TACE efficacy in HCC depends on micronecrosis state
Federal Practitioner
HCC: Averting post-TARE hepatic decompensation with careful patient selection
Federal Practitioner
First-line lenvatinib+toripalimab+FOLFOX-HAIC shows promise in high-risk advanced HCC
Federal Practitioner